CPT code 11102: Tangential skin biopsy, first or only lesion2026 Medicare rate & RVUs in Idaho
Report 11102 for the first tangential skin lesion sampled by shave, scoop, saucerization, or curette when no higher-valued biopsy technique is used.
In Idaho, Medicare pays $88.70 for 11102 in the office and $28.47 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 11102 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 11102 covers
A tangential biopsy takes a diagnostic skin sample using a blade held nearly parallel to the surface, a scoop or saucerizing technique, or a curette. Sampling depth varies and can reach the deep dermis or subcutaneous tissue. Dermatologists, primary care clinicians, nurse practitioners, and physician assistants commonly perform it in the office for lesions suspicious for basal or squamous cell carcinoma. Local anesthesia, hemostasis, and simple closure or dressing when performed are included; pathology examination of the specimen is separate.
Report 11102 once when tangential sampling is the highest-valued biopsy technique used in the session; report 11103 for each additional separate tangential lesion. If a punch or incisional biopsy is also performed, report the appropriate higher-valued primary biopsy code and 11103 for the tangential lesion. Document each lesion's site, sampling technique, and diagnostic intent. The 0-day global includes same-day preoperative and postoperative care; a separately identifiable E/M service requires modifier 25 on the E/M code. With multiple procedures, Medicare pays the highest-valued procedure in full and others at 50%. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Idaho compares for 11102
Across 109 of 109 payment localities, the office rate for 11102 runs from $84.38 in Arkansas to $128.84 in San Benito County, CA. Idaho pays $88.70. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Idaho · this page$88.70
- Los Angeles, CA · California$108.93+$20.23
- Washington, DC area · District of Columbia$109.75+$21.05
- Miami, FL · Florida$101.55+$12.85
- Chicago, IL · Illinois$98.63+$9.93
- Manhattan, NY · New York$109.76+$21.06
- Alaska · Alaska$110.00+$21.30
Other areas in Idaho first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $85.64 | $28.36 |
| ArkansasArkansas | $84.38 | $28.15 |
| ArizonaArizona | $93.00 | $29.57 |
| Bakersfield, CACalifornia | $102.08 | $30.32 |
| Chico, CACalifornia | $101.89 | $30.14 |
| El Centro, CACalifornia | $101.90 | $30.15 |
| Fresno, CACalifornia | $101.89 | $30.14 |
| Hanford, CACalifornia | $101.89 | $30.14 |
| Madera, CACalifornia | $101.89 | $30.14 |
| Merced, CACalifornia | $101.89 | $30.14 |
| Modesto, CACalifornia | $101.89 | $30.14 |
| Napa, CACalifornia | $118.83 | $32.55 |
| Oxnard, CACalifornia | $108.50 | $31.12 |
| Redding, CACalifornia | $101.89 | $30.14 |
| Rest of CaliforniaCalifornia | $101.89 | $30.14 |
| Riverside, CACalifornia | $102.54 | $30.79 |
| Sacramento, CACalifornia | $107.13 | $30.99 |
| Salinas, CACalifornia | $106.73 | $30.86 |
| San Diego, CACalifornia | $109.39 | $31.09 |
