CPT code 11922: Medical tattooing, additional treated area2026 Medicare rate & RVUs in North Dakota

Reports additional intradermal pigment treatment beyond the initial 20 square centimeters when correcting a skin color defect, in 20-square-centimeter increments or parts.

CMS RVU26DEffective Oct 1, 2026One payment locality249 Medicare services in 2024

In North Dakota, Medicare pays $64.55 for 11922 in the office and $22.80 when it’s performed in a hospital or facility.

$64.55Office (non-facility)
$22.80Hospital or facility
−2.4%vs the national office rate ($66.13)

Check a contract rate as a % of Medicare · 11922 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 11922 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Dakota
  2. What 11922 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 11922 covers

Code 11922 captures additional skin surface treated with intradermal pigment to correct a color defect, such as residual color mismatch after scarring or reconstructive surgery. Dermatology and plastic-surgery clinicians may perform medical tattooing in an office or outpatient setting. Restoring nipple-areola color after breast reconstruction is one established use. The service changes pigmentation, not underlying shape or tissue.

Select 11920 for an initial area up to 6.0 square centimeters or 11921 for an initial area of 6.1–20.0 square centimeters. For area beyond the initial 20.0 square centimeters, report 11922 for each additional 20 square centimeters or part; document the defect, treatment, and measured area to support units. Report 11922 only with the applicable primary code, not alone. CMS restricts payment to specific circumstances; the fee-schedule status does not identify those circumstances. As an add-on, payment falls within the primary 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 North Dakota compares for 11922

Across 109 of 109 payment localities, the office rate for 11922 runs from $58.15 in Arkansas to $87.62 in San Benito County, CA. North Dakota pays $64.55. The RVUs are the same everywhere; the geographic indexes change the dollars.

11922 in North Dakota vs other payment areas
  1. North Dakota · this page$64.55
  2. Los Angeles, CA · California$74.57+$10.02
  3. Washington, DC area · District of Columbia$75.74+$11.19
  4. Miami, FL · Florida$72.16+$7.61
  5. Chicago, IL · Illinois$69.94+$5.39
  6. Manhattan, NY · New York$76.41+$11.86
  7. Alaska · Alaska$76.03+$11.48

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

Every other payment area

11922 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$59.05$22.51
ArkansasArkansas$58.15$22.29
ArizonaArizona$64.28$23.82
Bakersfield, CACalifornia$69.95$24.19
Chico, CACalifornia$69.72$23.96
El Centro, CACalifornia$69.73$23.97
Fresno, CACalifornia$69.72$23.96
Hanford, CACalifornia$69.72$23.96

11922 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.

$58.15

$78.67

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

View every state and territory as a table
11922 office rate range by state
State / territoryOffice rate rangeLocalities
AK$76.031
AL$59.051
AR$58.151
AZ$64.281
CA$69.72–$87.6229
CO$68.781
CT$70.671
DC$75.741
DE$65.371
FL$65.39–$72.163
GA$61.52–$67.482
GU$71.511
HI$71.511
IA$60.491
ID$60.931
IL$63.51–$69.944
IN$61.301
KS$60.261
KY$60.641
LA$60.57–$63.702
MA$68.36–$75.702
MD$66.64–$75.743
ME$61.33–$64.722
MI$62.35–$66.312
MN$65.631
MO$59.52–$63.863
MS$58.841
MT$66.131
NC$61.991
ND$64.551
NE$60.821
NH$67.741
NJ$71.40–$74.912
NM$62.731
NV$65.731
NY$62.97–$78.415
OH$62.031
OK$60.461
OR$65.15–$70.972
PA$62.10–$68.882
PR$66.621
RI$67.711
SC$62.131
SD$64.361
TN$60.581
TX$61.68–$68.618
UT$63.021
VA$64.54–$75.742
VI$66.621
VT$64.341
WA$68.22–$77.212
WI$62.291
WV$61.071
WY$65.441

See 11922 in every payment locality

How the 11922 rate is calculated

Each of 11922’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 · 11922

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.48

0.48 RVUs× 1.000 GPCI

Practice expense1.42

1.42 RVUs× 1.000 GPCI

Malpractice0.08

0.08 RVUs× 1.000 GPCI

Adjusted RVUs

1.9800

Conversion factor

$33.4009

Medicare rate

$66.13

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

The exact North Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,383

Code
11922
Physician work
0.48
Practice expense
1.42
Malpractice
0.08

GPCI2026.csv

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Office calculation for 11922 in North Dakota
ComponentRVULocality factorAdjusted
Physician work0.48× 1.0000.4800
Practice expense1.42× 1.0001.4200
Malpractice0.08× 0.4060.0325
Total RVUs1.9325
Conversion factor× 33.4009

Office rate, North Dakota$64.55

Office: (0.48 × 1 + 1.42 × 1 + 0.08 × 0.406) × $33.4009 = $64.55

Facility: (0.48 × 1 + 0.17 × 1 + 0.08 × 0.406) × $33.4009 = $22.80

Open 11922 in the RVU calculator

Payment rules and modifiers for 11922

The CMS indicators that decide how 11922 is paid alongside other services.

CMS payment indicators · 11922

Medical tattooing, additional treated area

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)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

How 11922 has changed in North Dakota

11922 · Office / nonfacility

$64.55

Effective 2026-10-01

The base rate is $6.28 higher than on 2025-10-01, moving from $58.27 to $64.55 (10.8%).

