CPT code 11922: Medical tattooing, additional treated area2026 Medicare rate & RVUs in Puerto Rico
Reports additional intradermal pigment treatment beyond the initial 20 square centimeters when correcting a skin color defect, in 20-square-centimeter increments or parts.
In Puerto Rico, Medicare pays $66.62 for 11922 in the office and $24.41 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 Puerto Rico 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. Puerto Rico pays $66.62. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$66.62
- Los Angeles, CA · California$74.57+$7.95
- Washington, DC area · District of Columbia$75.74+$9.12
- Miami, FL · Florida$72.16+$5.54
- Chicago, IL · Illinois$69.94+$3.32
- Manhattan, NY · New York$76.41+$9.79
- Alaska · Alaska$76.03+$9.41
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | $69.72 | $23.96 |
| Merced, CACalifornia | $69.72 | $23.96 |
| Modesto, CACalifornia | $69.72 | $23.96 |
| Napa, CACalifornia | $80.91 | $25.88 |
| Oxnard, CACalifornia | $74.21 | $24.86 |
| Redding, CACalifornia | $69.72 | $23.96 |
| Rest of CaliforniaCalifornia | $69.72 | $23.96 |
| Riverside, CACalifornia | $70.58 | $24.82 |
| Sacramento, CACalifornia | $73.20 | $24.65 |
| Salinas, CACalifornia | $72.93 | $24.54 |
| San Diego, CACalifornia | $74.69 | $24.75 |
| Marin County, CACalifornia | $85.66 | $26.79 |
| San Francisco, CACalifornia | $85.57 | $26.70 |
| San Benito County, CACalifornia | $87.62 | $27.42 |
| Santa Clara County, CACalifornia | $87.25 | $27.04 |
| San Luis Obispo, CACalifornia | $71.76 | $24.20 |
| Santa Cruz, CACalifornia | $75.43 | $24.70 |
| Santa Maria, CACalifornia | $73.22 | $24.53 |
| Santa Rosa, CACalifornia | $76.19 | $24.92 |
| Stockton, CACalifornia | $69.72 | $23.96 |
| Vallejo, CACalifornia | $80.78 | $25.75 |
| Visalia, CACalifornia | $69.72 | $23.96 |
| Yuba City, CACalifornia | $69.72 | $23.96 |
| ColoradoColorado | $68.78 | $24.35 |
| ConnecticutConnecticut | $70.67 | $25.70 |
| DelawareDelaware | $65.37 | $24.12 |
| Fort Lauderdale, FLFlorida | $68.91 | $26.62 |
| Rest of FloridaFlorida | $65.39 | $25.48 |
| Atlanta, GAGeorgia | $67.48 | $25.06 |
| Rest of GeorgiaGeorgia | $61.52 | $24.28 |
| Hawaii, Guam, HIHawaii | $71.51 | $24.04 |
| IowaIowa | $60.49 | $22.29 |
| IdahoIdaho | $60.93 | $22.52 |
| East St. Louis, ILIllinois | $65.05 | $26.64 |
| Rest of IllinoisIllinois | $63.51 | $25.39 |
| Suburban Chicago, ILIllinois | $69.59 | $26.71 |
| IndianaIndiana | $61.30 | $22.59 |
| KansasKansas | $60.26 | $22.51 |
| KentuckyKentucky | $60.64 | $23.53 |
| New Orleans, LALouisiana | $63.70 | $24.41 |
| Rest of LouisianaLouisiana | $60.57 | $23.62 |
| Metropolitan Boston, MAMassachusetts | $75.70 | $25.85 |
| Rest of MassachusettsMassachusetts | $68.36 | $24.40 |
| Baltimore area, MDMaryland | $70.49 | $25.69 |
| Rest of MarylandMaryland | $66.64 | $24.39 |
| Rest of MaineMaine | $61.33 | $22.92 |
| Southern Maine, MEMaine | $64.72 | $23.35 |
| Detroit, MIMichigan | $66.31 | $26.02 |
| Rest of MichiganMichigan | $62.35 | $24.23 |
| MinnesotaMinnesota | $65.63 | $22.67 |
| Metropolitan Kansas City, MOMissouri | $63.18 | $23.97 |
| Metropolitan St. Louis, MOMissouri | $63.86 | $24.12 |
| Rest of MissouriMissouri | $59.52 | $23.53 |