| Marin County, CACalifornia | $126.05 | $33.75 |
| San Francisco, CACalifornia | $125.98 | $33.68 |
| San Benito County, CACalifornia | $128.84 | $34.43 |
| Santa Clara County, CACalifornia | $128.56 | $34.16 |
| San Luis Obispo, CACalifornia | $104.99 | $30.42 |
| Santa Cruz, CACalifornia | $110.56 | $31.02 |
| Santa Maria, CACalifornia | $107.17 | $30.84 |
| Santa Rosa, CACalifornia | $111.69 | $31.30 |
| Stockton, CACalifornia | $101.89 | $30.14 |
| Vallejo, CACalifornia | $118.73 | $32.45 |
| Visalia, CACalifornia | $101.89 | $30.14 |
| Yuba City, CACalifornia | $101.89 | $30.14 |
| ColoradoColorado | $99.96 | $30.31 |
| ConnecticutConnecticut | $101.93 | $31.42 |
| DelawareDelaware | $94.57 | $29.89 |
| Fort Lauderdale, FLFlorida | $98.08 | $31.77 |
| Rest of FloridaFlorida | $93.36 | $30.77 |
| Atlanta, GAGeorgia | $97.15 | $30.63 |
| Rest of GeorgiaGeorgia | $88.12 | $29.72 |
| Hawaii, Guam, HIHawaii | $104.57 | $30.13 |
| IowaIowa | $88.19 | $28.28 |
| East St. Louis, ILIllinois | $91.79 | $31.56 |
| Rest of IllinoisIllinois | $90.38 | $30.61 |
| Suburban Chicago, ILIllinois | $99.17 | $31.94 |
| IndianaIndiana | $89.23 | $28.54 |
| KansasKansas | $87.61 | $28.43 |
| KentuckyKentucky | $87.35 | $29.15 |
| New Orleans, LALouisiana | $91.54 | $29.94 |
| Rest of LouisianaLouisiana | $87.15 | $29.21 |
| Metropolitan Boston, MAMassachusetts | $110.18 | $32.01 |
| Rest of MassachusettsMassachusetts | $99.29 | $30.35 |
| Baltimore area, MDMaryland | $101.61 | $31.37 |
| Rest of MarylandMaryland | $96.44 | $30.19 |
| Rest of MaineMaine | $89.00 | $28.77 |
| Southern Maine, MEMaine | $94.14 | $29.26 |
| Detroit, MIMichigan | $94.38 | $31.20 |
| Rest of MichiganMichigan | $89.51 | $29.74 |
| MinnesotaMinnesota | $96.21 | $28.84 |
| Metropolitan Kansas City, MOMissouri | $91.08 | $29.61 |
| Metropolitan St. Louis, MOMissouri | $92.07 | $29.74 |
| Rest of MissouriMissouri | $85.52 | $29.09 |
| MississippiMississippi | $84.98 | $28.61 |
| MontanaMontana | $95.52 | $30.06 |
| North CarolinaNorth Carolina | $89.97 | $28.89 |
| North DakotaNorth Dakota | $94.34 | $28.87 |
| NebraskaNebraska | $88.72 | $28.30 |
| New HampshireNew Hampshire | $98.23 | $30.08 |
| Northern New JerseyNew Jersey | $108.55 | $32.61 |
| Rest of New JerseyNew Jersey | $103.21 | $31.72 |
| New MexicoNew Mexico | $89.94 | $29.91 |
| NevadaNevada | $95.26 | $29.73 |
| NYC suburbs and Long Island, NYNew York | $112.25 | $34.41 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $103.76 | $32.08 |
| Queens, NYNew York | $110.91 | $33.53 |
| Rest of New YorkNew York | $91.32 | $29.13 |
| OhioOhio | $89.27 | $29.50 |
| OklahomaOklahoma | $87.36 | $28.90 |
| Portland, OROregon | $103.36 | $30.63 |
| Rest of OregonOregon | $94.64 | $29.44 |
| Metropolitan Philadelphia, PAPennsylvania | $99.26 | $31.11 |
| Rest of PennsylvaniaPennsylvania | $89.50 | $29.40 |
| Puerto RicoPuerto Rico | $96.29 | $30.10 |
| Rhode IslandRhode Island | $98.10 | $30.47 |
| South CarolinaSouth Carolina | $89.74 | $29.25 |
| South DakotaSouth Dakota | $94.20 | $28.73 |
| TennesseeTennessee | $88.03 | $28.53 |
