CPT 11901
Global 000 ActiveInject skin lesions >7
CPT 11901 Billing & Documentation Guide
CPT code 11901 (Inject skin lesions >7) is classified under Anesthesia with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.78, a non-facility practice expense RVU of 1.21, and a malpractice RVU of 0.07, a total non-facility RVU of 2.06 and facility RVU of 1.09. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $70.77, though rates vary from $61.97 to $88.45 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 11901, 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 11901 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 11901 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 11901
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.78 | 0.78 |
| Practice Expense RVU | 1.21 | 0.24 |
| Malpractice RVU | 0.07 | 0.07 |
| Total RVU | 2.06 | 1.09 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 11901
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 | $76.08 | $37.74 | $72.04 - $88.45 | 29 |
| Florida | $71.15 | $38.65 | $68.2 - $74.04 | 3 |
| Georgia | $67.45 | $36.54 | $64.89 - $70 | 2 |
| Illinois | $69.66 | $38.36 | $66.61 - $72.22 | 4 |
| Michigan | $67.3 | $36.87 | $65.59 - $69 | 2 |
| North Carolina | $65.25 | $35.03 | $65.25 - $65.25 | 1 |
| New York | $75.55 | $39.41 | $66.09 - $80.12 | 5 |
| Ohio | $65.31 | $35.73 | $65.31 - $65.31 | 1 |
| Pennsylvania | $68.37 | $36.64 | $65.36 - $71.38 | 2 |
| Texas | $68.16 | $36.26 | $65 - $70.94 | 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 11901
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 11901 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01995 | 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 | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0905T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 11901
What does CPT code 11901 mean? +
CPT code 11901 represents: Inject skin lesions >7. It's in the Anesthesia category with a global period of 000.
What is the Medicare reimbursement for CPT 11901? +
The 2026 Medicare national average non-facility payment for CPT 11901 is $70.77. Rates range from $61.97 to $88.45 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 11901? +
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 11901? +
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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