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See a sample rate comparisonCPT 11901 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.
Injection Into Skin Growth, Injection Of Medication Directly Into Abnormal Tissue On The Skin. Treatment May Be Applied To Seven Lesions Or More.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 11901 |
| Medicaid Fee Schedule | View Medicaid rates for 11901 |
National average reimbursement for CPT 11901 by major payers:
$78.07
$87.32
$90.23
$78.19
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CPT 11901
5 of 25 sample ratesHigher to lower in this preview
Emmaus Surgical Center, LLC
$1,708.00Published rateMetropolitan Medical Partners LLC, Surgery Center Of Chevy Chase
Metropolitan Medical Partners Ll
$574.00Published rateFayetteville Ambulatory Surgery Center Limited Partnership, Fayetteville Ambulatory Surgery Center
Fayetteville Ambulatory Surgery
$219.00Published rateSingle Day Surgery Center LLC
$103.00Published rateJeffrey L Bober Dpm PA, Jeffrey L Bober Dpm PA Asc
Jeffrey L Bober Dpm PA
$37.00Published rate
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See a sample payer proposalCPT 11901 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 11901 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 11901 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 |
|---|---|---|
| 11900-CPT | Low | Injection Into Skin Growth, Injection Of Medication Directly Into Abnormal Tissue On The Skin. Treatment May Be Applied To Up To Seven Lesions. |
| 11901-CPT | Low | Injection Into Skin Growth, Injection Of Medication Directly Into Abnormal Tissue On The Skin. Treatment May Be Applied To Seven Lesions Or More. |
| 11920-CPT | Moderate | Tattooing Intradermal Introdu, Tattooing Intradermal Introduction Of Insoluble Opaquepigments To Correct Color Defects Of Skin Including Micropigmentation 6.0 Sq Cm Or Less |
| 11921-CPT | Moderate | Correct Skn Color 6 1 20 0cm, Tattooing Intradermal Introduction Of Insoluble Opaque Pigments To Correct Color Defects Of Skin Including Micropigmentation 6 1 To 20 0 Sq Cm |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 11901. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 11901 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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