| Austin, TXTexas | $99.53 | $30.26 |
| Beaumont, TXTexas | $88.89 | $29.32 |
| Brazoria, TXTexas | $94.61 | $29.73 |
| Dallas, TXTexas | $95.15 | $29.94 |
| Fort Worth, TXTexas | $94.45 | $29.90 |
| Galveston, TXTexas | $94.85 | $29.84 |
| Houston, TXTexas | $95.95 | $30.94 |
| Rest of TexasTexas | $91.65 | $29.53 |
| UtahUtah | $90.99 | $29.46 |
| VirginiaVirginia | $93.71 | $29.36 |
| Virgin Islands, VIUnited States Virgin Islands | $96.29 | $30.10 |
| VermontVermont | $93.82 | $29.00 |
| Rest of WashingtonWashington | $99.15 | $30.21 |
| King County, WAWashington | $112.61 | $32.28 |
| WisconsinWisconsin | $91.11 | $28.39 |
| West VirginiaWest Virginia | $86.94 | $30.05 |
| WyomingWyoming | $95.01 | $29.54 |
11102 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$84.38
$115.37
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $110.00 | 1 |
| AL | $85.64 | 1 |
| AR | $84.38 | 1 |
| AZ | $93.00 | 1 |
| CA | $101.89–$128.84 | 29 |
| CO | $99.96 | 1 |
| CT | $101.93 | 1 |
| DC | $109.75 | 1 |
| DE | $94.57 | 1 |
| FL | $93.36–$101.55 | 3 |
| GA | $88.12–$97.15 | 2 |
| GU | $104.57 | 1 |
| HI | $104.57 | 1 |
| IA | $88.19 | 1 |
| ID | $88.70 | 1 |
| IL | $90.38–$99.17 | 4 |
| IN | $89.23 | 1 |
| KS | $87.61 | 1 |
| KY | $87.35 | 1 |
| LA | $87.15–$91.54 | 2 |
| MA | $99.29–$110.18 | 2 |
| MD | $96.44–$109.75 | 3 |
| ME | $89.00–$94.14 | 2 |
| MI | $89.51–$94.38 | 2 |
| MN | $96.21 | 1 |
| MO | $85.52–$92.07 | 3 |
| MS | $84.98 | 1 |
| MT | $95.52 | 1 |
| NC | $89.97 | 1 |
| ND | $94.34 | 1 |
| NE | $88.72 | 1 |
| NH | $98.23 | 1 |
| NJ | $103.21–$108.55 | 2 |
| NM | $89.94 | 1 |
| NV | $95.26 | 1 |
| NY | $91.32–$112.25 | 5 |
| OH | $89.27 | 1 |
| OK | $87.36 | 1 |
| OR | $94.64–$103.36 | 2 |
| PA | $89.50–$99.26 | 2 |
| PR | $96.29 | 1 |
| RI | $98.10 | 1 |
| SC | $89.74 | 1 |
| SD | $94.20 | 1 |
| TN | $88.03 | 1 |
| TX | $88.89–$99.53 | 8 |
| UT | $90.99 | 1 |
| VA | $93.71–$109.75 | 2 |
| VI | $96.29 | 1 |
| VT | $93.82 | 1 |
| WA | $99.15–$112.61 | 2 |
| WI | $91.11 | 1 |
| WV | $86.94 | 1 |
| WY | $95.01 | 1 |
How the 11102 rate is calculated
Each of 11102’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 11102
RVUs × geographic indexes × conversion factor
Work0.64
0.64 RVUs× 1.000 GPCI
Practice expense2.16
2.16 RVUs× 1.000 GPCI
Malpractice0.06
0.06 RVUs× 1.000 GPCI
Adjusted RVUs
2.8600
Conversion factor
$33.4009
Medicare rate
$95.53
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Idaho inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,270
- Code
- 11102
- Physician work
- 0.64
- Practice expense
- 2.16
- Malpractice
- 0.06
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.64 | × 1.000 | 0.6400 |
| Practice expense | 2.16 | × 0.920 | 1.9872 |
| Malpractice | 0.06 | × 0.473 | 0.0284 |
| Total RVUs | 2.6556 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Idaho$88.70
Office: (0.64 × 1 + 2.16 × 0.92 + 0.06 × 0.473) × $33.4009 = $88.70
Facility: (0.64 × 1 + 0.2 × 0.92 + 0.06 × 0.473) × $33.4009 = $28.47
Payment rules and modifiers for 11102
The CMS indicators that decide how 11102 is paid alongside other services.
