CPT code 11103: Tangential skin biopsy, each separate or additional lesion2026 Medicare rate & RVUs in Mississippi

Report this add-on for each separate skin lesion sampled tangentially beyond the lesion represented by the primary biopsy code at the same session.

CMS RVU26DEffective Oct 1, 2026One payment locality1.5M Medicare services in 2024

In Mississippi, Medicare pays $43.54 for 11103 in the office and $16.80 when it’s performed in a hospital or facility.

$43.54Office (non-facility)
$16.80Hospital or facility
−10.7%vs the national office rate ($48.77)

Check a contract rate as a % of Medicare · 11103 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 11103 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 11103 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 11103 covers

This add-on captures a tangential sample from another distinct skin lesion during a session with a primary skin biopsy. A shave, scoop, saucerization, or curettage removes epidermis and sometimes dermis for diagnostic examination without a wedge incision. Dermatologists, primary care clinicians, nurse practitioners, and physician assistants perform these biopsies in offices or outpatient clinics when evaluating multiple suspicious lesions, such as possible basal cell carcinomas or atypical pigmented lesions. Routine hemostasis and simple closure are included.

Report one unit of 11103 for each additional lesion sampled tangentially, not for extra passes or fragments from the same lesion. For mixed methods, select the primary biopsy code by technique complexity: incisional before punch before tangential; select each add-on by its own technique. Document each lesion's location, clinical concern, sampling method, and corresponding specimen so the lesion count and technique are clear. CMS requires this add-on with a primary biopsy procedure and pays it within that procedure's global period.

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 Mississippi compares for 11103

Across 109 of 109 payment localities, the office rate for 11103 runs from $43.17 in Arkansas to $65.01 in San Benito County, CA. Mississippi pays $43.54. The RVUs are the same everywhere; the geographic indexes change the dollars.

11103 in Mississippi vs other payment areas
  1. Mississippi · this page$43.54
  2. Los Angeles, CA · California$55.24+$11.70
  3. Washington, DC area · District of Columbia$55.83+$12.29
  4. Miami, FL · Florida$52.25+$8.71
  5. Chicago, IL · Illinois$50.76+$7.22
  6. Manhattan, NY · New York$56.02+$12.48
  7. Alaska · Alaska$56.62+$13.08

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

Every other payment area

11103 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$43.80$16.62
ArkansasArkansas$43.17$16.49
ArizonaArizona$47.49$17.39
Bakersfield, CACalifornia$51.84$17.80
Chico, CACalifornia$51.72$17.68
El Centro, CACalifornia$51.73$17.68
Fresno, CACalifornia$51.72$17.68
Hanford, CACalifornia$51.72$17.68

11103 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.

$43.17

$58.37

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
11103 office rate range by state
State / territoryOffice rate rangeLocalities
AK$56.621
AL$43.801
AR$43.171
AZ$47.491
CA$51.72–$65.0129
CO$50.871
CT$51.991
DC$55.831
DE$48.271
FL$47.89–$52.253
GA$45.23–$49.632
GU$53.011
HI$53.011
IA$44.981
ID$45.261
IL$46.47–$50.834
IN$45.521
KS$44.741
KY$44.761
LA$44.68–$46.882
MA$50.55–$55.932
MD$49.20–$55.833
ME$45.45–$47.962
MI$45.89–$48.452
MN$48.841
MO$43.89–$47.083
MS$43.541
MT$48.761
NC$45.931
ND$47.971
NE$45.231
NH$50.041
NJ$52.62–$55.252
NM$46.121
NV$48.581
NY$46.61–$57.335
OH$45.721
OK$44.711
OR$48.23–$52.512
PA$45.82–$50.682
PR$49.131
RI$50.011
SC$45.901
SD$47.881
TN$44.961
TX$45.51–$50.678
UT$46.521
VA$47.78–$55.832
VI$49.131
VT$47.751
WA$50.47–$57.102
WI$46.371
WV$44.751
WY$48.421

See 11103 in every payment locality

How the 11103 rate is calculated

Each of 11103’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 · 11103

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.37

0.37 RVUs× 1.000 GPCI

Practice expense1.05

1.05 RVUs× 1.000 GPCI

Malpractice0.04

0.04 RVUs× 1.000 GPCI

Adjusted RVUs

1.4600

Conversion factor

$33.4009

Medicare rate

$48.77

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,271

Code
11103
Physician work
0.37
Practice expense
1.05
Malpractice
0.04

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Office calculation for 11103 in Mississippi
ComponentRVULocality factorAdjusted
Physician work0.37× 1.0000.3700
Practice expense1.05× 0.8610.9041
Malpractice0.04× 0.7390.0296
Total RVUs1.3036
Conversion factor× 33.4009

Office rate, Mississippi$43.54

Office: (0.37 × 1 + 1.05 × 0.861 + 0.04 × 0.739) × $33.4009 = $43.54

Facility: (0.37 × 1 + 0.12 × 0.861 + 0.04 × 0.739) × $33.4009 = $16.80

Open 11103 in the RVU calculator

Payment rules and modifiers for 11103

The CMS indicators that decide how 11103 is paid alongside other services.

