Billing code 11107: Skin biopsyMedicare rate & RVUs in Utah
Report 11107 for each additional, separate skin lesion sampled by incisional biopsy, alongside the primary incisional biopsy code 11106.
Medicare pays $67.54 for 11107 in the office in Utah (Utah). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 11107 covers
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.
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 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | $67.54 | $24.53 |
How the 11107 rate is calculated
Each of 11107’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 · 11107
RVUs × geographic indexes × conversion factor
Work0.53
0.53 RVUs× 1.000 GPCI
Practice expense1.53
1.53 RVUs× 1.000 GPCI
Malpractice0.06
0.06 RVUs× 1.000 GPCI
Adjusted RVUs
2.1200
Conversion factor
$33.4009
Medicare rate
$70.81
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 11107
The CMS indicators that decide how 11107 is paid alongside other services.
CMS payment indicators · 11107
Skin biopsy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
11107 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 11106Skin biopsy
- 11106 reports the first lesion sampled by incisional biopsy and is the primary code required with 11107. 11107 represents each additional separate lesion.
- 11105Skin biopsy
- 11105 represents each additional lesion sampled with a punch instrument. Choose 11107 when the additional lesion is sampled using an incisional technique.
- 11103Tangential skin biopsy
- 11103 represents each additional lesion sampled tangentially, such as by shave technique. 11107 is for additional lesions sampled by incisional biopsy.
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 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
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