11922 Correct skin color ea 20.0cm
What 11922 is
CMS fee schedule short descriptor: Correct skin color ea 20.0cm.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 11922 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 0.48 | 1.42 | 0.08 | 1.98 | $66.13 |
| Facility (hospital, ASC) | 0.48 | 0.17 | 0.08 | 0.73 | $24.38 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Restricted coverage - payable only in specific circumstances. Global period: Add-on code: global period of the primary procedure applies.
Medically Unlikely Edit (MUE)
Medicare caps 11922 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Clinical: Data. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 11922? These codes are bundled into it
11922 is a Column 1 code in 4 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
J0670 | Inj mepivacaine hcl/10 ml | 1 - modifier may bypass | Check pair |
11922 is bundled into these codes
11922 appears as a Column 2 code in 1 active edits. Reported with one of these Column 1 codes on the same date of service, 11922 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
19350 | Nipple/areola reconstruction | 1 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.