Every state, kept current
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$29/mo7-day free trialThe table on this page is a common-procedure sample. The full New Mexico physician schedule has 7,208 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
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Published codes
7,208
Physician procedures on the 2026 schedule
Median % of Medicare
153%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Common physician procedures and what New Mexico Medicaid pays
A curated sample of recognizable procedures from the 7,208-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.
| Code | Procedure | New Mexico rate | % of Medicare |
|---|---|---|---|
| 10021 | Fine needle aspiration biopsy, first lesion, no imaging | $142.05 | 140.8% |
| 10060 | Drainage of a skin abscess, simple | $178.01 | 138.4% |
| 10061 | Drainage of a skin abscess, complicated or multiple | $303.77 | 138% |
| 10080 | Drainage of a pilonidal cyst, simple | $344.37 | 127.8% |
| 10081 | Drainage of a pilonidal cyst, complicated | $478.98 | 126% |
| 10120 | Removal of a foreign body from tissue, simple | $212.16 | 134.9% |
| 10121 | Removal of a foreign body from skin, complicated | $373.01 | 135.5% |
| 10140 | Drainage of a blood or fluid collection under the skin | $238.20 | 136.6% |
| 10160 | Needle drainage of an abscess or cyst | $182.10 | 138.4% |
| 10180 | Drainage of an infected surgical wound | $370.22 | 128.4% |
| 11000 | Removal of infected or dead skin, up to 10% of body | $82.74 | 140% |
| 11042 | Wound debridement, skin and tissue below, first 20 sq cm | $180.18 | 135.9% |
| 11043 | Wound debridement to muscle, first 20 sq cm | $329.12 | 137.4% |
| 11044 | Wound debridement to bone, first 20 sq cm | $444.07 | 138.5% |
| 11045 | Wound debridement, skin, each added 20 sq cm | $56.81 | 136.1% |
| 11055 | Trimming of one callus or corn | $97.41 | 138.9% |
| 11056 | Trimming of 2-4 calluses or corns | $113.38 | 139.7% |
| 11057 | Trimming of 5 or more calluses or corns | $124.44 | 140.1% |
| 11102 | Skin biopsy, tangential, first lesion | $138.57 | 145.1% |
| 11104 | Skin biopsy, punch, first lesion | $172.73 | 142.5% |
| 11106 | Skin biopsy, incisional, first lesion | $214.52 | 141.8% |
| 11200 | Removal of skin tags, up to 15 | $129.30 | 140.3% |
| 11201 | Removal of skin tags, each added 10 | $26.23 | 142.8% |
| 11300 | Shave removal of a skin lesion, trunk/arm/leg, 0.5 cm or less | $138.30 | 143.3% |
| 11305 | Shave removal of a skin lesion, scalp/neck/genitals, 0.5 cm or less | $145.45 | 143.7% |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * show the schedule's representative published variant.
More New Mexico Medicaid fee schedules
- New Mexico Medicaid fee schedule 2026, all categories
- New Mexico lab & imaging fee schedule · 2,479 codes
- New Mexico dme & supplies fee schedule · 2,069 codes
- New Mexico drugs fee schedule · 987 codes
- New Mexico state-specific services fee schedule · 525 codes
- New Mexico vision fee schedule · 89 codes
- New Mexico behavioral health fee schedule · 53 codes
Physician rates in neighboring states
Frequently asked questions
What does New Mexico Medicaid pay for physician and professional services?
New Mexico Medicaid publishes 7,208 physician procedure rates effective 2026, paying a median 153% of the national Medicare amount for the same services. The schedule covers office visits, preventive care, surgery, and evaluation and management services. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.
How do New Mexico's physician rates compare with Medicare?
Across physician codes with a national Medicare comparator, New Mexico Medicaid pays a median 153% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.
Do physician services need prior authorization in New Mexico?
New Mexico does not publish prior-authorization indicators on this fee schedule, so PA requirements must be confirmed through the state's provider manual or portal. Absence of a flag here means "not published", never "no PA required".
Where do these rates come from?
Directly from New Mexico's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.