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

Reports subcutaneous injection of filling material when the documented volume exceeds 10 cc to address a soft-tissue volume or contour defect.

CMS RVU26DEffective Oct 1, 2026One payment locality

In New Mexico, Medicare pays $167.27 for 11954 in the office and $96.52 when it’s performed in a hospital or facility.

$167.27Office (non-facility)
$96.52Hospital or facility
−3.5%vs the national office rate ($173.35)

Check a contract rate as a % of Medicare · 11954 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 11954 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 11954 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 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.

How New Mexico compares for 11954

Across 109 of 109 payment localities, the office rate for 11954 runs from $153.36 in Arkansas to $219.42 in San Benito County, CA. New Mexico pays $167.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

11954 in New Mexico vs other payment areas
  1. New Mexico · this page$167.27
  2. Los Angeles, CA · California$190.47+$23.20
  3. Washington, DC area · District of Columbia$195.99+$28.72
  4. Miami, FL · Florida$195.39+$28.12
  5. Chicago, IL · Illinois$189.42+$22.15
  6. Manhattan, NY · New York$200.50+$33.23
  7. Alaska · Alaska$204.76+$37.49

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

Every other payment area

11954 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$155.58$88.07
ArkansasArkansas$153.36$87.09
ArizonaArizona$168.52$93.76
Bakersfield, CACalifornia$179.67$95.11
Chico, CACalifornia$178.70$94.13
El Centro, CACalifornia$178.75$94.19
Fresno, CACalifornia$178.70$94.13
Hanford, CACalifornia$178.70$94.13

11954 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.

$153.36

$204.76

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

View every state and territory as a table
11954 office rate range by state
State / territoryOffice rate rangeLocalities
AK$204.761
AL$155.581
AR$153.361
AZ$168.521
CA$178.70–$219.4229
CO$178.011
CT$184.831
DC$195.991
DE$171.251
FL$174.76–$195.393
GA$164.63–$177.512
GU$182.341
HI$182.341
IA$157.671
ID$159.071
IL$171.10–$189.424
IN$159.931
KS$157.801
KY$161.091
LA$161.18–$168.952
MA$177.32–$194.232
MD$174.21–$195.993
ME$160.81–$168.122
MI$166.02–$177.822
MN$168.071
MO$159.03–$168.503
MS$156.191
MT$173.331
NC$162.331
ND$166.411
NE$158.261
NH$176.051
NJ$186.23–$194.182
NM$167.271
NV$171.501
NY$164.80–$206.415
OH$164.611
OK$159.881
OR$169.47–$182.592
PA$164.38–$180.852
PR$174.291
RI$176.581
SC$163.881
SD$165.591
TN$158.701
TX$163.38–$178.038
UT$166.071
VA$168.19–$195.992
VI$174.291
VT$166.561
WA$176.72–$197.272
WI$161.001
WV$165.091
WY$170.311

See 11954 in every payment locality

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.

How the rate is built · 11954

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.80

1.80 RVUs× 1.000 GPCI

Practice expense3.04

3.04 RVUs× 1.000 GPCI

Malpractice0.35

0.35 RVUs× 1.000 GPCI

Adjusted RVUs

5.1900

Conversion factor

$33.4009

Medicare rate

$173.35

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

1,387

Code
11954
Physician work
1.80
Practice expense
3.04
Malpractice
0.35

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 11954 in New Mexico
ComponentRVULocality factorAdjusted
Physician work1.80× 1.0001.8000
Practice expense3.04× 0.9172.7877
Malpractice0.35× 1.2010.4204
Total RVUs5.0080
Conversion factor× 33.4009

Office rate, New Mexico$167.27

Office: (1.8 × 1 + 3.04 × 0.917 + 0.35 × 1.201) × $33.4009 = $167.27

Facility: (1.8 × 1 + 0.73 × 0.917 + 0.35 × 1.201) × $33.4009 = $96.52

Open 11954 in the RVU calculator

Payment rules and modifiers for 11954

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

CMS payment indicators · 11954

Filler injection, more than 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

11954 without 51 · national office

$173.35

Filler injection, more than 10 cc

11954-51 · Second procedure: 50%

$86.68

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 11954

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

Codes related to 11954
CodeHow it relatesOffice range, New Mexico
Same family
11950Filler injection, 1 cc or lessSibling code for subcutaneous filling-material injection in the smallest volume tier.$84.56
11951Filler injection, 1.1–5.0 ccSibling code for subcutaneous filling-material injection in an intermediate volume tier.$112.71
11952Filler injection, 5.1 to 10 ccSibling code for subcutaneous filling-material injection up to 10 cc.$151.07

How 11954 has changed in New Mexico

11954 · Office / nonfacility

$167.27

Effective 2026-10-01

The base rate is $15.83 higher than on 2025-10-01, moving from $151.44 to $167.27 (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

    $151.44changed to$167.27

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.85 changed to 1.80
    • Practice expense RVU 2.68 changed to 3.04
    • Malpractice RVU 0.34 changed to 0.35
    • 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

    $154.04changed to$151.44

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.62 changed to 2.68

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $151.52changed to$154.04

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $155.02changed to$151.52

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.58 changed to 2.62
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172

  5. January 1, 2023

    RVU23A

    $154.95changed to$155.02

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.49 changed to 2.58
    • 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

    $154.58changed to$154.95

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.45 changed to 2.49
    • Malpractice RVU 0.33 changed to 0.34

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $158.37changed to$154.58

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.37 changed to 2.45
    • Malpractice RVU 0.32 changed to 0.33
    • 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

    $155.74changed to$158.37

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.25 changed to 2.37
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207

    Held through RVU20B, RVU20C, RVU20D.

