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CMS RVU26D · Effective 2026-10-01

11102 in Merced

Office / nonfacility

$101.89

Base rate per service

Facility setting

$30.14

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Dermatology procedure

About 11102: Tangential skin biopsy, single lesion

Report 11102 for the first tangential skin lesion sampled by shave, scoop, saucerization, or curette when no higher-valued biopsy technique is used.

A tangential biopsy takes a diagnostic skin sample using a blade held nearly parallel to the surface, a scoop or saucerizing technique, or a curette. Sampling depth varies and can reach the deep dermis or subcutaneous tissue. Dermatologists, primary care clinicians, nurse practitioners, and physician assistants commonly perform it in the office for lesions suspicious for basal or squamous cell carcinoma. Local anesthesia, hemostasis, and simple closure or dressing when performed are included; pathology examination of the specimen is separate.

Report 11102 once when tangential sampling is the highest-valued biopsy technique used in the session; report 11103 for each additional separate tangential lesion. If a punch or incisional biopsy is also performed, report the appropriate higher-valued primary biopsy code and 11103 for the tangential lesion. Document each lesion's site, sampling technique, and diagnostic intent. The 0-day global includes same-day preoperative and postoperative care; a separately identifiable E/M service requires modifier 25 on the E/M code. With multiple procedures, Medicare pays the highest-valued procedure in full and others at 50%. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.

CMS billing rules for 11102

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU0.64 · 22%
  • Practice expense (office) RVU2.16 · 76%
  • Malpractice RVU0.06 · 2%

3.5M

Medicare services in 2024 · #54 by national volume

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.

11102 compared with similar codes

Office rates for Merced, from the same CMS release.

11104

Punch biopsy

Single skin lesion

$129.06

11104 takes a cylindrical sample with a punch instrument; 11102 samples tangentially with a blade, scoop, or curette. If both are performed on separate lesions, report 11104 with 11103.

11106

Skin biopsy

Single incisional lesion

$161.00

11106 takes an incisional, full-thickness sample, often closed with sutures; 11102 takes a tangential sample by shaving, scooping, or curettage.

11300

Shave removal

Trunk or extremity, 0.5 cm or less

$103.12

11300 reports intended shave removal of a trunk, arm, or leg lesion measuring 0.5 cm or less; 11102 reports tangential sampling for diagnosis.

11103

Tangential skin biopsy

Each separate or additional lesion

$51.72

11103 is the add-on for each additional tangentially biopsied lesion. Report 11102 once for the first lesion only when tangential sampling is the highest-valued biopsy technique used.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 11102 is $102.08—$0.19 higher than the $101.89 rate in Merced. Both use the same code, release and participation basis.

11102 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $101.89

  2. $0.19 higher than Merced

  3. Chico

    $101.89

    The same base rate than Merced

  4. El Centro

    $101.90

    $0.01 higher than Merced

  5. Fresno

    $101.89

    The same base rate than Merced

  6. The same base rate than Merced

  7. $7.04 higher than Merced

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 11102 ranges from $84.38 in Arkansas to $128.84 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas
  • Madera

    California · 11102

    Office

    $101.89

    Facility

    $30.14

    The same base rate than Merced for the office setting.

  • Modesto

    California · 11102

    Office

    $101.89

    Facility

    $30.14

    The same base rate than Merced for the office setting.

  • Napa

    California · 11102

    Office

    $118.83

    Facility

    $32.55

    $16.94 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 11102

    Office

    $108.50

    Facility

    $31.12

    $6.61 higher than Merced for the office setting.

  • Redding

    California · 11102

    Office

    $101.89

    Facility

    $30.14

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 11102

    Office

    $101.89

    Facility

    $30.14

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 11102

    Office

    $102.54

    Facility

    $30.79

    $0.65 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 11102

    Office

    $107.13

    Facility

    $30.99

    $5.24 higher than Merced for the office setting.

  • Salinas

    California · 11102

    Office

    $106.73

    Facility

    $30.86

    $4.84 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 11102

    Office

    $109.39

    Facility

    $31.09

    $7.50 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 11102

    Office

    $126.05

    Facility

    $33.75

    $24.16 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 11102

    Office

    $125.98

    Facility

    $33.68

    $24.09 higher than Merced for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 11102

    Office

    $128.84

    Facility

    $34.43

    $26.95 higher than Merced for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 11102

    Office

    $128.56

    Facility

    $34.16

    $26.67 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 11102

    Office

    $104.99

    Facility

    $30.42

    $3.10 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 11102

    Office

    $110.56

    Facility

    $31.02

    $8.67 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 11102

    Office

    $107.17

    Facility

    $30.84

    $5.28 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 11102

    Office

    $111.69

    Facility

    $31.30

    $9.80 higher than Merced for the office setting.

