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Describe a service in plain words, or type a CPT/HCPCS code.

Procedure · Updated Aug 1, 2026

Skin biopsy: CPT code and Medicare rate

A tangential (shave) sampling of a suspicious or changing skin lesion, sent for pathologic diagnosis.

Also called: mole biopsy, shave biopsy, skin sample.

Usually billed as

11102 Skin Biopsy, Initial Lesion
Office (non-facility)
$95.53
Facility
$30.06

National amounts for the Q4 2026 release (October 1 – December 31, 2026), using geographic index values of 1.000. Your local rate differs; the code page has the locality breakdown.

A biopsy samples a lesion to find out what it is. Removing it entirely is a different service—see mole removal.

Common questions Copy link

Skin biopsy: which code is it?
11102—Skin Biopsy, Initial Lesion. A tangential (shave) sampling of a suspicious or changing skin lesion, sent for pathologic diagnosis.
Skin biopsy: how much does Medicare pay?
Nationally, the Q4 2026 Physician Fee Schedule pays $95.53 in an office (non-facility) setting and $30.06 in a facility setting for 11102. Your local amount differs—the national figure applies geographic index values of 1.000, and Medicare then pays 80% of the allowed amount after the deductible is met.
Skin biopsy: what else affects the billing?
A biopsy samples a lesion to find out what it is. Removing it entirely is a different service—see mole removal.

Need the rate where you practice?

Every code page carries the full locality breakdown, the RVU and GPCI inputs, and the release the numbers come from.

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This page maps everyday language to the code a claim normally carries. It's general information about how Medicare prices a service, not coding advice for a specific claim. The correct code always depends on what was actually documented and performed.

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