CPT code 11954: Filler injection, more than 10 cc2026 Medicare rate & RVUs

Medicare pays $173.35 for 11954 nationally in the office and $96.19 in a hospital or facility. Local office rates run $153.36–$219.42.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 11954 covers

A clinician injects filling material into subcutaneous tissue to add volume or improve a soft-tissue contour defect. Dermatologists and plastic surgeons may perform the service in an office or procedural setting when more than 10 cc of material is used. The code is distinguished from its lower-volume siblings by the amount injected, not by the number of sites treated.

Select the code from documentation of the indication, injection sites, material, and total volume. Medicare payment is restricted to specific circumstances, so the record must support the applicable coverage circumstances. The code has a 0-day global period, which includes same-day preoperative and postoperative care. When multiple procedures are performed in the same 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 11954 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

11954 rates by state

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

How the 11954 rate is calculated

Each of 11954’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 11954

The CMS indicators that decide how 11954 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

11954 compared with similar codes

How to choose

11950Filler injection1 cc or less

Use 11950 for the smallest volume tier of subcutaneous filling material; use 11954 when the total volume exceeds 10 cc.

11951Filler injection1.1–5.0 cc

11951 covers an intermediate volume tier. 11954 is selected when more than 10 cc is injected.

11952Filler injection5.1 to 10 cc

11952 covers volumes through 10 cc; 11954 applies when the documented volume is greater than 10 cc.

Codes related to 11954

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

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