| MississippiMississippi | $58.84 | $22.90 |
| MontanaMontana | $66.13 | $24.38 |
| North CarolinaNorth Carolina | $61.99 | $23.04 |
| North DakotaNorth Dakota | $64.55 | $22.80 |
| NebraskaNebraska | $60.82 | $22.28 |
| New HampshireNew Hampshire | $67.74 | $24.28 |
| Northern New JerseyNew Jersey | $74.91 | $26.48 |
| Rest of New JerseyNew Jersey | $71.40 | $25.81 |
| New MexicoNew Mexico | $62.73 | $24.45 |
| NevadaNevada | $65.73 | $23.94 |
| NYC suburbs and Long Island, NYNew York | $78.41 | $28.77 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $71.92 | $26.20 |
| Queens, NYNew York | $76.97 | $27.62 |
| Rest of New YorkNew York | $62.97 | $23.31 |
| OhioOhio | $62.03 | $23.91 |
| OklahomaOklahoma | $60.46 | $23.18 |
| Portland, OROregon | $70.97 | $24.59 |
| Rest of OregonOregon | $65.15 | $23.57 |
| Metropolitan Philadelphia, PAPennsylvania | $68.88 | $25.42 |
| Rest of PennsylvaniaPennsylvania | $62.10 | $23.77 |
| Rhode IslandRhode Island | $67.71 | $24.59 |
| South CarolinaSouth Carolina | $62.13 | $23.55 |
| South DakotaSouth Dakota | $64.36 | $22.61 |
| TennesseeTennessee | $60.58 | $22.63 |
| Austin, TXTexas | $68.61 | $24.44 |
| Beaumont, TXTexas | $61.68 | $23.68 |
| Brazoria, TXTexas | $65.25 | $23.87 |
| Dallas, TXTexas | $65.71 | $24.12 |
| Fort Worth, TXTexas | $65.27 | $24.10 |
| Galveston, TXTexas | $65.47 | $24.01 |
| Houston, TXTexas | $66.93 | $25.48 |
| Rest of TexasTexas | $63.46 | $23.83 |
| UtahUtah | $63.02 | $23.77 |
| VirginiaVirginia | $64.54 | $23.50 |
| Virgin Islands, VIUnited States Virgin Islands | $66.62 | $24.41 |
| VermontVermont | $64.34 | $23.01 |
| Rest of WashingtonWashington | $68.22 | $24.25 |
| King County, WAWashington | $77.21 | $25.98 |
| WisconsinWisconsin | $62.29 | $22.30 |
| West VirginiaWest Virginia | $61.07 | $24.79 |
| WyomingWyoming | $65.44 | $23.69 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $76.03 | 1 |
| AL | $59.05 | 1 |
| AR | $58.15 | 1 |
| AZ | $64.28 | 1 |
| CA | $69.72–$87.62 | 29 |
| CO | $68.78 | 1 |
| CT | $70.67 | 1 |
| DC | $75.74 | 1 |
| DE | $65.37 | 1 |
| FL | $65.39–$72.16 | 3 |
| GA | $61.52–$67.48 | 2 |
| GU | $71.51 | 1 |
| HI | $71.51 | 1 |
| IA | $60.49 | 1 |
| ID | $60.93 | 1 |
| IL | $63.51–$69.94 | 4 |
| IN | $61.30 | 1 |
| KS | $60.26 | 1 |
| KY | $60.64 | 1 |
| LA | $60.57–$63.70 | 2 |
| MA | $68.36–$75.70 | 2 |
| MD | $66.64–$75.74 | 3 |
| ME | $61.33–$64.72 | 2 |
| MI | $62.35–$66.31 | 2 |
| MN | $65.63 | 1 |
| MO | $59.52–$63.86 | 3 |
| MS | $58.84 | 1 |
| MT | $66.13 | 1 |
| NC | $61.99 | 1 |
| ND | $64.55 | 1 |
| NE | $60.82 | 1 |
| NH | $67.74 | 1 |
| NJ | $71.40–$74.91 | 2 |
| NM | $62.73 | 1 |
| NV | $65.73 | 1 |
| NY | $62.97–$78.41 | 5 |
| OH | $62.03 | 1 |
| OK | $60.46 | 1 |
| OR | $65.15–$70.97 | 2 |
| PA | $62.10–$68.88 | 2 |
| PR | $66.62 | 1 |
| RI | $67.71 | 1 |
| SC | $62.13 | 1 |
| SD | $64.36 | 1 |
| TN | $60.58 | 1 |
| TX | $61.68–$68.61 | 8 |
| UT | $63.02 | 1 |
| VA | $64.54–$75.74 | 2 |
| VI | $66.62 | 1 |
| VT | $64.34 | 1 |
| WA | $68.22–$77.21 | 2 |
| WI | $62.29 | 1 |
| WV | $61.07 | 1 |
| WY | $65.44 | 1 |
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
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 Puerto Rico 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
