CPT 11103
Global ZZZ ActiveTangntl bx skin ea sep/addl
CPT 11103 Billing & Documentation Guide
CPT code 11103 (Tangntl bx skin ea sep/addl) is classified under Anesthesia with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.37, a non-facility practice expense RVU of 1.05, and a malpractice RVU of 0.04, a total non-facility RVU of 1.46 and facility RVU of 0.53. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $50.36, though rates vary from $43.17 to $65.01 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 11103, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 11103 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Add-on code (global concept does not apply)
MUE Limit (Medically Unlikely Edits)
Submitting more than 6 units of 11103 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 11103
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.37 | 0.37 |
| Practice Expense RVU | 1.05 | 0.12 |
| Malpractice RVU | 0.04 | 0.04 |
| Total RVU | 1.46 | 0.53 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 11103
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $55.02 | $18.27 | $51.72 - $65.01 | 29 |
| Florida | $50.15 | $18.98 | $47.89 - $52.25 | 3 |
| Georgia | $47.43 | $17.8 | $45.23 - $49.63 | 2 |
| Illinois | $48.84 | $18.83 | $46.47 - $50.83 | 4 |
| Michigan | $47.17 | $18.01 | $45.89 - $48.45 | 2 |
| North Carolina | $45.93 | $16.95 | $45.93 - $45.93 | 1 |
| New York | $53.88 | $19.23 | $46.61 - $57.33 | 5 |
| Ohio | $45.72 | $17.36 | $45.72 - $45.72 | 1 |
| Pennsylvania | $48.25 | $17.83 | $45.82 - $50.68 | 2 |
| Texas | $48.19 | $17.62 | $45.51 - $50.67 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 11103
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 11103 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 00170 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0230T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0470T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0471T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0700T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 11103
What does CPT code 11103 mean? +
CPT code 11103 represents: Tangntl bx skin ea sep/addl. It's in the Anesthesia category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 11103? +
The 2026 Medicare national average non-facility payment for CPT 11103 is $50.36. Rates range from $43.17 to $65.01 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 11103? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 11103? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team