CPT code 11920: Skin tattooing, up to 6 square centimeters2026 Medicare rate & RVUs in South Dakota

Reports intradermal pigment placement to camouflage a skin color defect when the treated area measures 6 square centimeters or less.

CMS RVU26DEffective Oct 1, 2026One payment locality65 Medicare services in 2024

In South Dakota, Medicare pays $210.23 for 11920 in the office and $96.33 when it’s performed in a hospital or facility.

$210.23Office (non-facility)
$96.33Hospital or facility
−2.9%vs the national office rate ($216.44)

Check a contract rate as a % of Medicare · 11920 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 11920 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 11920 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 11920 covers

This service places insoluble pigment within the skin to improve the appearance of a color difference, such as a hypopigmented or hyperpigmented scar. Dermatologists and plastic surgeons may perform it in an office or other treatment setting. The treated surface area, rather than the number of pigment passes, determines whether this small-area code fits. Tattooing used to create or restore color is distinct from injecting medication into a lesion or placing filler beneath the skin.

Report this code when the total area treated is 6 square centimeters or less; document the defect, treated site, and measured area. Medicare payment is restricted to specific circumstances. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; 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 11920

Across 109 of 109 payment localities, the office rate for 11920 runs from $190.10 in Arkansas to $286.22 in San Benito County, CA. South Dakota pays $210.23. The RVUs are the same everywhere; the geographic indexes change the dollars.

11920 in South Dakota vs other payment areas
  1. South Dakota · this page$210.23
  2. Los Angeles, CA · California$243.75+$33.52
  3. Washington, DC area · District of Columbia$247.85+$37.62
  4. Miami, FL · Florida$237.08+$26.85
  5. Chicago, IL · Illinois$229.69+$19.46
  6. Manhattan, NY · New York$250.33+$40.10
  7. Alaska · Alaska$248.51+$38.28

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

Every other payment area

11920 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$193.05$93.39
ArkansasArkansas$190.10$92.26
ArizonaArizona$210.30$99.93
Bakersfield, CACalifornia$228.62$103.79
Chico, CACalifornia$227.84$103.00
El Centro, CACalifornia$227.88$103.05
Fresno, CACalifornia$227.84$103.00
Hanford, CACalifornia$227.84$103.00

11920 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.

$190.10

$257.03

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

View every state and territory as a table
11920 office rate range by state
State / territoryOffice rate rangeLocalities
AK$248.511
AL$193.051
AR$190.101
AZ$210.301
CA$227.84–$286.2229
CO$224.921
CT$231.361
DC$247.851
DE$213.901
FL$214.34–$237.083
GA$201.53–$220.952
GU$233.691
HI$233.691
IA$197.651
ID$199.141
IL$208.25–$229.694
IN$200.341
KS$196.951
KY$198.481
LA$198.26–$208.592
MA$223.57–$247.562
MD$218.05–$247.853
ME$200.53–$211.602
MI$204.19–$217.442
MN$214.341
MO$194.85–$209.033
MS$192.501
MT$216.421
NC$202.701
ND$210.881
NE$198.711
NH$221.611
NJ$233.67–$245.122
NM$205.481
NV$215.031
NY$205.93–$257.045
OH$203.061
OK$197.811
OR$213.04–$232.052
PA$203.24–$225.532
PR$218.001
RI$221.531
SC$203.281
SD$210.231
TN$198.031
TX$201.86–$224.458
UT$206.211
VA$211.06–$247.852
VI$218.001
VT$210.271
WA$223.08–$252.452
WI$203.471
WV$200.211
WY$214.011

See 11920 in every payment locality

How the 11920 rate is calculated

Each of 11920’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 · 11920

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.57

1.57 RVUs× 1.000 GPCI

Practice expense4.63

4.63 RVUs× 1.000 GPCI

Malpractice0.28

0.28 RVUs× 1.000 GPCI

Adjusted RVUs

6.4800

Conversion factor

$33.4009

Medicare rate

$216.44

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

1,381

Code
11920
Physician work
1.57
Practice expense
4.63
Malpractice
0.28

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 11920 in South Dakota
ComponentRVULocality factorAdjusted
Physician work1.57× 1.0001.5700
Practice expense4.63× 1.0004.6300
Malpractice0.28× 0.3360.0941
Total RVUs6.2941
Conversion factor× 33.4009

Office rate, South Dakota$210.23

Office: (1.57 × 1 + 4.63 × 1 + 0.28 × 0.336) × $33.4009 = $210.23

Facility: (1.57 × 1 + 1.22 × 1 + 0.28 × 0.336) × $33.4009 = $96.33

Open 11920 in the RVU calculator

Payment rules and modifiers for 11920

The CMS indicators that decide how 11920 is paid alongside other services.

CMS payment indicators · 11920

Skin tattooing, up to 6 square centimeters

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)0Not paid without supporting documentation.
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

11920 without 51 · national office

$216.44

Skin tattooing, up to 6 square centimeters

11920-51 · Second procedure: 50%

$108.22

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 11920 has changed in South Dakota

11920 · Office / nonfacility

$210.23

Effective 2026-10-01

The base rate is $21.62 higher than on 2025-10-01, moving from $188.61 to $210.23 (11.5%).

