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CPT code 11952: Filler injection, 5.1 to 10 cc2026 Medicare rate & RVUs in New Mexico

Reports subcutaneous placement of filling material when 5.1 to 10 cc is injected to restore contour or fill a soft-tissue depression.

CMS RVU26DEffective Oct 1, 2026One payment locality

In New Mexico, Medicare pays $151.07 for 11952 in the office and $87.67 when it’s performed in a hospital or facility.

$151.07Office (non-facility)
$87.67Hospital or facility
−3.6%vs the national office rate ($156.65)

Check a contract rate as a % of Medicare · 11952 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 11952 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 11952 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 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.

How New Mexico compares for 11952

Across 109 of 109 payment localities, the office rate for 11952 runs from $138.89 in Arkansas to $198.51 in San Benito County, CA. New Mexico pays $151.07. The RVUs are the same everywhere; the geographic indexes change the dollars.

11952 in New Mexico vs other payment areas
  1. New Mexico · this page$151.07
  2. Los Angeles, CA · California$172.29+$21.22
  3. Washington, DC area · District of Columbia$177.05+$25.98
  4. Miami, FL · Florida$175.72+$24.65
  5. Chicago, IL · Illinois$170.47+$19.40
  6. Manhattan, NY · New York$180.88+$29.81
  7. Alaska · Alaska$185.66+$34.59

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

Every other payment area

11952 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$140.86$80.36
ArkansasArkansas$138.89$79.50
ArizonaArizona$152.37$85.37
Bakersfield, CACalifornia$162.57$86.79
Chico, CACalifornia$161.72$85.95
El Centro, CACalifornia$161.77$86.00
Fresno, CACalifornia$161.72$85.95
Hanford, CACalifornia$161.72$85.95

11952 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.

$138.89

$185.66

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

View every state and territory as a table
11952 office rate range by state
State / territoryOffice rate rangeLocalities
AK$185.661
AL$140.861
AR$138.891
AZ$152.371
CA$161.72–$198.5129
CO$160.971
CT$166.901
DC$177.051
DE$154.821
FL$157.66–$175.723
GA$148.69–$160.292
GU$164.971
HI$164.971
IA$142.831
ID$144.051
IL$154.33–$170.474
IN$144.821
KS$142.891
KY$145.641
LA$145.70–$152.612
MA$160.35–$175.562
MD$157.48–$177.053
ME$145.54–$152.132
MI$149.98–$160.322
MN$152.251
MO$143.76–$152.283
MS$141.311
MT$156.631
NC$146.901
ND$150.701
NE$143.371
NH$159.151
NJ$168.25–$175.452
NM$151.071
NV$155.071
NY$149.10–$186.065
OH$148.771
OK$144.621
OR$153.31–$165.132
PA$148.59–$163.332
PR$157.511
RI$159.641
SC$148.191
SD$150.001
TN$143.681
TX$147.70–$160.938
UT$150.141
VA$152.15–$177.052
VI$157.511
VT$150.791
WA$159.82–$178.352
WI$145.871
WV$148.981
WY$154.041

See 11952 in every payment locality

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

Office or facility?

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.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,386

Code
11952
Physician work
1.65
Practice expense
2.74
Malpractice
0.30

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 11952 in New Mexico
ComponentRVULocality factorAdjusted
Physician work1.65× 1.0001.6500
Practice expense2.74× 0.9172.5126
Malpractice0.30× 1.2010.3603
Total RVUs4.5229
Conversion factor× 33.4009

Office rate, New Mexico$151.07

Office: (1.65 × 1 + 2.74 × 0.917 + 0.3 × 1.201) × $33.4009 = $151.07

Facility: (1.65 × 1 + 0.67 × 0.917 + 0.3 × 1.201) × $33.4009 = $87.67

Open 11952 in the RVU calculator

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

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
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.

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%).

When to use modifier 51

Codes related to 11952

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

Codes related to 11952
CodeHow it relatesOffice range, New Mexico
Same family
11950Filler injection, 1 cc or lessSame filling-material injection family, for the smallest volume tier.$84.56
11951Filler injection, 1.1–5.0 ccSame procedure family, for a lower volume tier.$112.71
11954Filler injection, more than 10 ccSame procedure family, for a higher volume tier.$167.27

How 11952 has changed in New Mexico

11952 · Office / nonfacility

$151.07

Effective 2026-10-01

The base rate is $14.33 higher than on 2025-10-01, moving from $136.74 to $151.07 (10.5%).

