CPT code 11102: Tangential skin biopsy, first or only lesion2026 Medicare rate & RVUs in South Dakota

Report 11102 for the first tangential skin lesion sampled by shave, scoop, saucerization, or curette when no higher-valued biopsy technique is used.

CMS RVU26DEffective Oct 1, 2026One payment locality3.5M Medicare services in 2024

In South Dakota, Medicare pays $94.20 for 11102 in the office and $28.73 when it’s performed in a hospital or facility.

$94.20Office (non-facility)
$28.73Hospital or facility
−1.4%vs the national office rate ($95.53)

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.

We’ll open 11102 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 11102 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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 South Dakota 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. South Dakota pays $94.20. The RVUs are the same everywhere; the geographic indexes change the dollars.

11102 in South Dakota vs other payment areas
  1. South Dakota · this page$94.20
  2. Los Angeles, CA · California$108.93+$14.73
  3. Washington, DC area · District of Columbia$109.75+$15.55
  4. Miami, FL · Florida$101.55+$7.35
  5. Chicago, IL · Illinois$98.63+$4.43
  6. Manhattan, NY · New York$109.76+$15.56
  7. Alaska · Alaska$110.00+$15.80

Other areas in South Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

11102 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
11102 office rate range by state
State / territoryOffice rate rangeLocalities
AK$110.001
AL$85.641
AR$84.381
AZ$93.001
CA$101.89–$128.8429
CO$99.961
CT$101.931
DC$109.751
DE$94.571
FL$93.36–$101.553
GA$88.12–$97.152
GU$104.571
HI$104.571
IA$88.191
ID$88.701
IL$90.38–$99.174
IN$89.231
KS$87.611
KY$87.351
LA$87.15–$91.542
MA$99.29–$110.182
MD$96.44–$109.753
ME$89.00–$94.142
MI$89.51–$94.382
MN$96.211
MO$85.52–$92.073
MS$84.981
MT$95.521
NC$89.971
ND$94.341
NE$88.721
NH$98.231
NJ$103.21–$108.552
NM$89.941
NV$95.261
NY$91.32–$112.255
OH$89.271
OK$87.361
OR$94.64–$103.362
PA$89.50–$99.262
PR$96.291
RI$98.101
SC$89.741
SD$94.201
TN$88.031
TX$88.89–$99.538
UT$90.991
VA$93.71–$109.752
VI$96.291
VT$93.821
WA$99.15–$112.612
WI$91.111
WV$86.941
WY$95.011

See 11102 in every payment locality

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

Office or facility?

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 South Dakota 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

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 11102 in South Dakota
ComponentRVULocality factorAdjusted
Physician work0.64× 1.0000.6400
Practice expense2.16× 1.0002.1600
Malpractice0.06× 0.3360.0202
Total RVUs2.8202
Conversion factor× 33.4009

Office rate, South Dakota$94.20

Office: (0.64 × 1 + 2.16 × 1 + 0.06 × 0.336) × $33.4009 = $94.20

Facility: (0.64 × 1 + 0.2 × 1 + 0.06 × 0.336) × $33.4009 = $28.73

Open 11102 in the RVU calculator

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

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician 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%).

When to use modifier 51

How 11102 has changed in South Dakota

11102 · Office / nonfacility

$94.20

Effective 2026-10-01

The base rate is $0.35 lower than on 2025-10-01, moving from $94.55 to $94.20 (0.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $94.55changed to$94.20

    • 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
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $99.09changed to$94.55

    • 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.

  3. March 9, 2024

    RVU24AR

    $97.47changed to$99.09

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $101.85changed to$97.47

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.32 changed to 2.29
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $103.97changed to$101.85

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $105.28changed to$103.97

    • 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.

  7. January 1, 2021

    RVU21A

    $100.67changed to$105.28

    • 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
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $98.93changed to$100.67

    • 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
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    No ratechanged to$98.93

    Held through RVU19B, RVU19C, RVU19D.

  10. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$94.20$28.73RVU26D
2026-07-01$94.20$28.73RVU26C
2026-04-01$94.20$28.73RVU26B
2026-01-01$94.20$28.73RVU26A
2025-10-01$94.55$35.03RVU25D
2025-07-01$94.55$35.03RVU25C
2025-04-01$94.55$35.03RVU25B
2025-01-01$94.55$35.03RVU25A
2024-10-01$99.09$35.84RVU24D
2024-07-01$99.09$35.84RVU24C
2024-04-01$99.09$35.84RVU24B
2024-03-09$99.09$35.84RVU24AR
2024-01-01$97.47$35.26RVU24A
2023-10-01$101.85$36.45RVU23D
2023-07-01$101.85$36.45RVU23C
2023-04-01$101.85$36.45RVU23B
2023-01-01$101.85$36.45RVU23A
2022-10-01$103.97$36.48RVU22D
2022-07-01$103.97$36.48RVU22C
2022-04-01$103.97$36.48RVU22B
2022-01-01$103.97$36.48RVU22A
2021-10-01$105.28$36.89RVU21D
2021-07-01$105.28$36.89RVU21C
2021-04-01$105.28$36.89RVU21B
2021-01-01$105.28$36.89RVU21A
2020-10-01$100.67$38.60RVU20D
2020-07-01$100.67$38.60RVU20C
2020-04-01$100.67$38.60RVU20B
2020-01-01$100.67$38.60RVU20A
2019-10-01$98.93$39.10RVU19D
2019-07-01$98.93$39.10RVU19C
2019-04-01$98.93$39.10RVU19B
2019-01-01$98.93$39.10RVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 11102 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

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
RVUs for 11102PPRRVU2026_Oct_nonQPP.csv, line 1,270 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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