  • Stockton

    California · 11102

    Office

    $101.89

    Facility

    $30.14

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 11102

    Office

    $118.73

    Facility

    $32.45

    $16.84 higher than Merced for the office setting.

  • Visalia

    California · 11102

    Office

    $101.89

    Facility

    $30.14

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 11102

    Office

    $101.89

    Facility

    $30.14

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 11102

    Office

    $109.75

    Facility

    $32.63

    $7.86 higher than Merced for the office setting.

  • Miami

    Florida · 11102

    Office

    $101.55

    Facility

    $33.40

    $0.34 lower than Merced for the office setting.

  • Chicago

    Illinois · 11102

    Office

    $98.63

    Facility

    $32.84

    $3.26 lower than Merced for the office setting.

  • Manhattan

    New York · 11102

    Office

    $109.76

    Facility

    $33.69

    $7.87 higher than Merced for the office setting.

  • Alaska*

    Alaska · 11102

    Office

    $110.00

    Facility

    $40.28

    $8.11 higher than Merced for the office setting.

  • Alabama

    Alabama · 11102

    Office

    $85.64

    Facility

    $28.36

    $16.25 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 11102

    Office

    $84.38

    Facility

    $28.15

    $17.51 lower than Merced for the office setting.

  • Arizona

    Arizona · 11102

    Office

    $93.00

    Facility

    $29.57

    $8.89 lower than Merced for the office setting.

  • Colorado

    Colorado · 11102

    Office

    $99.96

    Facility

    $30.31

    $1.93 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 11102

    Office

    $101.93

    Facility

    $31.42

    $0.04 higher than Merced for the office setting.

  • Delaware

    Delaware · 11102

    Office

    $94.57

    Facility

    $29.89

    $7.32 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 11102

    Office

    $98.08

    Facility

    $31.77

    $3.81 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 11102

    Office

    $93.36

    Facility

    $30.77

    $8.53 lower than Merced for the office setting.

  • Atlanta

    Georgia · 11102

    Office

    $97.15

    Facility

    $30.63

    $4.74 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 11102

    Office

    $88.12

    Facility

    $29.72

    $13.77 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 11102

    Office

    $104.57

    Facility

    $30.13

    $2.68 higher than Merced for the office setting.

  • Iowa

    Iowa · 11102

    Office

    $88.19

    Facility

    $28.28

    $13.70 lower than Merced for the office setting.

  • Idaho

    Idaho · 11102

    Office

    $88.70

    Facility

    $28.47

    $13.19 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 11102

    Office

    $91.79

    Facility

    $31.56

    $10.10 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 11102

    Office

    $90.38

    Facility

    $30.61

    $11.51 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 11102

    Office

    $99.17

    Facility

    $31.94

    $2.72 lower than Merced for the office setting.

  • Indiana

    Indiana · 11102

    Office

    $89.23

    Facility

    $28.54

    $12.66 lower than Merced for the office setting.

  • Kansas

    Kansas · 11102

    Office

    $87.61

    Facility

    $28.43

    $14.28 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 11102

    Office

    $87.35

    Facility

    $29.15

    $14.54 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 11102

    Office

    $91.54

    Facility

    $29.94

    $10.35 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 11102

    Office

    $87.15

    Facility

    $29.21

    $14.74 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 11102

    Office

    $110.18

    Facility

    $32.01

    $8.29 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 11102

    Office

    $99.29

    Facility

    $30.35

    $2.60 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 11102

    Office

    $101.61

    Facility

    $31.37

    $0.28 lower than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 11102

    Office

    $96.44

    Facility

    $30.19

    $5.45 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 11102

    Office

    $89.00

    Facility

    $28.77

    $12.89 lower than Merced for the office setting.

  • Southern Maine

    Maine · 11102

    Office

    $94.14

    Facility

    $29.26

    $7.75 lower than Merced for the office setting.

  • Detroit

    Michigan · 11102

    Office

    $94.38

    Facility

    $31.20

    $7.51 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 11102

    Office

    $89.51

    Facility

    $29.74

    $12.38 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 11102

    Office

    $96.21

    Facility

    $28.84

    $5.68 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 11102

    Office

    $91.08

    Facility

    $29.61

    $10.81 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 11102

    Office

    $92.07

    Facility

    $29.74

    $9.82 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 11102

    Office

    $85.52

    Facility

    $29.09

    $16.37 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 11102

    Office

    $84.98

    Facility

    $28.61

    $16.91 lower than Merced for the office setting.

