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

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 Puerto Rico, Medicare pays $157.51 for 11952 in the office and $87.61 when it’s performed in a hospital or facility.

$157.51Office (non-facility)
$87.61Hospital or facility
+0.5%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 Puerto Rico
  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 Puerto Rico 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. Puerto Rico pays $157.51. The RVUs are the same everywhere; the geographic indexes change the dollars.

11952 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$157.51
  2. Los Angeles, CA · California$172.29+$14.78
  3. Washington, DC area · District of Columbia$177.05+$19.54
  4. Miami, FL · Florida$175.72+$18.21
  5. Chicago, IL · Illinois$170.47+$12.96
  6. Manhattan, NY · New York$180.88+$23.37
  7. Alaska · Alaska$185.66+$28.15

Other areas in Puerto Rico 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 Puerto Rico 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

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 11952 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work1.65× 1.0001.6500
Practice expense2.74× 1.0112.7701
Malpractice0.30× 0.9850.2955
Total RVUs4.7156
Conversion factor× 33.4009

Office rate, Puerto Rico$157.51

Office: (1.65 × 1 + 2.74 × 1.011 + 0.3 × 0.985) × $33.4009 = $157.51

Facility: (1.65 × 1 + 0.67 × 1.011 + 0.3 × 0.985) × $33.4009 = $87.61

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, Puerto Rico
Same family
11950Filler injection, 1 cc or lessSame filling-material injection family, for the smallest volume tier.$88.72
11951Filler injection, 1.1–5.0 ccSame procedure family, for a lower volume tier.$117.92
11954Filler injection, more than 10 ccSame procedure family, for a higher volume tier.$174.29

How 11952 has changed in Puerto Rico

11952 · Office / nonfacility

$157.51

Effective 2026-10-01

The base rate is $14.81 higher than on 2025-10-01, moving from $142.70 to $157.51 (10.4%).

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

    $142.70changed to$157.51

    • 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 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $145.83changed to$142.70

    • 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

    $143.45changed to$145.83

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $147.20changed to$143.45

    • 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 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $146.73changed to$147.20

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $147.55changed to$146.73

    • 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 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $147.37changed to$147.55

    • 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.

  8. January 1, 2021

    RVU21A

    $149.54changed to$147.37

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.14 changed to 2.22
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $136.60changed to$149.54

    • 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 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $134.28changed to$136.60

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

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $115.57changed to$134.28

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.60 changed to 1.78
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $107.81changed to$115.57

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.77 changed to 1.60
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $106.78changed to$107.81

    • 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.

  14. July 1, 2015

    RVU15C

    $106.25changed to$106.78

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $110.37changed to$106.25

    • 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 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $110.74changed to$110.37

    • 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 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $110.74

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$157.51$87.61RVU26D
2026-07-01$157.51$87.61RVU26C
2026-04-01$157.51$87.61RVU26B
2026-01-01$157.51$87.61RVU26A
2025-10-01$142.70$99.06RVU25D
2025-07-01$142.70$99.06RVU25C
2025-04-01$142.70$99.06RVU25B
2025-01-01$142.70$99.06RVU25A
2024-10-01$145.83$101.59RVU24D
2024-07-01$145.83$101.59RVU24C
2024-04-01$145.83$101.59RVU24B
2024-03-09$145.83$101.59RVU24AR
2024-01-01$143.45$99.93RVU24A
2023-10-01$147.20$103.14RVU23D
2023-07-01$146.73$103.02RVU23C
2023-04-01$146.73$103.02RVU23B
2023-01-01$146.73$103.02RVU23A
2022-10-01$147.55$104.99RVU22D
2022-07-01$147.55$104.99RVU22C
2022-04-01$147.55$104.99RVU22B
2022-01-01$147.55$104.99RVU22A
2021-10-01$147.37$105.52RVU21D
2021-07-01$147.37$105.52RVU21C
2021-04-01$147.37$105.52RVU21B
2021-01-01$147.37$105.52RVU21A
2020-10-01$149.54$109.52RVU20D
2020-07-01$149.54$109.52RVU20C
2020-04-01$149.54$109.52RVU20B
2020-01-01$149.54$109.52RVU20A
2019-10-01$136.60$101.04RVU19D
2019-07-01$136.60$101.04RVU19C
2019-04-01$136.60$101.04RVU19B
2019-01-01$136.60$101.04RVU19A
2018-10-01$134.28$100.20RVU18D
2018-07-01$134.28$100.20RVU18C
2018-04-01$134.28$100.20RVU18B
2018-01-01$134.28$100.20RVU18AR1
2017-10-01$115.57$89.45RVU17D
2017-07-01$115.57$89.45RVU17C
2017-04-01$115.57$89.45RVU17B
2017-01-01$115.57$89.45RVU17A
2016-10-01$107.81$84.34RVU16D
2016-07-01$107.81$84.34RVU16C
2016-04-01$107.81$84.34RVU16B
2016-01-01$107.81$84.34RVU16A
2015-10-01$106.78$83.73RVU15D
2015-07-01$106.78$83.73RVU15C
2015-04-01$106.25$83.31RVU15B
2015-01-01$106.25$83.31RVU15A
2014-10-01$110.37$86.57RVU14D
2014-07-01$110.37$86.57RVU14C
2014-04-01$110.37$86.57RVU14B
2014-01-01$110.37$86.57RVU14A
2013-10-01$110.74$86.52RVU13D
2013-07-01$110.74$86.52RVU13C
2013-04-01$110.74$86.52RVU13B
2013-01-01$110.74$86.52RVU13AR

Price 11952 for an earlier date of service

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

Browse all communities in Puerto Rico

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 Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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