CPT 11107
Global ZZZ ActiveIncal bx skn ea sep/addl
CPT 11107 Billing & Documentation Guide
CPT code 11107 (Incal bx skn 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 0.53, a non-facility practice expense RVU of 1.53, and a malpractice RVU of 0.06, a total non-facility RVU of 2.12 and facility RVU of 0.75. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $73.11, though rates vary from $62.63 to $94.41 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 11107, 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 11107 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 2 units of 11107 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 11107
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.53 | 0.53 |
| Practice Expense RVU | 1.53 | 0.16 |
| Malpractice RVU | 0.06 | 0.06 |
| Total RVU | 2.12 | 0.75 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 11107
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 | $79.89 | $25.74 | $75.09 - $94.41 | 29 |
| Florida | $72.88 | $26.96 | $69.57 - $75.97 | 3 |
| Georgia | $68.88 | $25.23 | $65.68 - $72.08 | 2 |
| Illinois | $70.97 | $26.76 | $67.49 - $73.86 | 4 |
| Michigan | $68.51 | $25.54 | $66.62 - $70.4 | 2 |
| North Carolina | $66.66 | $23.97 | $66.66 - $66.66 | 1 |
| New York | $78.28 | $27.23 | $67.66 - $83.32 | 5 |
| Ohio | $66.38 | $24.6 | $66.38 - $66.38 | 1 |
| Pennsylvania | $70.06 | $25.24 | $66.51 - $73.61 | 2 |
| Texas | $69.97 | $24.92 | $66.07 - $73.58 | 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 11107
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 11107 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 11107
What does CPT code 11107 mean? +
CPT code 11107 represents: Incal bx skn ea sep/addl. It's in the Anesthesia category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 11107? +
The 2026 Medicare national average non-facility payment for CPT 11107 is $73.11. Rates range from $62.63 to $94.41 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 11107? +
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 11107? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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