  • Montana**

    Montana · 11102

    Office

    $95.52

    Facility

    $30.06

    $6.37 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 11102

    Office

    $89.97

    Facility

    $28.89

    $11.92 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 11102

    Office

    $94.34

    Facility

    $28.87

    $7.55 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 11102

    Office

    $88.72

    Facility

    $28.30

    $13.17 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 11102

    Office

    $98.23

    Facility

    $30.08

    $3.66 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 11102

    Office

    $108.55

    Facility

    $32.61

    $6.66 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 11102

    Office

    $103.21

    Facility

    $31.72

    $1.32 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 11102

    Office

    $89.94

    Facility

    $29.91

    $11.95 lower than Merced for the office setting.

  • Nevada**

    Nevada · 11102

    Office

    $95.26

    Facility

    $29.73

    $6.63 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 11102

    Office

    $112.25

    Facility

    $34.41

    $10.36 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 11102

    Office

    $103.76

    Facility

    $32.08

    $1.87 higher than Merced for the office setting.

  • Queens

    New York · 11102

    Office

    $110.91

    Facility

    $33.53

    $9.02 higher than Merced for the office setting.

  • Rest Of New York

    New York · 11102

    Office

    $91.32

    Facility

    $29.13

    $10.57 lower than Merced for the office setting.

  • Ohio

    Ohio · 11102

    Office

    $89.27

    Facility

    $29.50

    $12.62 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 11102

    Office

    $87.36

    Facility

    $28.90

    $14.53 lower than Merced for the office setting.

  • Portland

    Oregon · 11102

    Office

    $103.36

    Facility

    $30.63

    $1.47 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 11102

    Office

    $94.64

    Facility

    $29.44

    $7.25 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 11102

    Office

    $99.26

    Facility

    $31.11

    $2.63 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 11102

    Office

    $89.50

    Facility

    $29.40

    $12.39 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 11102

    Office

    $96.29

    Facility

    $30.10

    $5.60 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 11102

    Office

    $98.10

    Facility

    $30.47

    $3.79 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 11102

    Office

    $89.74

    Facility

    $29.25

    $12.15 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 11102

    Office

    $94.20

    Facility

    $28.73

    $7.69 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 11102

    Office

    $88.03

    Facility

    $28.53

    $13.86 lower than Merced for the office setting.

  • Austin

    Texas · 11102

    Office

    $99.53

    Facility

    $30.26

    $2.36 lower than Merced for the office setting.

  • Beaumont

    Texas · 11102

    Office

    $88.89

    Facility

    $29.32

    $13.00 lower than Merced for the office setting.

  • Brazoria

    Texas · 11102

    Office

    $94.61

    Facility

    $29.73

    $7.28 lower than Merced for the office setting.

  • Dallas

    Texas · 11102

    Office

    $95.15

    Facility

    $29.94

    $6.74 lower than Merced for the office setting.

  • Fort Worth

    Texas · 11102

    Office

    $94.45

    Facility

    $29.90

    $7.44 lower than Merced for the office setting.

  • Galveston

    Texas · 11102

    Office

    $94.85

    Facility

    $29.84

    $7.04 lower than Merced for the office setting.

  • Houston

    Texas · 11102

    Office

    $95.95

    Facility

    $30.94

    $5.94 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 11102

    Office

    $91.65

    Facility

    $29.53

    $10.24 lower than Merced for the office setting.

  • Utah

    Utah · 11102

    Office

    $90.99

    Facility

    $29.46

    $10.90 lower than Merced for the office setting.

  • Virginia

    Virginia · 11102

    Office

    $93.71

    Facility

    $29.36

    $8.18 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 11102

    Office

    $96.29

    Facility

    $30.10

    $5.60 lower than Merced for the office setting.

  • Vermont

    Vermont · 11102

    Office

    $93.82

    Facility

    $29.00

    $8.07 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 11102

    Office

    $99.15

    Facility

    $30.21

    $2.74 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 11102

    Office

    $112.61

    Facility

    $32.28

    $10.72 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 11102

    Office

    $91.11

    Facility

    $28.39

    $10.78 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 11102

    Office

    $86.94

    Facility

    $30.05

    $14.95 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 11102

    Office

    $95.01

    Facility

    $29.54

    $6.88 lower than Merced for the office setting.

