$138.15
11106 reports the first lesion sampled by incisional biopsy and is the primary code required with 11107. 11107 represents each additional separate lesion.
On this page
CMS RVU26D · Effective 2026-10-01
11107 Skin biopsy Medicare reimbursement rates in Oklahoma
Report 11107 for each additional, separate skin lesion sampled by incisional biopsy, alongside the primary incisional biopsy code 11106. Compare 11107 office and facility rates across CMS payment localities in Oklahoma.
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.
What does Medicare pay for 11107 in Oklahoma?
Oklahoma has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$64.89
1 of 1 localities have a supported rate.
Payment area: Oklahoma
One mapped payment locality.
Facility setting
$24.03
1 of 1 localities have a supported rate.
Payment area: Oklahoma
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Dermatology procedure
About 11107: Additional incisional skin biopsy
Report 11107 for each additional, separate skin lesion sampled by incisional biopsy, alongside the primary incisional biopsy code 11106.
An incisional skin biopsy removes a portion of a lesion for diagnostic examination rather than sampling it with a punch or tangential shave. Dermatologists and other clinicians may use this approach when a lesion needs tissue sampling but is not being completely removed. Code 11107 represents each additional separate lesion sampled by this method; the first lesion is reported with 11106. Simple closure, when performed, is included in the biopsy service.
Document the incisional technique and identify each separately sampled lesion, including its site, so the additional-lesion count is clear. Report 11107 only with the primary incisional biopsy code 11106; it is not a stand-alone service. CMS treats this add-on service as paid within the primary procedure's global period. Choose the biopsy code by the method used for each lesion: incisional sampling is distinct from punch or tangential sampling.
CMS billing rules for 11107
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU0.53 · 25%
- Practice expense (office) RVU1.53 · 72%
- Malpractice RVU0.06 · 3%
6.1K
Medicare services in 2024 · #1751 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.
11107 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
$55.29
11105 represents each additional lesion sampled with a punch instrument. Choose 11107 when the additional lesion is sampled using an incisional technique.
$44.71
11103 represents each additional lesion sampled tangentially, such as by shave technique. 11107 is for additional lesions sampled by incisional biopsy.
Compare 11107 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Oklahoma →
Office / nonfacility
$64.89
Facility
$24.03
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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 11107 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
1,275
- Code
- 11107
- Physician work
- 0.53
- Practice expense
- 1.53
- Malpractice
- 0.06
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.53 | × 1.000 | 0.5300 |
| Practice expense | 1.53 | × 0.893 | 1.3663 |
| Malpractice | 0.06 | × 0.777 | 0.0466 |
| Total RVUs | 1.9429 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Oklahoma$64.89
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.53 | 1 |
| Practice expense | 1.53 | 0.893 |
| Malpractice | 0.06 | 0.777 |
(0.53 × 1 + 1.53 × 0.893 + 0.06 × 0.777) × $33.4009 = $64.89
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.53 | 1 |
| Practice expense | 0.16 | 0.893 |
| Malpractice | 0.06 | 0.777 |
(0.53 × 1 + 0.16 × 0.893 + 0.06 × 0.777) × $33.4009 = $24.03
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.
11107 billing questions
Can 11107 be reported without 11106?
No. 11107 is an add-on code and must be reported with 11106 for the primary incisional skin biopsy.
How many units of 11107 should be reported?
Report one unit for each additional, separate lesion sampled by incisional biopsy beyond the lesion represented by 11106.
How is an incisional biopsy distinguished from a punch biopsy?
Use 11107 when the clinician samples part of an additional lesion using an incisional technique. Use the punch biopsy family when a punch instrument is used to obtain the tissue.
Is simple closure separately reported with 11107?
Simple closure, when performed as part of the biopsy, is included in the service.
What documentation supports reporting multiple units?
Record the incisional method and identify the site of each separately sampled lesion, distinguishing each additional lesion from the one reported with 11106.
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.
1,27211104,,Punch bx skin single lesion,A,,0.81,2.73,,0.24,,0.09,3.63,1.14,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,27311105,,Punch bx skin ea sep/addl,A,,0.44,1.30,,0.13,,0.07,1.81,0.64,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,27411106,,Incal bx skn single les,A,,0.98,3.43,,0.29,,0.12,4.53,1.39,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,27511107,,Incal bx skn ea sep/addl,A,,0.53,1.53,,0.16,,0.06,2.12,0.75,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,2761110F,,Pt lft inpt fac w/in 60 days,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
1,2771110T,,Strtctc icere dlvr 1 traj,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,2781111F,,Dschrg med/current med merge,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193