  9. July 1, 2019

    RVU19C

    $155.29changed to$155.74

    • Malpractice RVU 0.31 changed to 0.32

    Held through RVU19D.

  10. January 1, 2019

    RVU19A

    $156.44changed to$155.29

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.29 changed to 2.25

    Held through RVU19B.

  11. January 1, 2018

    RVU18AR1

    $156.72changed to$156.44

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.33 changed to 2.29
    • Practice expense GPCI 0.920 changed to 0.921
    • Malpractice GPCI 1.204 changed to 1.247

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $155.13changed to$156.72

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.31 changed to 2.33
    • Practice expense GPCI 0.919 changed to 0.920
    • Malpractice GPCI 1.161 changed to 1.204

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $156.68changed to$155.13

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.34 changed to 2.31

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $155.90changed to$156.68

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $154.66changed to$155.90

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.30 changed to 2.34
    • Malpractice RVU 0.33 changed to 0.31
    • Practice expense GPCI 0.918 changed to 0.919
    • Malpractice GPCI 1.079 changed to 1.161

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $153.97changed to$154.66

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.54 changed to 2.30
    • Malpractice RVU 0.35 changed to 0.33
    • Practice expense GPCI 0.916 changed to 0.918
    • Malpractice GPCI 0.997 changed to 1.079

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $153.97

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$167.27$96.52RVU26D
2026-07-01$167.27$96.52RVU26C
2026-04-01$167.27$96.52RVU26B
2026-01-01$167.27$96.52RVU26A
2025-10-01$151.44$107.39RVU25D
2025-07-01$151.44$107.39RVU25C
2025-04-01$151.44$107.39RVU25B
2025-01-01$151.44$107.39RVU25A
2024-10-01$154.04$109.30RVU24D
2024-07-01$154.04$109.30RVU24C
2024-04-01$154.04$109.30RVU24B
2024-03-09$154.04$109.30RVU24AR
2024-01-01$151.52$107.52RVU24A
2023-10-01$155.02$111.01RVU23D
2023-07-01$155.02$111.01RVU23C
2023-04-01$155.02$111.01RVU23B
2023-01-01$155.02$111.01RVU23A
2022-10-01$154.95$112.47RVU22D
2022-07-01$154.95$112.47RVU22C
2022-04-01$154.95$112.47RVU22B
2022-01-01$154.95$112.47RVU22A
2021-10-01$154.58$113.31RVU21D
2021-07-01$154.58$113.31RVU21C
2021-04-01$154.58$113.31RVU21B
2021-01-01$154.58$113.31RVU21A
2020-10-01$158.37$117.41RVU20D
2020-07-01$158.37$117.41RVU20C
2020-04-01$158.37$117.41RVU20B
2020-01-01$158.37$117.41RVU20A
2019-10-01$155.74$115.90RVU19D
2019-07-01$155.74$115.90RVU19C
2019-04-01$155.29$115.46RVU19B
2019-01-01$155.29$115.46RVU19A
2018-10-01$156.44$116.66RVU18D
2018-07-01$156.44$116.66RVU18C
2018-04-01$156.44$116.66RVU18B
2018-01-01$156.44$116.66RVU18AR1
2017-10-01$156.72$117.76RVU17D
2017-07-01$156.72$117.76RVU17C
2017-04-01$156.72$117.76RVU17B
2017-01-01$156.72$117.76RVU17A
2016-10-01$155.13$116.31RVU16D
2016-07-01$155.13$116.31RVU16C
2016-04-01$155.13$116.31RVU16B
2016-01-01$155.13$116.31RVU16A
2015-10-01$156.68$117.39RVU15D
2015-07-01$156.68$117.39RVU15C
2015-04-01$155.90$116.80RVU15B
2015-01-01$155.90$116.80RVU15A
2014-10-01$154.66$116.52RVU14D
2014-07-01$154.66$116.52RVU14C
2014-04-01$154.66$116.52RVU14B
2014-01-01$154.66$116.52RVU14A
2013-10-01$153.97$112.84RVU13D
2013-07-01$153.97$112.84RVU13C
2013-04-01$153.97$112.84RVU13B
2013-01-01$153.97$112.84RVU13AR

Price 11954 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

11954 billing questions

How does 11954 differ from 11952?

Choose 11954 when the documented filling-material volume exceeds 10 cc. Code 11952 is for the next lower volume tier, up to 10 cc.

Is the code selected by the number of injection sites?

No. The distinction among these filling-material injection codes is the volume used, rather than the number of sites.

What documentation supports reporting 11954?

Document the clinical indication, injection sites, material, and total volume injected. The record must also support the specific circumstances for which Medicare covers payment.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure's 0-day global period.

Can modifier 50 be used, or can an assistant be paid?

Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documentation of medical necessity.

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 11954PPRRVU2026_Oct_nonQPP.csv, line 1,387 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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