CMS payment indicators · 11103

Tangential skin biopsy, each separate or additional lesion

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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.

How 11103 has changed in Mississippi

11103 · Office / nonfacility

$43.54

Effective 2026-10-01

The base rate is $1.04 higher than on 2025-10-01, moving from $42.50 to $43.54 (2.4%).

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

    $42.50changed to$43.54

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.38 changed to 0.37
    • Practice expense RVU 1.06 changed to 1.05
    • Practice expense GPCI 0.852 changed to 0.861
    • Malpractice GPCI 0.768 changed to 0.739

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $44.59changed to$42.50

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.09 changed to 1.06

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $43.86changed to$44.59

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $45.14changed to$43.86

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 0.847 changed to 0.852
    • Malpractice GPCI 0.720 changed to 0.768
  5. January 1, 2023

    RVU23A

    $46.13changed to$45.14

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.10 changed to 1.09
    • Practice expense GPCI 0.842 changed to 0.847
    • Malpractice GPCI 0.671 changed to 0.720

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $47.40changed to$46.13

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.13 changed to 1.10

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $48.02changed to$47.40

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.08 changed to 1.13
    • Malpractice RVU 0.05 changed to 0.04
    • Practice expense GPCI 0.856 changed to 0.842
    • Malpractice GPCI 0.521 changed to 0.671

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $48.22changed to$48.02

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense GPCI 0.870 changed to 0.856
    • Malpractice GPCI 0.370 changed to 0.521

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    No ratechanged to$48.22

    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$43.54$16.80RVU26D
2026-07-01$43.54$16.80RVU26C
2026-04-01$43.54$16.80RVU26B
2026-01-01$43.54$16.80RVU26A
2025-10-01$42.50$19.62RVU25D
2025-07-01$42.50$19.62RVU25C
2025-04-01$42.50$19.62RVU25B
2025-01-01$42.50$19.62RVU25A
2024-10-01$44.59$20.19RVU24D
2024-07-01$44.59$20.19RVU24C
2024-04-01$44.59$20.19RVU24B
2024-03-09$44.59$20.19RVU24AR
2024-01-01$43.86$19.87RVU24A
2023-10-01$45.14$20.17RVU23D
2023-07-01$45.14$20.17RVU23C
2023-04-01$45.14$20.17RVU23B
2023-01-01$45.14$20.17RVU23A
2022-10-01$46.13$20.49RVU22D
2022-07-01$46.13$20.49RVU22C
2022-04-01$46.13$20.49RVU22B
2022-01-01$46.13$20.49RVU22A
2021-10-01$47.40$20.66RVU21D
2021-07-01$47.40$20.66RVU21C
2021-04-01$47.40$20.66RVU21B
2021-01-01$47.40$20.66RVU21A
2020-10-01$48.02$21.45RVU20D
2020-07-01$48.02$21.45RVU20C
2020-04-01$48.02$21.45RVU20B
2020-01-01$48.02$21.45RVU20A
2019-10-01$48.22$21.57RVU19D
2019-07-01$48.22$21.57RVU19C
2019-04-01$48.22$21.57RVU19B
2019-01-01$48.22$21.57RVU19A
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 11103 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

11103 billing questions

Which primary codes can this add-on be reported with?

It can be reported with 11102 for a first tangential biopsy, or with 11104 or 11106 when the primary lesion was sampled by punch or incisional technique. The primary code reflects the most intensive biopsy method performed that session.

If one lesion is punch biopsied and two are shaved, how is it coded?

Report 11104 for the punch biopsy and two units of 11103 for the two tangential biopsies. The tangential primary code 11102 is not used because a more intensive method was performed.

How is a shave biopsy distinguished from a shave removal?

A tangential biopsy samples a lesion for diagnosis; shave removal codes 11300-11313 describe removal of a lesion and are selected by site and diameter. Use the documented purpose and extent of the procedure, not specimen submission alone, to distinguish them.

Can multiple samples from the same lesion be counted as additional units?

No. Units count separate lesions, not multiple fragments or passes on one lesion. Each additional unit needs a distinct lesion with its own documented site.

Can an E/M visit be billed on the same day?

Yes, when a significant, separately identifiable evaluation beyond the usual pre-biopsy assessment is documented, using modifier 25 on the E/M code. The decision to biopsy alone does not support a separate visit.

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 11103PPRRVU2026_Oct_nonQPP.csv, line 1,271 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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