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See a sample rate comparisonCPT 11103 Fee Schedule
Last Verified: October 2026
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.
Tangential Biopsy Of Skin (Eg Shave Scoop Saucerize Curette), Tangential Biopsy Of Skin (Eg Shave Scoop Saucerize Curette); Each Separate/Additional Lesion (List Separately In Addition To Code For Primary Procedure)
| 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 |
| Medicare Fee Schedule | View Medicare rates for 11103 |
| Medicaid Fee Schedule | View Medicaid rates for 11103 |
National average reimbursement for CPT 11103 by major payers:
$58.47
$69.17
$65.67
$90.76
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CPT 11103
5 of 25 sample ratesHigher to lower in this preview
Derrick Brown
Hackensack Meridian Health Medical Group - Primary Care PC
$118.55Published rateAfnan Mossaad Husain
U T Physicians
$76.83Published rateMaria Campoalegre
Dr Maria A Campoalegre Mdpa
$47.59Published rateKalpeshkumar Patel
Cinnaminson Primary Care LLC
$28.90Published rateLisa Rink
Regal Heart Hospice Corporation
$11.77Published rate
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See a sample payer proposalCPT 11103 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 11103 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 11103 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), Tangential Biopsy Of Skin (Eg Shave Scoop Saucerize Curette); Single Lesion |
| 11103-CPT | Low | Tangential Biopsy Of Skin (Eg Shave Scoop Saucerize Curette), 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), Punch Biopsy Of Skin (Including Simple Closure When Performed); Single Lesion |
| 11105-CPT | Low | Punch Biopsy Of Skin (Includin, Punch Biopsy Of Skin (Including Simple Closure When Performed) Each Separateadditional 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 11103. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 11103 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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