CPT code 11952: Filler injection, 5.1 to 10 cc2026 Medicare rate & RVUs in Maryland
Reports subcutaneous placement of filling material when 5.1 to 10 cc is injected to restore contour or fill a soft-tissue depression.
Medicare pays $157.48–$177.05 for 11952 in the office in Maryland, from Rest of Maryland to Washington, DC area. 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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On this page 9 sections
What 11952 covers
This service covers placement of injectable filling material into subcutaneous tissue to restore contour or fill a soft-tissue depression. The code level is selected by the total volume injected, with 11952 representing 5.1 through 10 cc. Dermatologists and plastic surgeons commonly perform it in an office or outpatient procedure setting, injecting material at one or more sites. The record should identify the treated defect, anatomical site, material, and amount delivered; distinguish this service from injections placed within a skin lesion.
Medicare lists payment as restricted to specific circumstances, so the record must support the covered clinical indication. This is a minor procedure with a 0-day global period: same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. The code is volume-based rather than bilateral, so 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 11952 pays more and less in Maryland
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$157.48 to $177.05
| Payment locality | Office | Facility |
|---|---|---|
| Baltimore area, MD | $166.59 | $92.40 |
| Rest of Maryland | $157.48 | $87.51 |
| Washington, DC area | $177.05 | $95.60 |
How the 11952 rate is calculated
Each of 11952’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 · 11952
RVUs × geographic indexes × conversion factor
Work1.65
1.65 RVUs× 1.000 GPCI
Practice expense2.74
2.74 RVUs× 1.000 GPCI
Malpractice0.30
0.30 RVUs× 1.000 GPCI
Adjusted RVUs
4.6900
Conversion factor
$33.4009
Medicare rate
$156.65
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 11952
The CMS indicators that decide how 11952 is paid alongside other services.
CMS payment indicators · 11952
Filler injection, 5.1 to 10 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
11952 without 51 · national office
$156.65
Filler injection, 5.1 to 10 cc
11952-51 · Second procedure: 50%
$78.33
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%).
11952 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 11951Filler injection1.1–5.0 cc
- Use 11951 when the total injected volume falls in its lower range; 11952 is for 5.1 through 10 cc.
- 11954Filler injectionMore than 10 cc
- Use 11954 for a total injected volume above the 11952 range.
- 11900Lesion injectionUp to seven lesions
- 11900 is for injection into skin lesions, not subcutaneous placement of filling material selected by injected volume.
11952 billing questions
How is 11952 distinguished from 11951 or 11954?
Choose the code by the total volume of filling material injected: 11952 covers 5.1 through 10 cc. The neighboring codes represent lower or higher volume ranges.
Is volume counted separately for each injection site?
Select the code based on the total volume injected for the service, rather than assigning a separate volume tier to each injection point. Document the amount delivered.
Can modifier 50 be used when treatment is performed on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code; report the volume-based service without modifier 50.
How does 11952 differ from 11900 or 11901?
11952 describes subcutaneous placement of filling material selected by volume. Codes 11900 and 11901 are for injections into skin lesions, selected by the number of lesions.
What documentation supports 11952?
Record the clinical indication, treated site or sites, filling material, and total volume injected. The documentation should support the specific circumstances for which Medicare payment is available.
Is same-day follow-up care separately included in the global period?
The 0-day global period includes same-day preoperative and postoperative care for this procedure.
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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