See how rates vary across the country

11102 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$84.38

$115.37

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$110.001
AL$85.641
AR$84.381
AZ$93.001
CA$101.89–$128.8429
CO$99.961
CT$101.931
DC$109.751
DE$94.571
FL$93.36–$101.553
GA$88.12–$97.152
GU$104.571
HI$104.571
IA$88.191
ID$88.701
IL$90.38–$99.174
IN$89.231
KS$87.611
KY$87.351
LA$87.15–$91.542
MA$99.29–$110.182
MD$96.44–$109.753
ME$89.00–$94.142
MI$89.51–$94.382
MN$96.211
MO$85.52–$92.073
MS$84.981
MT$95.521
NC$89.971
ND$94.341
NE$88.721
NH$98.231
NJ$103.21–$108.552
NM$89.941
NV$95.261
NY$91.32–$112.255
OH$89.271
OK$87.361
OR$94.64–$103.362
PA$89.50–$99.262
PR$96.291
RI$98.101
SC$89.741
SD$94.201
TN$88.031
TX$88.89–$99.538
UT$90.991
VA$93.71–$109.752
VI$96.291
VT$93.821
WA$99.15–$112.612
WI$91.111
WV$86.941
WY$95.011

Explore 11102 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Why are the office and facility amounts different?

For 11102 in Merced, the physician’s office rate is $101.89 and the facility-setting rate is $30.14: a difference of $71.75.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 11102 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$112.08

$101.89 × 110% = $112.08

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 11102 in Merced.

PPRRVU2026_Oct_nonQPP.csv

1,270

Code
11102
Physician work
0.64
Practice expense
2.16
Malpractice
0.06

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 11102 in Merced
ComponentRVULocality factorAdjusted
Physician work0.64× 1.0170.6509
Practice expense2.16× 1.0962.3674
Malpractice0.06× 0.5360.0322
Total RVUs3.0504
Conversion factor× 33.4009

Office / nonfacility rate, Merced$101.89

Open 11102 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.641.017
Practice expense2.161.096
Malpractice0.060.536

(0.64 × 1.017 + 2.16 × 1.096 + 0.06 × 0.536) × $33.4009 = $101.89

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.641.017
Practice expense0.21.096
Malpractice0.060.536

(0.64 × 1.017 + 0.2 × 1.096 + 0.06 × 0.536) × $33.4009 = $30.14

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

11102 · Office / nonfacility

$101.89

Effective 2026-10-01

The base rate is $0.04 lower than on 2025-10-01, moving from $101.93 to $101.89 (0.0%).

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

    $101.93changed to$101.89

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.66 changed to 0.64
    • Practice expense RVU 2.24 changed to 2.16
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $101.93

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$101.89$30.14RVU26D
2026-07-01$101.89$30.14RVU26C
2026-04-01$101.89$30.14RVU26B
2026-01-01$101.89$30.14RVU26A
2025-10-01$101.93$36.88RVU25D
2025-07-01$101.93$36.88RVU25C
2025-04-01$101.93$36.88RVU25B
2025-01-01$101.93$36.88RVU25A

11102 billing questions

How are several tangential biopsies at one visit reported?

Report 11102 once for the first lesion and 11103 for each additional separate lesion biopsied tangentially, with units equal to the number of additional lesions. This applies when no higher-valued biopsy technique is used in the session.

What if a tangential biopsy and a punch biopsy are done on different lesions in the same session?

Report 11104 as the primary code for the punch biopsy and 11103 for the tangential biopsy. Do not report 11102 alongside 11104 or 11106 for biopsies in the same session.

How do I choose between 11102 and a shave removal code?

Use 11102 when the goal is to obtain tissue for diagnosis. Shave removal codes in the 11300 series apply when the intent is to remove the lesion and are selected by anatomic site and lesion diameter.

Can an office visit be billed on the same day?

Yes, if significant, separately identifiable evaluation beyond the usual pre-biopsy assessment is documented; append modifier 25 to the E/M code. The decision to biopsy alone does not support a separate visit.

Is the pathology reading included?

No. The histopathology examination is billed separately by the pathologist or dermatopathologist, typically with 88305.

Is closure of the biopsy site separately billable?

No. Hemostasis, simple closure, and dressing when performed are included in the tangential biopsy service.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 11102PPRRVU2026_Oct_nonQPP.csv, line 1,270 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)