CPT 11102 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Surgery • Surgical Procedures on the Integumentary System |
| Common Place of Service | • 11 - Office • 19 - Off Campus Outpatient Hospital |
| Common Modifiers | • None • 59 - Distinct Procedural Service • XS - Separate Structure |
| Complexity Level | Low |
National average reimbursement for CPT 11102 by major payers:
$113.77
$129.47
$127.77
$176.57
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 11102 | ||||||
United | 11102 | $207.47 | 1053384644 - JOSEPH WILLIAMS | 582030692 - EMORY UNIVERSITY | MN | Diagnostic Radiology Physician (2085R0202X) |
United | 11102 | $73.01 | 1629081591 - SHIRISH THANAWALA | 113285871 - ALLEN ROTHPEARL IMAGING MD PC | NY | Diagnostic Radiology Physician (2085R0202X) |
United | 11102 | $168.44 | 1114987203 - NICHOLAS STEPHANI | 264041287 - AMG ILLINOIS LTD | WI | Diagnostic Radiology Physician (2085R0202X) |
United | 11102 | $175.26 | 1750743324 - ELIZABETH SHY | 271348772 - VIRTUA MEDICAL GROUP PA | NJ | Obstetrics & Gynecology Physician (207V00000X) |
United | 11102 | $50.89 | 1023041100 - NATALIA REZVINA | 833975796 - INTUITIVE WOMENS HEALTH | NJ | Obstetrics & Gynecology Physician (207V00000X) |
United | 11102 | $100.15 | 1699003194 - EMAD JACOB, MD PC | 274557867 - (NJ) EMAD JACOB MD PC | NJ | Internal Medicine Physician (207R00000X) |
United | 11102 | $91.56 | 1992701395 - DAVID POU | 720688976 - EAR, NOSE & THROAT CENTER, AMC | LA | Otolaryngology Physician (207Y00000X) |
United | 11102 | $200.62 | 1215036330 - SUJAL DESAI | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Orthopaedic Surgery Physician (207X00000X) |
United | 11102 | $143.59 | 1487790846 - MAIDA GALVEZ | 611661781 | NY | Pediatrics Physician (208000000X) |
United | 11102 | $21.34 | 1346312774 - JOHN MORONE | 223448925 | NJ | Internal Medicine Physician (207R00000X) |
United | 11102 | $161.30 | 1003029620 - ALFRED SHILLING | 541586601 - CARILION HEALTHCARE CORPORATION | VA | Diagnostic Radiology Physician (2085R0202X) |
United | 11102 | $120.60 | 1154702249 - ANTHONY BONIELLO | 824413259 - ORTHONJ, LLC | NJ | Orthopaedic Surgery Physician (207X00000X) |
United | 11102 | $78.68 | 1023192077 - GAYATRI GUPTA | 270576336 | NY | Internal Medicine Physician (207R00000X) |
United | 11102 | $100.15 | 1013250646 - JANET OJEABULU | 933742471 | NJ | Internal Medicine Physician (207R00000X) |
United | 11102 | $404.38 | 1487830741 - SANDRA ZAKY | 943192446 - UNIVERSITY HEALTHCARE ALLIANCE | CA | Radiation Oncology Physician (2085R0001X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 11102 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 11102 code is part of the Surgery services used for Surgical Procedures on the Integumentary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 11102 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 11102-CPT | Low | Tangential Biopsy Of Skin (Eg, Shave, Scoop, Saucerize, Curette); Single Lesion |
| 11103-CPT | Low | Tangential Biopsy Of Skin (Eg Shave Scoop Saucerize Curette); Each Separate/Additional Lesion (List Separately In Addition To Code For Primary Procedure) |
| 11104-CPT | Low | Punch Biopsy Of Skin (Including Simple Closure When Performed); Single Lesion |
| 11105-CPT | Low | Punch Biopsy Of Skin (Including Simple Closure When Performed); Each Separate/ Additional Lesion (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 11102. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 11102 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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