CPT code 17003: Actinic keratosis destruction, lesions 2-14, each additional2026 Medicare rate & RVUs in Redding, CA

Report this add-on once per additional premalignant skin lesion, typically an actinic keratosis, when two through fourteen are destroyed in one session.

CMS RVU26DEffective Oct 1, 2026One payment locality19.9M Medicare services in 2024

In Redding, CA, Medicare pays $6.85 for 17003 in the office and $1.72 when it’s performed in a hospital or facility.

$6.85Office (non-facility)
$1.72Hospital or facility
+7.9%vs the national office rate ($6.35)

Check a contract rate as a % of Medicare · 17003 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 17003 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Redding, CA
  2. What 17003 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 17003 covers

This code captures destruction of additional premalignant skin lesions, most commonly actinic keratoses, after the first lesion has been treated in the same session. Dermatologists, primary care physicians, nurse practitioners, and physician assistants usually perform it in the office. Liquid nitrogen cryosurgery is the typical method, though curettage, electrosurgery, chemical destruction, and laser also qualify. Patients with sun-damaged skin on the face, scalp, ears, forearms, and backs of the hands often have several lesions treated at one visit, which is why this is among the highest-volume codes Medicare pays.

Report the first lesion with 17000, then report one unit of 17003 for each additional premalignant lesion from the second through the fourteenth, for a maximum of 13 units. When 15 or more premalignant lesions are treated, use 17004 alone instead of 17000 and 17003. Documentation should state the lesion count, anatomic locations, clinical diagnosis, and destruction method. CMS designates 17003 as an add-on code: it is billed only with its primary procedure and paid within that procedure's global period.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Redding, CA compares for 17003

Across 109 of 109 payment localities, the office rate for 17003 runs from $5.64 in Arkansas to $8.71 in Santa Clara County, CA. Redding, CA pays $6.85. The RVUs are the same everywhere; the geographic indexes change the dollars.

17003 in Redding, CA vs other payment areas
  1. Redding, CA · this page$6.85
  2. Bakersfield, CA · California$6.85
  3. Chico, CA · California$6.85
  4. El Centro, CA · California$6.85
  5. Fresno, CA · California$6.85
  6. Hanford, CA · California$6.85
  7. Los Angeles, CA · California$7.32+$0.47

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

17003 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$6.85$1.72
Merced, CACalifornia$6.85$1.72
Modesto, CACalifornia$6.85$1.72
Napa, CACalifornia$8.02$1.86
Oxnard, CACalifornia$7.30$1.77
Rest of CaliforniaCalifornia$6.85$1.72
Riverside, CACalifornia$6.85$1.73
Sacramento, CACalifornia$7.21$1.77

17003 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$5.64

$7.78

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
17003 office rate range by state
State / territoryOffice rate rangeLocalities
AK$7.341
AL$5.721
AR$5.641
AZ$6.191
CA$6.85–$8.7129
CO$6.681
CT$6.761
DC$7.311
DE$6.291
FL$6.13–$6.553
GA$5.81–$6.432
GU$7.031
HI$7.031
IA$5.921
ID$5.951
IL$5.91–$6.494
IN$5.981
KS$5.871
KY$5.791
LA$5.77–$6.052
MA$6.63–$7.372
MD$6.42–$7.313
ME$5.95–$6.302
MI$5.91–$6.172
MN$6.491
MO$5.65–$6.113
MS$5.651
MT$6.351
NC$6.011
ND$6.351
NE$5.961
NH$6.551
NJ$6.86–$7.232
NM$5.931
NV$6.351
NY$6.10–$7.385
OH$5.911
OK$5.811
OR$6.33–$6.922
PA$5.94–$6.582
PR$6.401
RI$6.541
SC$5.971
SD$6.351
TN$5.891
TX$5.90–$6.648
UT$6.051
VA$6.26–$7.312
VI$6.401
VT$6.301
WA$6.63–$7.552
WI$6.141
WV$5.691
WY$6.351

See 17003 in every payment locality

How the 17003 rate is calculated

Each of 17003’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 17003

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.04

0.04 RVUs× 1.000 GPCI

Practice expense0.15

0.15 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.1900

Conversion factor

$33.4009

Medicare rate

$6.35

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Redding, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,620

Code
17003
Physician work
0.04
Practice expense
0.15
Malpractice
0.00

GPCI2026.csv

19

Locality
Redding, CA
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office calculation for 17003 in Redding, CA
ComponentRVULocality factorAdjusted
Physician work0.04× 1.0170.0407
Practice expense0.15× 1.0960.1644
Malpractice0.00× 0.5360.0000
Total RVUs0.2051
Conversion factor× 33.4009

Office rate, Redding, CA$6.85

Office: (0.04 × 1.017 + 0.15 × 1.096 + 0 × 0.536) × $33.4009 = $6.85

Facility: (0.04 × 1.017 + 0.01 × 1.096 + 0 × 0.536) × $33.4009 = $1.72

Open 17003 in the RVU calculator

Payment rules and modifiers for 17003

The CMS indicators that decide how 17003 is paid alongside other services.

