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CPT code 11900: Lesion injection, up to seven lesions2026 Medicare rate & RVUs in Hawaii, Guam, HI

Reports medication injected directly into one to seven skin lesions, such as keloids or hypertrophic scars, during a single treatment session.

CMS RVU26DEffective Oct 1, 2026One payment locality257.1K Medicare services in 2024

In Hawaii, Guam, HI, Medicare pays $61.29 for 11900 in the office and $24.08 when it’s performed in a hospital or facility.

$61.29Office (non-facility)
$24.08Hospital or facility
+7.9%vs the national office rate ($56.78)

Check a contract rate as a % of Medicare · 11900 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 11900 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Hawaii, Guam, HI
  2. What 11900 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 11900 covers

A clinician injects medication directly into skin lesions, commonly using an intralesional corticosteroid for keloids, hypertrophic scars, or selected inflammatory lesions. Dermatologists and other clinicians who treat these conditions perform the service in office settings and, less often, in facility settings. The code is selected by the number of lesions treated, not the number of needle passes or the medication volume; it covers treatment of one through seven lesions. More than seven lesions are reported with 11901.

Document the treated lesions and their number, the medication and dose, and the clinical reason for injection. The medication may be reported separately when applicable and supported by documentation. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted, and co-surgeon and team-surgery reporting 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 Hawaii, Guam, HI compares for 11900

Across 109 of 109 payment localities, the office rate for 11900 runs from $50.60 in Arkansas to $74.71 in San Benito County, CA. Hawaii, Guam, HI pays $61.29. The RVUs are the same everywhere; the geographic indexes change the dollars.

11900 in Hawaii, Guam, HI vs other payment areas
  1. Hawaii, Guam, HI · this page$61.29
  2. Los Angeles, CA · California$63.89+$2.60
  3. Washington, DC area · District of Columbia$64.67+$3.38
  4. Miami, FL · Florida$60.90−$0.39
  5. Chicago, IL · Illinois$59.25−$2.04
  6. Manhattan, NY · New York$65.02+$3.73
  7. Alaska · Alaska$67.02+$5.73

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

Every other payment area

11900 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$51.30$22.66
ArkansasArkansas$50.60$22.49
ArizonaArizona$55.36$23.64
Bakersfield, CACalifornia$60.11$24.23
Chico, CACalifornia$59.95$24.08
El Centro, CACalifornia$59.96$24.08
Fresno, CACalifornia$59.95$24.08
Hanford, CACalifornia$59.95$24.08

11900 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.

$50.60

$67.33

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

View every state and territory as a table
11900 office rate range by state
State / territoryOffice rate rangeLocalities
AK$67.021
AL$51.301
AR$50.601
AZ$55.361
CA$59.95–$74.7129
CO$59.061
CT$60.401
DC$64.671
DE$56.241
FL$55.95–$60.903
GA$52.99–$57.782
GU$61.291
HI$61.291
IA$52.541
ID$52.861
IL$54.41–$59.254
IN$53.141
KS$52.301
KY$52.411
LA$52.33–$54.762
MA$58.73–$64.682
MD$57.27–$64.673
ME$53.10–$55.822
MI$53.68–$56.592
MN$56.711
MO$51.48–$54.963
MS$51.051
MT$56.781
NC$53.631
ND$55.791
NE$52.811
NH$58.131
NJ$61.13–$64.062
NM$53.961
NV$56.541
NY$54.38–$66.505
OH$53.481
OK$52.331
OR$56.13–$60.852
PA$53.57–$58.972
PR$57.181
RI$58.181
SC$53.641
SD$55.671
TN$52.541
TX$53.24–$58.838
UT$54.331
VA$55.64–$64.672
VI$57.181
VT$55.581
WA$58.62–$65.972
WI$54.031
WV$52.511
WY$56.351

See 11900 in every payment locality

How the 11900 rate is calculated

Each of 11900’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 · 11900

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.51

0.51 RVUs× 1.000 GPCI

Practice expense1.14

1.14 RVUs× 1.000 GPCI

Malpractice0.05

0.05 RVUs× 1.000 GPCI

Adjusted RVUs

1.7000

Conversion factor

$33.4009

Medicare rate

$56.78

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

The exact Hawaii, Guam, HI inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,379