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

    $136.74changed to$151.07

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.69 changed to 1.65
    • Practice expense RVU 2.42 changed to 2.74
    • Malpractice RVU 0.29 changed to 0.30
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $139.98changed to$136.74

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.37 changed to 2.42
    • Malpractice RVU 0.31 changed to 0.29

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $137.70changed to$139.98

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $140.68changed to$137.70

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.34 changed to 2.37
    • Malpractice RVU 0.30 changed to 0.31
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172

  5. January 1, 2023

    RVU23A

    $140.76changed to$140.68

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.25 changed to 2.34
    • Malpractice RVU 0.31 changed to 0.30
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $140.58changed to$140.76

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.22 changed to 2.25
    • Malpractice RVU 0.30 changed to 0.31

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $144.19changed to$140.58

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.14 changed to 2.22
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $133.21changed to$144.19

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.84 changed to 2.14
    • Malpractice RVU 0.25 changed to 0.30
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $131.08changed to$133.21

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.78 changed to 1.84

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $124.28changed to$131.08

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.60 changed to 1.78
    • Practice expense GPCI 0.920 changed to 0.921
    • Malpractice GPCI 1.204 changed to 1.247

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $129.14changed to$124.28

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.77 changed to 1.60
    • Practice expense GPCI 0.919 changed to 0.920
    • Malpractice GPCI 1.161 changed to 1.204

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $128.04changed to$129.14

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.71 changed to 1.77
    • Malpractice RVU 0.26 changed to 0.25

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $127.41changed to$128.04

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $132.57changed to$127.41

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.92 changed to 1.71
    • Malpractice RVU 0.23 changed to 0.26
    • Practice expense GPCI 0.918 changed to 0.919
    • Malpractice GPCI 1.079 changed to 1.161

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $134.83changed to$132.57

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.22 changed to 1.92
    • Malpractice RVU 0.24 changed to 0.23
    • Practice expense GPCI 0.916 changed to 0.918
    • Malpractice GPCI 0.997 changed to 1.079

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $134.83

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$151.07$87.67RVU26D
2026-07-01$151.07$87.67RVU26C
2026-04-01$151.07$87.67RVU26B
2026-01-01$151.07$87.67RVU26A
2025-10-01$136.74$97.38RVU25D
2025-07-01$136.74$97.38RVU25C
2025-04-01$136.74$97.38RVU25B
2025-01-01$136.74$97.38RVU25A
2024-10-01$139.98$100.09RVU24D
2024-07-01$139.98$100.09RVU24C
2024-04-01$139.98$100.09RVU24B
2024-03-09$139.98$100.09RVU24AR
2024-01-01$137.70$98.45RVU24A
2023-10-01$140.68$101.25RVU23D
2023-07-01$140.68$101.25RVU23C
2023-04-01$140.68$101.25RVU23B
2023-01-01$140.68$101.25RVU23A
2022-10-01$140.76$102.93RVU22D
2022-07-01$140.76$102.93RVU22C
2022-04-01$140.76$102.93RVU22B
2022-01-01$140.76$102.93RVU22A
2021-10-01$140.58$103.38RVU21D
2021-07-01$140.58$103.38RVU21C
2021-04-01$140.58$103.38RVU21B
2021-01-01$140.58$103.38RVU21A
2020-10-01$144.19$108.14RVU20D
2020-07-01$144.19$108.14RVU20C
2020-04-01$144.19$108.14RVU20B
2020-01-01$144.19$108.14RVU20A
2019-10-01$133.21$100.69RVU19D
2019-07-01$133.21$100.69RVU19C
2019-04-01$133.21$100.69RVU19B
2019-01-01$133.21$100.69RVU19A
2018-10-01$131.08$99.91RVU18D
2018-07-01$131.08$99.91RVU18C
2018-04-01$131.08$99.91RVU18B
2018-01-01$131.08$99.91RVU18AR1
2017-10-01$124.28$96.22RVU17D
2017-07-01$124.28$96.22RVU17C
2017-04-01$124.28$96.22RVU17B
2017-01-01$124.28$96.22RVU17A
2016-10-01$129.14$98.54RVU16D
2016-07-01$129.14$98.54RVU16C
2016-04-01$129.14$98.54RVU16B
2016-01-01$129.14$98.54RVU16A
2015-10-01$128.04$97.99RVU15D
2015-07-01$128.04$97.99RVU15C
2015-04-01$127.41$97.51RVU15B
2015-01-01$127.41$97.51RVU15A
2014-10-01$132.57$101.00RVU14D
2014-07-01$132.57$101.00RVU14C
2014-04-01$132.57$101.00RVU14B
2014-01-01$132.57$101.00RVU14A
2013-10-01$134.83$102.10RVU13D
2013-07-01$134.83$102.10RVU13C
2013-04-01$134.83$102.10RVU13B
2013-01-01$134.83$102.10RVU13AR

Price 11952 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

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

Show the CMS file lines behind this rate
RVUs for 11952PPRRVU2026_Oct_nonQPP.csv, line 1,386 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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