CMS payment indicators · 11102
Tangential skin biopsy, first or only lesion
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
11102 without 51 · national office
$95.53
Tangential skin biopsy, first or only lesion
11102-51 · Second procedure: 50%
$47.77
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 11102 has changed in Idaho
11102 · Office / nonfacility
$88.70
Effective 2026-10-01
The base rate is $0.67 higher than on 2025-10-01, moving from $88.03 to $88.70 (0.8%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$88.03changed to$88.70
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.66 changed to 0.64
- Practice expense RVU 2.24 changed to 2.16
- Practice expense GPCI 0.908 changed to 0.920
- Malpractice GPCI 0.461 changed to 0.473
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$92.26changed to$88.03
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.29 changed to 2.24
- Malpractice RVU 0.07 changed to 0.06
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$90.75changed to$92.26
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$93.61changed to$90.75
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.32 changed to 2.29
- Practice expense GPCI 0.893 changed to 0.908
- Malpractice GPCI 0.439 changed to 0.461
January 1, 2023
RVU23A
$94.26changed to$93.61
- Conversion factor 34.6062 changed to 33.8872
- Practice expense GPCI 0.877 changed to 0.893
- Malpractice GPCI 0.416 changed to 0.439
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$95.36changed to$94.26
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.34 changed to 2.32
- Malpractice RVU 0.05 changed to 0.07
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$92.61changed to$95.36
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.10 changed to 2.34
- Malpractice RVU 0.08 changed to 0.05
- Practice expense GPCI 0.890 changed to 0.877
- Malpractice GPCI 0.464 changed to 0.416
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$92.09changed to$92.61
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.05 changed to 2.10
- Malpractice RVU 0.09 changed to 0.08
- Practice expense GPCI 0.902 changed to 0.890
- Malpractice GPCI 0.512 changed to 0.464
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
No ratechanged to$92.09
Held through RVU19B, RVU19C, RVU19D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $88.70 | $28.47 | RVU26D |
| 2026-07-01 | $88.70 | $28.47 | RVU26C |
| 2026-04-01 | $88.70 | $28.47 | RVU26B |
| 2026-01-01 | $88.70 | $28.47 | RVU26A |
| 2025-10-01 | $88.03 | $33.99 | RVU25D |
| 2025-07-01 | $88.03 | $33.99 | RVU25C |
| 2025-04-01 | $88.03 | $33.99 | RVU25B |
| 2025-01-01 | $88.03 | $33.99 | RVU25A |
| 2024-10-01 | $92.26 | $34.83 | RVU24D |
| 2024-07-01 | $92.26 | $34.83 | RVU24C |
| 2024-04-01 | $92.26 | $34.83 | RVU24B |
| 2024-03-09 | $92.26 | $34.83 | RVU24AR |
| 2024-01-01 | $90.75 | $34.26 | RVU24A |
| 2023-10-01 | $93.61 | $35.21 | RVU23D |
| 2023-07-01 | $93.61 | $35.21 | RVU23C |
| 2023-04-01 | $93.61 | $35.21 | RVU23B |
| 2023-01-01 | $93.61 | $35.21 | RVU23A |
| 2022-10-01 | $94.26 | $35.08 | RVU22D |
| 2022-07-01 | $94.26 | $35.08 | RVU22C |
| 2022-04-01 | $94.26 | $35.08 | RVU22B |
| 2022-01-01 | $94.26 | $35.08 | RVU22A |
| 2021-10-01 | $95.36 | $35.38 | RVU21D |
| 2021-07-01 | $95.36 | $35.38 | RVU21C |
| 2021-04-01 | $95.36 | $35.38 | RVU21B |
| 2021-01-01 | $95.36 | $35.38 | RVU21A |
| 2020-10-01 | $92.61 | $37.36 | RVU20D |
| 2020-07-01 | $92.61 | $37.36 | RVU20C |
| 2020-04-01 | $92.61 | $37.36 | RVU20B |
| 2020-01-01 | $92.61 | $37.36 | RVU20A |
| 2019-10-01 | $92.09 | $38.12 | RVU19D |
| 2019-07-01 | $92.09 | $38.12 | RVU19C |
| 2019-04-01 | $92.09 | $38.12 | RVU19B |
| 2019-01-01 | $92.09 | $38.12 | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Idaho rate applies
Idaho is a Medicare payment area, not a city. Our Census mapping connects it to 235 cities and communities in Idaho. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Acequia
- Albion
- American Falls
- Ammon
- Arbon Valley
- Arco
- Arimo
11102 billing questions
How are several tangential biopsies at one visit reported?
Report 11102 once for the first lesion and 11103 for each additional separate lesion biopsied tangentially, with units equal to the number of additional lesions. This applies when no higher-valued biopsy technique is used in the session.
What if a tangential biopsy and a punch biopsy are done on different lesions in the same session?
Report 11104 as the primary code for the punch biopsy and 11103 for the tangential biopsy. Do not report 11102 alongside 11104 or 11106 for biopsies in the same session.
How do I choose between 11102 and a shave removal code?
Use 11102 when the goal is to obtain tissue for diagnosis. Shave removal codes in the 11300 series apply when the intent is to remove the lesion and are selected by anatomic site and lesion diameter.
Can an office visit be billed on the same day?
Yes, if significant, separately identifiable evaluation beyond the usual pre-biopsy assessment is documented; append modifier 25 to the E/M code. The decision to biopsy alone does not support a separate visit.
Is the pathology reading included?
No. The histopathology examination is billed separately by the pathologist or dermatopathologist, typically with 88305.
Is closure of the biopsy site separately billable?
No. Hemostasis, simple closure, and dressing when performed are included in the tangential biopsy service.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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