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.48 | × 1.000 | 0.4800 |
| Practice expense | 1.42 | × 1.011 | 1.4356 |
| Malpractice | 0.08 | × 0.985 | 0.0788 |
| Total RVUs | 1.9944 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Puerto Rico$66.62
Office: (0.48 × 1 + 1.42 × 1.011 + 0.08 × 0.985) × $33.4009 = $66.62
Facility: (0.48 × 1 + 0.17 × 1.011 + 0.08 × 0.985) × $33.4009 = $24.41
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How 11922 has changed in Puerto Rico
11922 · Office / nonfacility
$66.62
Effective 2026-10-01
The base rate is $6.86 higher than on 2025-10-01, moving from $59.76 to $66.62 (11.5%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$59.76changed to$66.62
- 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
- Practice expense GPCI 1.007 changed to 1.011
- Malpractice GPCI 0.982 changed to 0.985
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$61.49changed to$59.76
- 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.
March 9, 2024
RVU24AR
$60.49changed to$61.49
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$62.30changed to$60.49
- 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
- Practice expense GPCI 1.008 changed to 1.007
- Malpractice GPCI 0.984 changed to 0.982
October 1, 2023
RVU23D
$62.01changed to$62.30
- Practice expense GPCI 1.000 changed to 1.008
- Malpractice GPCI 1.000 changed to 0.984
January 1, 2023
RVU23A
$61.89changed to$62.01
- 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
- Practice expense GPCI 1.008 changed to 1.000
- Malpractice GPCI 0.986 changed to 1.000
Held through RVU23B, RVU23C.
January 1, 2022
RVU22A
$62.05changed to$61.89
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.19 changed to 1.20
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$62.00changed to$62.05
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.13 changed to 1.19
- Malpractice GPCI 0.988 changed to 0.986
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$62.61changed to$62.00
- 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
- Practice expense GPCI 1.007 changed to 1.008
- Malpractice GPCI 0.990 changed to 0.988
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$63.27changed to$62.61
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.18 changed to 1.16
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$55.37changed to$63.27
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.17 changed to 1.18
- Practice expense GPCI 0.856 changed to 1.007
- Malpractice GPCI 0.642 changed to 0.990
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$47.92changed to$55.37
- Conversion factor 35.8043 changed to 35.8887
- Practice expense GPCI 0.705 changed to 0.856
- Malpractice GPCI 0.293 changed to 0.642
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$47.98changed to$47.92
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.07 changed to 0.08
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$47.75changed to$47.98
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$47.09changed to$47.75
- 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
- Practice expense GPCI 0.692 changed to 0.705
- Malpractice GPCI 0.271 changed to 0.293
Held through RVU15B.