Code
11900
Physician work
0.51
Practice expense
1.14
Malpractice
0.05

GPCI2026.csv

46

Locality
Hawaii, Guam, HI
Physician work
1.000
Practice expense
1.137
Malpractice
0.579
Office calculation for 11900 in Hawaii, Guam, HI
ComponentRVULocality factorAdjusted
Physician work0.51× 1.0000.5100
Practice expense1.14× 1.1371.2962
Malpractice0.05× 0.5790.0290
Total RVUs1.8351
Conversion factor× 33.4009

Office rate, Hawaii, Guam, HI$61.29

Office: (0.51 × 1 + 1.14 × 1.137 + 0.05 × 0.579) × $33.4009 = $61.29

Facility: (0.51 × 1 + 0.16 × 1.137 + 0.05 × 0.579) × $33.4009 = $24.08

Open 11900 in the RVU calculator

Payment rules and modifiers for 11900

The CMS indicators that decide how 11900 is paid alongside other services.

CMS payment indicators · 11900

Lesion injection, up to seven lesions

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

11900 without 51 · national office

$56.78

Lesion injection, up to seven lesions

11900-51 · Second procedure: 50%

$28.39

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

Codes related to 11900

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

Codes related to 11900
CodeHow it relatesOffice range, Hawaii, Guam, HI
Same family
11901Lesion injection, more than seven lesionsSibling code for intralesional injection when more than seven lesions are treated.$73.36
Often billed with
J3301Triamcinolone injection, per 10 mgTriamcinolone acetonide may be reported for the drug when separately supplied and documented.No office rate
Used instead
17110Benign lesion destruction, up to 14 lesionsDestruction may be selected for eligible benign lesions treated destructively rather than by intralesional injection.$122.05

How 11900 has changed in Hawaii, Guam, HI

11900 · Office / nonfacility

$61.29

Effective 2026-10-01

The base rate is $0.82 higher than on 2025-10-01, moving from $60.47 to $61.29 (1.4%).

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

    $60.47changed to$61.29

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.52 changed to 0.51
    • Practice expense RVU 1.15 changed to 1.14
    • Practice expense GPCI 1.149 changed to 1.137
    • Malpractice GPCI 0.561 changed to 0.579

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $62.41changed to$60.47

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.06 changed to 0.05

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $61.40changed to$62.41

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $62.81changed to$61.40

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.13 changed to 1.15
    • Work GPCI 1.003 changed to 1.000
    • Practice expense GPCI 1.146 changed to 1.149
    • Malpractice GPCI 0.618 changed to 0.561

  5. January 1, 2023

    RVU23A

    $63.25changed to$62.81

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.11 changed to 1.13
    • Malpractice RVU 0.05 changed to 0.06
    • Work GPCI 1.010 changed to 1.003
    • Practice expense GPCI 1.143 changed to 1.146
    • Malpractice GPCI 0.675 changed to 0.618

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $62.58changed to$63.25

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.08 changed to 1.11

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $60.91changed to$62.58

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.99 changed to 1.08
    • Work GPCI 1.006 changed to 1.010
    • Practice expense GPCI 1.144 changed to 1.143
    • Malpractice GPCI 0.644 changed to 0.675

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $59.54changed to$60.91

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.95 changed to 0.99
    • Malpractice RVU 0.07 changed to 0.05
    • Work GPCI 1.001 changed to 1.006
    • Practice expense GPCI 1.146 changed to 1.144
    • Malpractice GPCI 0.614 changed to 0.644

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $61.95changed to$59.54

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.01 changed to 0.95

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $61.25changed to$61.95

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.99 changed to 1.01
    • Work GPCI 1.002 changed to 1.001
    • Practice expense GPCI 1.154 changed to 1.146
    • Malpractice GPCI 0.616 changed to 0.614

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $61.00changed to$61.25

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.98 changed to 0.99
    • Work GPCI 1.003 changed to 1.002
    • Practice expense GPCI 1.162 changed to 1.154
    • Malpractice GPCI 0.618 changed to 0.616

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $60.99changed to$61.00

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.06 changed to 0.07

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $60.69changed to$60.99

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $59.73changed to$60.69

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.95 changed to 0.98
    • Malpractice RVU 0.07 changed to 0.06
    • Work GPCI 1.002 changed to 1.003
    • Practice expense GPCI 1.158 changed to 1.162
    • Malpractice GPCI 0.659 changed to 0.618

