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CPT code 11922: Medical tattooing, additional treated area2026 Medicare rate & RVUs in Houston, TX

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 Houston, TX, Medicare pays $66.93 for 11922 in the office and $25.48 when it’s performed in a hospital or facility.

$66.93Office (non-facility)
$25.48Hospital or facility
+1.2%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 Houston, TX
  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 Houston, TX 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. Houston, TX pays $66.93. The RVUs are the same everywhere; the geographic indexes change the dollars.

11922 in Houston, TX vs other payment areas
  1. Houston, TX · this page$66.93
  2. Austin, TX · Texas$68.61+$1.68
  3. Beaumont, TX · Texas$61.68−$5.25
  4. Brazoria, TX · Texas$65.25−$1.68
  5. Dallas, TX · Texas$65.71−$1.22
  6. Fort Worth, TX · Texas$65.27−$1.66
  7. Galveston, TX · Texas$65.47−$1.46

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

Every other payment area

11922 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$63.46$23.83
Los Angeles, CACalifornia$74.57$25.18
Washington, DC areaDistrict of Columbia$75.74$26.56
Miami, FLFlorida$72.16$28.70
Chicago, ILIllinois$69.94$27.98
Manhattan, NYNew York$76.41$27.89
AlaskaAlaska$76.03$31.57
AlabamaAlabama$59.05$22.51

11922 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.

$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 Houston, TX 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

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 11922 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work0.48× 1.0080.4838
Practice expense1.42× 0.9931.4101
Malpractice0.08× 1.3760.1101
Total RVUs2.0040
Conversion factor× 33.4009

Office rate, Houston, TX$66.93

Office: (0.48 × 1.008 + 1.42 × 0.993 + 0.08 × 1.376) × $33.4009 = $66.93

Facility: (0.48 × 1.008 + 0.17 × 0.993 + 0.08 × 1.376) × $33.4009 = $25.48

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.

Codes related to 11922

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

Codes related to 11922
CodeHow it relatesOffice range, Houston, TX
Primary code
11920Skin tattooing, up to 6 square centimetersPrimary treatment code for an initial defect area of 6.0 square centimeters or less.$219.29
11921Skin color correction, 6.1–20.0 sq cmPrimary treatment code for an initial defect area of 6.1–20.0 square centimeters.$237.26

How 11922 has changed in Houston, TX

11922 · Office / nonfacility

$66.93

Effective 2026-10-01

The base rate is $6.01 higher than on 2025-10-01, moving from $60.92 to $66.93 (9.9%).

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

    $60.92changed to$66.93

    • 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
    • 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

    $62.83changed to$60.92

    • 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

    $61.80changed to$62.83

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $63.59changed to$61.80

    • 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
    • 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

    $63.03changed to$63.59

    • 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
    • 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

    $63.20changed to$63.03

    • 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

    $62.72changed to$63.20

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.13 changed to 1.19
    • 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

    $63.02changed to$62.72

    • 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
    • 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

    $63.68changed to$63.02

    • 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

    $63.02changed to$63.68

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.17 changed to 1.18
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.946 changed to 0.936

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $62.76changed to$63.02

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.006 changed to 1.009
    • Malpractice GPCI 0.955 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $62.64changed to$62.76

    • 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

    $62.33changed to$62.64

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $62.21changed to$62.33

    • 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
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 1.004 changed to 1.006
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $63.31changed to$62.21

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.29 changed to 1.16
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 1.002 changed to 1.004
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $63.31

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$66.93$25.48RVU26D
2026-07-01$66.93$25.48RVU26C
2026-04-01$66.93$25.48RVU26B
2026-01-01$66.93$25.48RVU26A
2025-10-01$60.92$28.80RVU25D
2025-07-01$60.92$28.80RVU25C
2025-04-01$60.92$28.80RVU25B
2025-01-01$60.92$28.80RVU25A
2024-10-01$62.83$30.11RVU24D
2024-07-01$62.83$30.11RVU24C
2024-04-01$62.83$30.11RVU24B
2024-03-09$62.83$30.11RVU24AR
2024-01-01$61.80$29.62RVU24A
2023-10-01$63.59$30.54RVU23D
2023-07-01$63.59$30.54RVU23C
2023-04-01$63.59$30.54RVU23B
2023-01-01$63.59$30.54RVU23A
2022-10-01$63.03$30.27RVU22D
2022-07-01$63.03$30.27RVU22C
2022-04-01$63.03$30.27RVU22B
2022-01-01$63.03$30.27RVU22A
2021-10-01$63.20$30.52RVU21D
2021-07-01$63.20$30.52RVU21C
2021-04-01$63.20$30.52RVU21B
2021-01-01$63.20$30.52RVU21A
2020-10-01$62.72$31.43RVU20D
2020-07-01$62.72$31.43RVU20C
2020-04-01$62.72$31.43RVU20B
2020-01-01$62.72$31.43RVU20A
2019-10-01$63.02$30.92RVU19D
2019-07-01$63.02$30.92RVU19C
2019-04-01$63.02$30.92RVU19B
2019-01-01$63.02$30.92RVU19A
2018-10-01$63.68$31.25RVU18D
2018-07-01$63.68$31.25RVU18C
2018-04-01$63.68$31.25RVU18B
2018-01-01$63.68$31.25RVU18AR1
2017-10-01$63.02$31.15RVU17D
2017-07-01$63.02$31.15RVU17C
2017-04-01$63.02$31.15RVU17B
2017-01-01$63.02$31.15RVU17A
2016-10-01$62.76$30.70RVU16D
2016-07-01$62.76$30.70RVU16C
2016-04-01$62.76$30.70RVU16B
2016-01-01$62.76$30.70RVU16A
2015-10-01$62.64$30.83RVU15D
2015-07-01$62.64$30.83RVU15C
2015-04-01$62.33$30.67RVU15B
2015-01-01$62.33$30.67RVU15A
2014-10-01$62.21$30.92RVU14D
2014-07-01$62.21$30.92RVU14C
2014-04-01$62.21$30.92RVU14B
2014-01-01$62.21$30.92RVU14A
2013-10-01$63.31$29.90RVU13D
2013-07-01$63.31$29.90RVU13C
2013-04-01$63.31$29.90RVU13B
2013-01-01$63.31$29.90RVU13AR

Price 11922 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

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 Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

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