January 1, 2014
RVU14A
$47.11changed to$47.09
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.29 changed to 1.16
- Practice expense GPCI 0.678 changed to 0.692
- Malpractice GPCI 0.249 changed to 0.271
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $47.11
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $66.62 | $24.41 | RVU26D |
| 2026-07-01 | $66.62 | $24.41 | RVU26C |
| 2026-04-01 | $66.62 | $24.41 | RVU26B |
| 2026-01-01 | $66.62 | $24.41 | RVU26A |
| 2025-10-01 | $59.76 | $27.51 | RVU25D |
| 2025-07-01 | $59.76 | $27.51 | RVU25C |
| 2025-04-01 | $59.76 | $27.51 | RVU25B |
| 2025-01-01 | $59.76 | $27.51 | RVU25A |
| 2024-10-01 | $61.49 | $28.64 | RVU24D |
| 2024-07-01 | $61.49 | $28.64 | RVU24C |
| 2024-04-01 | $61.49 | $28.64 | RVU24B |
| 2024-03-09 | $61.49 | $28.64 | RVU24AR |
| 2024-01-01 | $60.49 | $28.17 | RVU24A |
| 2023-10-01 | $62.30 | $29.50 | RVU23D |
| 2023-07-01 | $62.01 | $29.48 | RVU23C |
| 2023-04-01 | $62.01 | $29.48 | RVU23B |
| 2023-01-01 | $62.01 | $29.48 | RVU23A |
| 2022-10-01 | $61.89 | $29.80 | RVU22D |
| 2022-07-01 | $61.89 | $29.80 | RVU22C |
| 2022-04-01 | $61.89 | $29.80 | RVU22B |
| 2022-01-01 | $61.89 | $29.80 | RVU22A |
| 2021-10-01 | $62.05 | $30.04 | RVU21D |
| 2021-07-01 | $62.05 | $30.04 | RVU21C |
| 2021-04-01 | $62.05 | $30.04 | RVU21B |
| 2021-01-01 | $62.05 | $30.04 | RVU21A |
| 2020-10-01 | $62.00 | $31.08 | RVU20D |
| 2020-07-01 | $62.00 | $31.08 | RVU20C |
| 2020-04-01 | $62.00 | $31.08 | RVU20B |
| 2020-01-01 | $62.00 | $31.08 | RVU20A |
| 2019-10-01 | $62.61 | $30.68 | RVU19D |
| 2019-07-01 | $62.61 | $30.68 | RVU19C |
| 2019-04-01 | $62.61 | $30.68 | RVU19B |
| 2019-01-01 | $62.61 | $30.68 | RVU19A |
| 2018-10-01 | $63.27 | $31.00 | RVU18D |
| 2018-07-01 | $63.27 | $31.00 | RVU18C |
| 2018-04-01 | $63.27 | $31.00 | RVU18B |
| 2018-01-01 | $63.27 | $31.00 | RVU18AR1 |
| 2017-10-01 | $55.37 | $28.34 | RVU17D |
| 2017-07-01 | $55.37 | $28.34 | RVU17C |
| 2017-04-01 | $55.37 | $28.34 | RVU17B |
| 2017-01-01 | $55.37 | $28.34 | RVU17A |
| 2016-10-01 | $47.92 | $25.45 | RVU16D |
| 2016-07-01 | $47.92 | $25.45 | RVU16C |
| 2016-04-01 | $47.92 | $25.45 | RVU16B |
| 2016-01-01 | $47.92 | $25.45 | RVU16A |
| 2015-10-01 | $47.98 | $25.69 | RVU15D |
| 2015-07-01 | $47.98 | $25.69 | RVU15C |
| 2015-04-01 | $47.75 | $25.56 | RVU15B |
| 2015-01-01 | $47.75 | $25.56 | RVU15A |
| 2014-10-01 | $47.09 | $25.52 | RVU14D |
| 2014-07-01 | $47.09 | $25.52 | RVU14C |
| 2014-04-01 | $47.09 | $25.52 | RVU14B |
| 2014-01-01 | $47.09 | $25.52 | RVU14A |
| 2013-10-01 | $47.11 | $24.50 | RVU13D |
| 2013-07-01 | $47.11 | $24.50 | RVU13C |
| 2013-04-01 | $47.11 | $24.50 | RVU13B |
| 2013-01-01 | $47.11 | $24.50 | RVU13AR |
Where the Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
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
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