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

    $58.27changed to$64.55

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.49 changed to 0.48
    • Practice expense RVU 1.27 changed to 1.42
    • Malpractice GPCI 0.517 changed to 0.406

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $59.80changed to$58.27

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.26 changed to 1.27
    • Malpractice RVU 0.09 changed to 0.08

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $58.83changed to$59.80

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $60.23changed to$58.83

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.24 changed to 1.26
    • Malpractice RVU 0.10 changed to 0.09
    • Malpractice GPCI 0.474 changed to 0.517
  5. January 1, 2023

    RVU23A

    $59.83changed to$60.23

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.20 changed to 1.24
    • Malpractice RVU 0.09 changed to 0.10
    • Malpractice GPCI 0.431 changed to 0.474

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $59.97changed to$59.83

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.19 changed to 1.20

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $60.04changed to$59.97

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.13 changed to 1.19
    • Malpractice GPCI 0.485 changed to 0.431

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $61.02changed to$60.04

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.16 changed to 1.13
    • Malpractice RVU 0.08 changed to 0.09
    • Malpractice GPCI 0.540 changed to 0.485

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $61.67changed to$61.02

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.18 changed to 1.16

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $61.15changed to$61.67

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.17 changed to 1.18
    • Malpractice GPCI 0.547 changed to 0.540

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $61.02changed to$61.15

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice GPCI 0.554 changed to 0.547

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $61.04changed to$61.02

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.07 changed to 0.08

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $60.74changed to$61.04

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $60.64changed to$60.74

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.16 changed to 1.17
    • Malpractice RVU 0.08 changed to 0.07
    • Malpractice GPCI 0.536 changed to 0.554

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $61.97changed to$60.64

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.29 changed to 1.16
    • Malpractice GPCI 0.517 changed to 0.536

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $61.97

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$64.55$22.80RVU26D
2026-07-01$64.55$22.80RVU26C
2026-04-01$64.55$22.80RVU26B
2026-01-01$64.55$22.80RVU26A
2025-10-01$58.27$26.24RVU25D
2025-07-01$58.27$26.24RVU25C
2025-04-01$58.27$26.24RVU25B
2025-01-01$58.27$26.24RVU25A
2024-10-01$59.80$27.18RVU24D
2024-07-01$59.80$27.18RVU24C
2024-04-01$59.80$27.18RVU24B
2024-03-09$59.80$27.18RVU24AR
2024-01-01$58.83$26.74RVU24A
2023-10-01$60.23$27.70RVU23D
2023-07-01$60.23$27.70RVU23C
2023-04-01$60.23$27.70RVU23B
2023-01-01$60.23$27.70RVU23A
2022-10-01$59.83$27.99RVU22D
2022-07-01$59.83$27.99RVU22C
2022-04-01$59.83$27.99RVU22B
2022-01-01$59.83$27.99RVU22A
2021-10-01$59.97$28.22RVU21D
2021-07-01$59.97$28.22RVU21C
2021-04-01$59.97$28.22RVU21B
2021-01-01$59.97$28.22RVU21A
2020-10-01$60.04$29.36RVU20D
2020-07-01$60.04$29.36RVU20C
2020-04-01$60.04$29.36RVU20B
2020-01-01$60.04$29.36RVU20A
2019-10-01$61.02$29.31RVU19D
2019-07-01$61.02$29.31RVU19C
2019-04-01$61.02$29.31RVU19B
2019-01-01$61.02$29.31RVU19A
2018-10-01$61.67$29.63RVU18D
2018-07-01$61.67$29.63RVU18C
2018-04-01$61.67$29.63RVU18B
2018-01-01$61.67$29.63RVU18AR1
2017-10-01$61.15$29.56RVU17D
2017-07-01$61.15$29.56RVU17C
2017-04-01$61.15$29.56RVU17B
2017-01-01$61.15$29.56RVU17A
2016-10-01$61.02$29.16RVU16D
2016-07-01$61.02$29.16RVU16C
2016-04-01$61.02$29.16RVU16B
2016-01-01$61.02$29.16RVU16A
2015-10-01$61.04$29.42RVU15D
2015-07-01$61.04$29.42RVU15C
2015-04-01$60.74$29.28RVU15B
2015-01-01$60.74$29.28RVU15A
2014-10-01$60.64$29.48RVU14D
2014-07-01$60.64$29.48RVU14C
2014-04-01$60.64$29.48RVU14B
2014-01-01$60.64$29.48RVU14A
2013-10-01$61.97$28.63RVU13D
2013-07-01$61.97$28.63RVU13C
2013-04-01$61.97$28.63RVU13B
2013-01-01$61.97$28.63RVU13AR

Price 11922 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

11922 billing questions

When should 11922 be reported instead of 11921?

11921 covers an initial treated area of 6.1–20.0 square centimeters. Report 11922 for each additional 20 square centimeters or part beyond the initial 20.0.

Can 11922 be billed by itself?

No. It is an add-on code reported with the applicable primary code, 11920 or 11921.

What documentation supports the number of units?

Document the skin color defect, the pigment treatment, and the measured surface area. The measurements should support each additional 20-square-centimeter increment or part.

What coverage does CMS allow for 11922?

CMS identifies payment as restricted to specific circumstances. The fee-schedule status alone does not specify those circumstances.

Is 11922 paid outside the primary procedure’s global period?

No. CMS identifies it as an add-on paid within the primary procedure’s global period.

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 11922PPRRVU2026_Oct_nonQPP.csv, line 1,383 (RVU26D)
Geographic factors for North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 11922 pays in North Dakota?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 11922 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet