CPT code 11951: Filler injection, 1.1–5.0 cc2026 Medicare rate & RVUs in Florida
Injection of 1.1 to 5.0 cc of subcutaneous filling material to correct a soft-tissue contour defect when Medicare coverage criteria are met.
Medicare pays $117.62–$130.89 for 11951 in the office in Florida, from Rest of Florida to Miami, FL. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 11951 covers
This service is injection of filling material into subcutaneous tissue to improve a soft-tissue contour defect. Examples of materials include collagen-based fillers. Dermatologists and plastic surgeons may perform the procedure in a clinic or hospital setting, depending on the patient and treatment circumstances. Medicare payment is restricted to specific circumstances, so the clinical reason for treatment matters.
Select this code when the documented quantity injected falls from 1.1 through 5.0 cc; document the material, treatment site, amount, and reason for correction. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% 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.
Where 11951 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$117.62 to $130.89
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | $123.83 | $68.01 |
| Miami, FL | $130.89 | $73.52 |
| Rest of Florida | $117.62 | $64.93 |
How the 11951 rate is calculated
Each of 11951’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 · 11951
RVUs × geographic indexes × conversion factor
Work1.16
1.16 RVUs× 1.000 GPCI
Practice expense2.14
2.14 RVUs× 1.000 GPCI
Malpractice0.21
0.21 RVUs× 1.000 GPCI
Adjusted RVUs
3.5100
Conversion factor
$33.4009
Medicare rate
$117.24
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 11951
The CMS indicators that decide how 11951 is paid alongside other services.
CMS payment indicators · 11951
Filler injection, 1.1–5.0 cc
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| 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. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
11951 without 51 · national office
$117.24
Filler injection, 1.1–5.0 cc
11951-51 · Second procedure: 50%
$58.62
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%).
11951 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 11950Filler injection1 cc or less
- Use 11950 when the injected filling-material volume is 1 cc or less; use 11951 for 1.1–5.0 cc.
- 11952Filler injection5.1 to 10 cc
- Use 11952 for 5.1–10 cc of filling material; 11951 is for 1.1–5.0 cc.
- 11954Filler injectionMore than 10 cc
- Use 11954 when more than 10 cc of filling material is injected; 11951 covers 1.1–5.0 cc.
- 11900Lesion injectionUp to seven lesions
- 11900 describes injection into skin lesions, not subcutaneous injection of filling material to correct a soft-tissue contour defect.
11951 billing questions
How is this code distinguished from 11950 or 11952?
Choose by the volume of filling material injected: this code covers 1.1–5.0 cc, 11950 covers up to 1 cc, and 11952 covers 5.1–10 cc.
What documentation supports reporting this service?
Record the clinical reason for correcting the contour defect, the treatment site, the filling material, and the volume injected. Medicare payment is limited to specific circumstances.
Is same-day preoperative or postoperative care separately billable?
The 0-day global period includes same-day preoperative and postoperative care for this procedure.
Should modifier 50 be used for treatment on both sides?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple-procedure reduction.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. 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
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