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

    $188.61changed to$210.23

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.61 changed to 1.57
    • Practice expense RVU 4.11 changed to 4.63
    • Malpractice RVU 0.29 changed to 0.28
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $194.88changed to$188.61

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.13 changed to 4.11
    • Malpractice RVU 0.30 changed to 0.29

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $191.70changed to$194.88

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $189.93changed to$191.70

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.90 changed to 4.13
    • Malpractice RVU 0.26 changed to 0.30
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $194.61changed to$189.93

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.92 changed to 3.90
    • Malpractice RVU 0.27 changed to 0.26
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $192.39changed to$194.61

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.81 changed to 3.92

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $185.97changed to$192.39

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.44 changed to 3.81
    • Malpractice RVU 0.28 changed to 0.27
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $178.07changed to$185.97

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.23 changed to 3.44
    • Malpractice RVU 0.26 changed to 0.28
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $171.04changed to$178.07

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.04 changed to 3.23

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $167.70changed to$171.04

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.96 changed to 3.04
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $166.63changed to$167.70

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.94 changed to 2.96
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $168.31changed to$166.63

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.97 changed to 2.94

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $167.48changed to$168.31

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $166.39changed to$167.48

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.91 changed to 2.97
    • Malpractice RVU 0.30 changed to 0.26
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $170.59changed to$166.39

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.27 changed to 2.91
    • Malpractice RVU 0.31 changed to 0.30
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $170.59

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$210.23$96.33RVU26D
2026-07-01$210.23$96.33RVU26C
2026-04-01$210.23$96.33RVU26B
2026-01-01$210.23$96.33RVU26A
2025-10-01$188.61$105.47RVU25D
2025-07-01$188.61$105.47RVU25C
2025-04-01$188.61$105.47RVU25B
2025-01-01$188.61$105.47RVU25A
2024-10-01$194.88$107.34RVU24D
2024-07-01$194.88$107.34RVU24C
2024-04-01$194.88$107.34RVU24B
2024-03-09$194.88$107.34RVU24AR
2024-01-01$191.70$105.59RVU24A
2023-10-01$189.93$104.19RVU23D
2023-07-01$189.93$104.19RVU23C
2023-04-01$189.93$104.19RVU23B
2023-01-01$189.93$104.19RVU23A
2022-10-01$194.61$105.33RVU22D
2022-07-01$194.61$105.33RVU22C
2022-04-01$194.61$105.33RVU22B
2022-01-01$194.61$105.33RVU22A
2021-10-01$192.39$106.20RVU21D
2021-07-01$192.39$106.20RVU21C
2021-04-01$192.39$106.20RVU21B
2021-01-01$192.39$106.20RVU21A
2020-10-01$185.97$110.18RVU20D
2020-07-01$185.97$110.18RVU20C
2020-04-01$185.97$110.18RVU20B
2020-01-01$185.97$110.18RVU20A
2019-10-01$178.07$111.04RVU19D
2019-07-01$178.07$111.04RVU19C
2019-04-01$178.07$111.04RVU19B
2019-01-01$178.07$111.04RVU19A
2018-10-01$171.04$112.36RVU18D
2018-07-01$171.04$112.36RVU18C
2018-04-01$171.04$112.36RVU18B
2018-01-01$171.04$112.36RVU18AR1
2017-10-01$167.70$111.71RVU17D
2017-07-01$167.70$111.71RVU17C
2017-04-01$167.70$111.71RVU17B
2017-01-01$167.70$111.71RVU17A
2016-10-01$166.63$111.14RVU16D
2016-07-01$166.63$111.14RVU16C
2016-04-01$166.63$111.14RVU16B
2016-01-01$166.63$111.14RVU16A
2015-10-01$168.31$111.90RVU15D
2015-07-01$168.31$111.90RVU15C
2015-04-01$167.48$111.34RVU15B
2015-01-01$167.48$111.34RVU15A
2014-10-01$166.39$111.94RVU14D
2014-07-01$166.39$111.94RVU14C
2014-04-01$166.39$111.94RVU14B
2014-01-01$166.39$111.94RVU14A
2013-10-01$170.59$111.39RVU13D
2013-07-01$170.59$111.39RVU13C
2013-04-01$170.59$111.39RVU13B
2013-01-01$170.59$111.39RVU13AR

Price 11920 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

11920 billing questions

How is this code distinguished from 11921?

Use 11920 for a treated area of 6 square centimeters or less. Code 11921 is for an area from 6.1 through 20 square centimeters.

How is the treated area counted?

Select the code based on the surface area receiving pigment, not the number of lesions, pigment passes, or separate needle placements. Document the measured area and the skin site.

Can 11922 be reported with this code?

11922 is an add-on for additional area beyond the primary tattooing range; it is reported with 11921 when the total area exceeds 20 square centimeters, not with 11920 alone.

Is modifier 50 appropriate for treatment on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this descriptor or anatomy. Report the service based on the total treated area.

What does the 0-day global period include?

Same-day preoperative and postoperative care is included. No postoperative global days extend beyond the date of service.

What documentation supports Medicare payment?

Document the skin color defect, its location, the area treated in square centimeters, and the medical circumstances supporting the service. Medicare payment is restricted to specific circumstances.

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 11920PPRRVU2026_Oct_nonQPP.csv, line 1,381 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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