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

Report 11107 for each additional, separate skin lesion sampled by incisional biopsy, alongside the primary incisional biopsy code 11106.

CMS RVU26DEffective Oct 1, 2026One payment locality6.1K Medicare services in 2024

In Houston, TX, Medicare pays $71.35 for 11107 in the office and $25.91 when it’s performed in a hospital or facility.

$71.35Office (non-facility)
$25.91Hospital or facility
+0.8%vs the national office rate ($70.81)

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.

We’ll open 11107 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Houston, TX
  2. What 11107 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 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 Houston, TX 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. Houston, TX pays $71.35. The RVUs are the same everywhere; the geographic indexes change the dollars.

11107 in Houston, TX vs other payment areas
  1. Houston, TX · this page$71.35
  2. Austin, TX · Texas$73.58+$2.23
  3. Beaumont, TX · Texas$66.07−$5.28
  4. Brazoria, TX · Texas$70.05−$1.30
  5. Dallas, TX · Texas$70.48−$0.87
  6. Fort Worth, TX · Texas$70.00−$1.35
  7. Galveston, TX · Texas$70.25−$1.10

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

Every other payment area

11107 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$68.01$24.58
Los Angeles, CACalifornia$80.21$26.08
Washington, DC areaDistrict of Columbia$81.09$27.18
Miami, FLFlorida$75.97$28.33
Chicago, ILIllinois$73.78$27.80
Manhattan, NYNew York$81.40$28.22
AlaskaAlaska$82.08$33.35
AlabamaAlabama$63.55$23.51

11107 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$62.63

$84.75

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

View every state and territory as a table
11107 office rate range by state
State / territoryOffice rate rangeLocalities
AK$82.081
AL$63.551
AR$62.631
AZ$68.941
CA$75.09–$94.4129
CO$73.851
CT$75.521
DC$81.091
DE$70.081
FL$69.57–$75.973
GA$65.68–$72.082
GU$76.971
HI$76.971
IA$65.261
ID$65.671
IL$67.49–$73.864
IN$66.051
KS$64.911
KY$64.971
LA$64.85–$68.072
MA$73.39–$81.232
MD$71.44–$81.093
ME$65.96–$69.612
MI$66.62–$70.402
MN$70.881
MO$63.71–$68.363
MS$63.181
MT$70.811
NC$66.661
ND$69.621
NE$65.631
NH$72.651
NJ$76.41–$80.242
NM$66.971
NV$70.531
NY$67.66–$83.325
OH$66.381
OK$64.891
OR$70.01–$76.252
PA$66.51–$73.612
PR$71.341
RI$72.621
SC$66.631
SD$69.481
TN$65.231
TX$66.07–$73.588
UT$67.541
VA$69.35–$81.092
VI$71.341
VT$69.311
WA$73.27–$82.932
WI$67.281
WV$64.981
WY$70.291

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.

How the rate is built · 11107

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.53

0.53 RVUs× 1.000 GPCI

Practice expense1.53

1.53 RVUs× 1.000 GPCI

Malpractice0.06

0.06 RVUs× 1.000 GPCI

Adjusted RVUs

2.1200

Conversion factor

$33.4009

Medicare rate

$70.81

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

The exact Houston, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,275

Code
11107
Physician work
0.53
Practice expense
1.53
Malpractice
0.06

GPCI2026.csv

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 11107 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work0.53× 1.0080.5342
Practice expense1.53× 0.9931.5193
Malpractice0.06× 1.3760.0826
Total RVUs2.1361
Conversion factor× 33.4009

Office rate, Houston, TX$71.35

Office: (0.53 × 1.008 + 1.53 × 0.993 + 0.06 × 1.376) × $33.4009 = $71.35

Facility: (0.53 × 1.008 + 0.16 × 0.993 + 0.06 × 1.376) × $33.4009 = $25.91

Open 11107 in the RVU calculator

Payment rules and modifiers for 11107

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

CMS payment indicators · 11107

Skin biopsy, each 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.

