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See a sample rate comparisonCPT 11200 is classified under Surgery, in the Surgical Procedures on the Integumentary System subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 11Office 22On Campus Outpatient Hospital |
| Common Modifiers | 59Distinct Procedural Service 51Multiple procedures |
| Hospital Outpatient Group (APC) | APC 5051 - Level 1 Skin Procedures |
| Surgery Center Payment (ASC) | N1 - Packaged; no separate payment |
| Add-on Codes | 11201 |
| Common Revenue Codes | 03600361Sign up to view all 19 |
| Medicare Fee Schedule | $92.19 national non-facility rate (2026)View Medicare rates for 11200 |
| Medicaid Fee Schedule | $74.215 median of the 8 states in the free previewView Medicaid rates for 11200 |
National average reimbursement for CPT 11200 by major payers:

$105.01
BCBS / Anthem

$109.67
UnitedHealthcare

$116.04
Aetna

$121.40
Cigna
Choose a payer to see a sample of rates for CPT 11200.
Summit Medical Group PA, Summit Medical Group Ambulatory Surgery Center
Summit Medical Group, P.A.
Vermont Eye Surgery & Laser Center
Vermont Eye Surgery & Laser Center, LLC 401(K) Plan
Magnolia Surgery Center, LLC
Magnolia Surgery Center LLC
Southfield Endoscopy Asc LLC, Gastrointestinal Endoscopy Center
Villages Endoscopy Center LLC
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 11200 vs. Other Surgical Procedures on the Integumentary System Codes
The table lists codes related to 11200. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 11042-CPT | Debridement Subcutaneous Tiss, Debridement Subcutaneous Tissue (Includes Epidermis And Dermis If Performed) First 20 Sq Cm Or Less |
| 11043-CPT | Dbrdmt Musc Fsca 1st 20, Debridement Muscle And Or Fascia Includes Epidermis Dermis And Subcutaneous Tissue If Performed First 20 Sq Cm Or Less |
| 11200-CPT | Removal Of Skin Tags Multipl, Removal Of Skin Tags Multiple Fibrocutaneous Tags Anyarea Up To And Including 15 Lesions Removal Of Skin Tags Multiple Fibrocutaneous Tags Any |
| 11201-CPT | Removal Of Skin Tags Multiple, Removal Of Skin Tags Multiple Fibrocutaneous Tags Any Area Each Additional 10 Lesions Or Part Thereof (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 11200. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 11200 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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Medicare's hospital outpatient payment system (OPPS) assigns CPT 11200 to APC 5051 (Level 1 Skin Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
CMS lists CPT 11200 with ASC payment indicator N1: Packaged; no separate payment.
CMS add-on code edits list CPT 11200 as a primary code for these add-on codes: 11201.
Hospital price transparency files list CPT 11200 under these revenue codes: including 0360, 0361, 0369, 0456 and 0490. A revenue code names the hospital department or charge category for the line; it does not change what the service is.