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

In South Dakota, Medicare pays $150.00 for 11952 in the office and $80.86 when it’s performed in a hospital or facility.

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.

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 South Dakota 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. South Dakota pays $150.00. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

11952 rates by state

Office rate range in each state. Select a state to see its payment localities.

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.

Payment rules and modifiers for 11952

The CMS indicators that decide how 11952 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 11952

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

How 11952 has changed in South Dakota

Price 11952 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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

Open CMS sourceHow we calculate rates