CPT 11602: Excision of Malignant Lesion, Trunk/Arms/Legs 1.1–2.0 cm
Medicare pays $249 and commercial payers pay $569 on average nationally for this procedure.
CPT code 11602 describes surgical excision of a malignant skin lesion with margins measuring 1.1 to 2.0 cm in diameter; the service is a minor surgical procedure typically performed in an outpatient surgical or dermatology clinic setting on the trunk, arms, or legs and includes removal of the primary tumor and surrounding tissue as specified in the code description.
Customize your policy alerts
Sign up for cpt 11602 policy alerts
Get alerted when payer policies referencing 11602 are released or updated.
Monitor payer policy activity
National Reimbursement Benchmarks
Across national payers, Medicare’s mean rate of $249.10 sits well below BUCA’s average commercial mean of $569.10, indicating a substantial spread between the public baseline and this commercial benchmark. The gap of $320.00 between Medicare and BUCA highlights the divergence in reimbursement levels that can exist between a federal fee schedule and commercial networks.
Examining dispersion using the interquartile range (P75 minus P25) shows variability differences across payers. Blue Cross Blue Shield has the widest IQR at $268.00, followed by UnitedHealth Group at $232.00 and BUCA at $331.00? WAIT: must compute correctly. Actually BUCA p75 705.4 - p25 437.4 = $268.00; UnitedHealth p75 448.6 - p25 221.6 = $227.00; Cigna p75 417.5 - p25 203.7 = $213.80; Aetna p75 228.0 - p25 80.2 = $147.80; Medicare p75 259 - p25 232 = $27.00. The tightest dispersion is Medicare at $27.00 and the widest are Blue Cross Blue Shield and BUCA at $268.00.