CPT 11922
Global ZZZCorrect skin color ea 20.0cm
CPT 11922 Billing & Documentation Guide
CPT code 11922 (Correct skin color ea 20.0cm) is classified under Anesthesia with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.48, a non-facility practice expense RVU of 1.42, and a malpractice RVU of 0.08, a total non-facility RVU of 1.98 and facility RVU of 0.73. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $68.15, though rates vary from $58.15 to $87.62 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 11922, 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 11922 with related codes; this code has 6 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Restricted coverage (special situations)
Add-on code (global concept does not apply)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 11922 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 11922
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.48 | 0.48 |
| Practice Expense RVU | 1.42 | 0.17 |
| Malpractice RVU | 0.08 | 0.08 |
| Total RVU | 1.98 | 0.73 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 11922
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 | $74.18 | $24.77 | $69.72 - $87.62 | 29 |
| Florida | $68.82 | $26.93 | $65.39 - $72.16 | 3 |
| Georgia | $64.5 | $24.67 | $61.52 - $67.48 | 2 |
| Illinois | $67.02 | $26.68 | $63.51 - $69.94 | 4 |
| Michigan | $64.33 | $25.13 | $62.35 - $66.31 | 2 |
| North Carolina | $61.99 | $23.04 | $61.99 - $61.99 | 1 |
| New York | $73.34 | $26.76 | $62.97 - $78.41 | 5 |
| Ohio | $62.03 | $23.91 | $62.03 - $62.03 | 1 |
| Pennsylvania | $65.49 | $24.6 | $62.1 - $68.88 | 2 |
| Texas | $65.3 | $24.19 | $61.68 - $68.61 | 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 11922
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 11922 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| J0670 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| J2001 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 19350 | Column 2 (secondary), bundled into primary | Yes | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 11922
What does CPT code 11922 mean? +
CPT code 11922 represents: Correct skin color ea 20.0cm. It's in the Anesthesia category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 11922? +
The 2026 Medicare national average non-facility payment for CPT 11922 is $68.15. Rates range from $58.15 to $87.62 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 11922? +
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 11922? +
This code has 6 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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