CPT code 11107: Skin biopsy, each additional lesion2026 Medicare rate & RVUs in Connecticut

In Connecticut, Medicare pays $75.52 for 11107 in the office and $26.24 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 11107 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 11107 covers

An incisional skin biopsy removes a portion of a lesion for diagnostic examination rather than sampling it with a punch or tangential shave. Dermatologists and other clinicians may use this approach when a lesion needs tissue sampling but is not being completely removed. Code 11107 represents each additional separate lesion sampled by this method; the first lesion is reported with 11106. Simple closure, when performed, is included in the biopsy service.

Document the incisional technique and identify each separately sampled lesion, including its site, so the additional-lesion count is clear. Report 11107 only with the primary incisional biopsy code 11106; it is not a stand-alone service. CMS treats this add-on service as paid within the primary procedure's global period. Choose the biopsy code by the method used for each lesion: incisional sampling is distinct from punch or tangential sampling.

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 Connecticut compares for 11107

Across 109 of 109 payment localities, the office rate for 11107 runs from $62.63 in Arkansas to $94.41 in San Benito County, CA. Connecticut pays $75.52. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

11107 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 11107 in every payment locality

How the 11107 rate is calculated

Each of 11107’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.

Payment rules and modifiers for 11107

The CMS indicators that decide how 11107 is paid alongside other services.

Codes related to 11107

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 11107 has changed in Connecticut

Price 11107 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

• Ansonia
• Ball Pond
• Baltic
• Bantam
• Bethel
• Bethlehem Village
• Bigelow Corners
• Blue Hills

Browse all communities in Connecticut

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

Open CMS sourceHow we calculate rates