Codes related to 11107

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

Codes related to 11107
CodeHow it relatesOffice range, Houston, TX
Add-on codes
11106Skin biopsy, single incisional lesionPrimary incisional skin biopsy for the first lesion; report 11107 for each additional lesion.$152.27
Used instead
11105Skin biopsy, each additional punch-biopsied lesionUse for each additional lesion sampled by punch biopsy rather than incisional biopsy.$61.15
11104Punch biopsy, single skin lesionPrimary punch biopsy code when the first lesion is sampled with a punch.$121.95
11103Tangential skin biopsy, each separate or additional lesionUse for each additional lesion sampled by tangential biopsy rather than incisional biopsy.$49.12
11102Tangential skin biopsy, first or only lesionPrimary tangential biopsy code when the first lesion is sampled by that method.$95.95

How 11107 has changed in Houston, TX

11107 · Office / nonfacility

$71.35

Effective 2026-10-01

The base rate is $2.24 higher than on 2025-10-01, moving from $69.11 to $71.35 (3.2%).

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

    $69.11changed to$71.35

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.54 changed to 0.53
    • Practice expense RVU 1.50 changed to 1.53
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.003 changed to 0.993
    • Malpractice GPCI 1.409 changed to 1.376

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $72.59changed to$69.11

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.53 changed to 1.50
    • Malpractice RVU 0.07 changed to 0.06

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $71.41changed to$72.59

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $74.48changed to$71.41

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.54 changed to 1.53
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.016 changed to 1.003
    • Malpractice GPCI 1.154 changed to 1.409

  5. January 1, 2023

    RVU23A

    $75.95changed to$74.48

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.53 changed to 1.54
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.029 changed to 1.016
    • Malpractice GPCI 0.900 changed to 1.154

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $76.67changed to$75.95

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.55 changed to 1.53
    • Malpractice RVU 0.05 changed to 0.07

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $75.03changed to$76.67

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.45 changed to 1.55
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.020 changed to 1.029
    • Malpractice GPCI 0.918 changed to 0.900

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $74.37changed to$75.03

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.43 changed to 1.45
    • Malpractice RVU 0.07 changed to 0.05
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.012 changed to 1.020
    • Malpractice GPCI 0.936 changed to 0.918

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    No ratechanged to$74.37

    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$71.35$25.91RVU26D
2026-07-01$71.35$25.91RVU26C
2026-04-01$71.35$25.91RVU26B
2026-01-01$71.35$25.91RVU26A
2025-10-01$69.11$30.50RVU25D
2025-07-01$69.11$30.50RVU25C
2025-04-01$69.11$30.50RVU25B
2025-01-01$69.11$30.50RVU25A
2024-10-01$72.59$31.53RVU24D
2024-07-01$72.59$31.53RVU24C
2024-04-01$72.59$31.53RVU24B
2024-03-09$72.59$31.53RVU24AR
2024-01-01$71.41$31.01RVU24A
2023-10-01$74.48$31.79RVU23D
2023-07-01$74.48$31.79RVU23C
2023-04-01$74.48$31.79RVU23B
2023-01-01$74.48$31.79RVU23A
2022-10-01$75.95$32.15RVU22D
2022-07-01$75.95$32.15RVU22C
2022-04-01$75.95$32.15RVU22B
2022-01-01$75.95$32.15RVU22A
2021-10-01$76.67$32.15RVU21D
2021-07-01$76.67$32.15RVU21C
2021-04-01$76.67$32.15RVU21B
2021-01-01$76.67$32.15RVU21A
2020-10-01$75.03$33.43RVU20D
2020-07-01$75.03$33.43RVU20C
2020-04-01$75.03$33.43RVU20B
2020-01-01$75.03$33.43RVU20A
2019-10-01$74.37$33.88RVU19D
2019-07-01$74.37$33.88RVU19C
2019-04-01$74.37$33.88RVU19B
2019-01-01$74.37$33.88RVU19A
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 11107 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

11107 billing questions

Can 11107 be reported without 11106?

No. 11107 is an add-on code and must be reported with 11106 for the primary incisional skin biopsy.

How many units of 11107 should be reported?

Report one unit for each additional, separate lesion sampled by incisional biopsy beyond the lesion represented by 11106.

How is an incisional biopsy distinguished from a punch biopsy?

Use 11107 when the clinician samples part of an additional lesion using an incisional technique. Use the punch biopsy family when a punch instrument is used to obtain the tissue.

Is simple closure separately reported with 11107?

Simple closure, when performed as part of the biopsy, is included in the service.

What documentation supports reporting multiple units?

Record the incisional method and identify the site of each separately sampled lesion, distinguishing each additional lesion from the one reported with 11106.

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 11107PPRRVU2026_Oct_nonQPP.csv, line 1,275 (RVU26D)
Geographic factors for Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

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