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $61.76changed to$59.73

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.08 changed to 0.95
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.700 changed to 0.659

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$61.76

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$61.29$24.08RVU26D
2026-07-01$61.29$24.08RVU26C
2026-04-01$61.29$24.08RVU26B
2026-01-01$61.29$24.08RVU26A
2025-10-01$60.47$29.25RVU25D
2025-07-01$60.47$29.25RVU25C
2025-04-01$60.47$29.25RVU25B
2025-01-01$60.47$29.25RVU25A
2024-10-01$62.41$30.29RVU24D
2024-07-01$62.41$30.29RVU24C
2024-04-01$62.41$30.29RVU24B
2024-03-09$62.41$30.29RVU24AR
2024-01-01$61.40$29.79RVU24A
2023-10-01$62.81$30.97RVU23D
2023-07-01$62.81$30.97RVU23C
2023-04-01$62.81$30.97RVU23B
2023-01-01$62.81$30.97RVU23A
2022-10-01$63.25$30.81RVU22D
2022-07-01$63.25$30.81RVU22C
2022-04-01$63.25$30.81RVU22B
2022-01-01$63.25$30.81RVU22A
2021-10-01$62.58$31.47RVU21D
2021-07-01$62.58$31.47RVU21C
2021-04-01$62.58$31.47RVU21B
2021-01-01$62.58$31.47RVU21A
2020-10-01$60.91$32.43RVU20D
2020-07-01$60.91$32.43RVU20C
2020-04-01$60.91$32.43RVU20B
2020-01-01$60.91$32.43RVU20A
2019-10-01$59.54$33.11RVU19D
2019-07-01$59.54$33.11RVU19C
2019-04-01$59.54$33.11RVU19B
2019-01-01$59.54$33.11RVU19A
2018-10-01$61.95$33.07RVU18D
2018-07-01$61.95$33.07RVU18C
2018-04-01$61.95$33.07RVU18B
2018-01-01$61.95$33.07RVU18AR1
2017-10-01$61.25$33.09RVU17D
2017-07-01$61.25$33.09RVU17C
2017-04-01$61.25$33.09RVU17B
2017-01-01$61.25$33.09RVU17A
2016-10-01$61.00$33.12RVU16D
2016-07-01$61.00$33.12RVU16C
2016-04-01$61.00$33.12RVU16B
2016-01-01$61.00$33.12RVU16A
2015-10-01$60.99$33.02RVU15D
2015-07-01$60.99$33.02RVU15C
2015-04-01$60.69$32.85RVU15B
2015-01-01$60.69$32.85RVU15A
2014-10-01$59.73$32.76RVU14D
2014-07-01$59.73$32.76RVU14C
2014-04-01$59.73$32.76RVU14B
2014-01-01$59.73$32.76RVU14A
2013-10-01$61.76$32.71RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 11900 for an earlier date of service

Where the Hawaii, Guam, HI rate applies

Hawaii, Guam, HI is a Medicare payment area, not a city. Our Census mapping connects it to 163 cities and communities in Hawaii. Some span more than one payment area; confirm with the service ZIP.

  • Ahuimanu
  • Aiea
  • Ainaloa
  • Anahola
  • Black Sands
  • Captain Cook
  • Discovery Harbour
  • East Honolulu

Browse all communities in Hawaii

11900 billing questions

How many lesions qualify for 11900?

Report 11900 for treatment of one through seven lesions in the session. Use 11901 when more than seven lesions are treated.

Do separate injections into one lesion count as multiple lesions?

No. Select the code by the number of distinct lesions treated, not the number of needle passes or injection sites within a lesion.

Can the injected medication be billed separately?

The medication may be reported separately when applicable. Document the drug and dose, and follow the applicable drug-code requirements.

Is modifier 50 appropriate when lesions are on both sides of the body?

No. CMS identifies bilateral adjustment as inappropriate for 11900; report the service based on the number of lesions treated.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure. CMS applies the standard multiple-procedure reduction when other procedures are performed in the same session.

Can an assistant or co-surgeon be reported?

CMS does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

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 11900PPRRVU2026_Oct_nonQPP.csv, line 1,379 (RVU26D)
Geographic factors for Hawaii, Guam, HIGPCI2026.csv, line 46 (RVU26D)

Open CMS sourceHow we calculate rates

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