CMS payment indicators · 17003

Actinic keratosis destruction, lesions 2-14, each additional

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

How 17003 has changed in Redding, CA

17003 · Office / nonfacility

$6.85

Effective 2026-10-01

The base rate is $0.12 lower than on 2025-10-01, moving from $6.97 to $6.85 (1.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $6.97changed to$6.85

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.16 changed to 0.15
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $7.17changed to$6.97

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $7.05changed to$7.17

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $7.23changed to$7.05

    • Conversion factor 33.8872 changed to 32.7442
    • Work GPCI 1.021 changed to 1.014
    • Practice expense GPCI 1.079 changed to 1.093
    • Malpractice GPCI 0.579 changed to 0.560
  5. January 1, 2023

    RVU23A

    $7.32changed to$7.23

    • Conversion factor 34.6062 changed to 33.8872
    • Work GPCI 1.027 changed to 1.021
    • Practice expense GPCI 1.065 changed to 1.079
    • Malpractice GPCI 0.597 changed to 0.579

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $7.01changed to$7.32

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.15 changed to 0.16

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $6.50changed to$7.01

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.13 changed to 0.15
    • Work GPCI 1.024 changed to 1.027
    • Practice expense GPCI 1.070 changed to 1.065
    • Malpractice GPCI 0.580 changed to 0.597

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $5.93changed to$6.50

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.11 changed to 0.13
    • Malpractice RVU 0.01 changed to 0.00
    • Work GPCI 1.020 changed to 1.024
    • Practice expense GPCI 1.074 changed to 1.070
    • Malpractice GPCI 0.562 changed to 0.580

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $5.54changed to$5.93

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.10 changed to 0.11

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $5.95changed to$5.54

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.11 changed to 0.10
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.079 changed to 1.074
    • Malpractice GPCI 0.610 changed to 0.562

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$5.95

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$6.85$1.72RVU26D
2026-07-01$6.85$1.72RVU26C
2026-04-01$6.85$1.72RVU26B
2026-01-01$6.85$1.72RVU26A
2025-10-01$6.97$2.02RVU25D
2025-07-01$6.97$2.02RVU25C
2025-04-01$6.97$2.02RVU25B
2025-01-01$6.97$2.02RVU25A
2024-10-01$7.17$2.08RVU24D
2024-07-01$7.17$2.08RVU24C
2024-04-01$7.17$2.08RVU24B
2024-03-09$7.17$2.08RVU24AR
2024-01-01$7.05$2.04RVU24A
2023-10-01$7.23$2.12RVU23D
2023-07-01$7.23$2.12RVU23C
2023-04-01$7.23$2.12RVU23B
2023-01-01$7.23$2.12RVU23A
2022-10-01$7.32$2.16RVU22D
2022-07-01$7.32$2.16RVU22C
2022-04-01$7.32$2.16RVU22B
2022-01-01$7.32$2.16RVU22A
2021-10-01$7.01$2.18RVU21D
2021-07-01$7.01$2.18RVU21C
2021-04-01$7.01$2.18RVU21B
2021-01-01$7.01$2.18RVU21A
2020-10-01$6.50$2.25RVU20D
2020-07-01$6.50$2.25RVU20C
2020-04-01$6.50$2.25RVU20B
2020-01-01$6.50$2.25RVU20A
2019-10-01$5.93$2.45RVU19D
2019-07-01$5.93$2.45RVU19C
2019-04-01$5.93$2.45RVU19B
2019-01-01$5.93$2.45RVU19A
2018-10-01$5.54$2.44RVU18D
2018-07-01$5.54$2.44RVU18C
2018-04-01$5.54$2.44RVU18B
2018-01-01$5.54$2.44RVU18AR1
2017-10-01$5.95$2.46RVU17D
2017-07-01$5.95$2.46RVU17C
2017-04-01$5.95$2.46RVU17B
2017-01-01$5.95$2.46RVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 17003 for an earlier date of service

Where the Redding, CA rate applies

Redding, CA is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in California

17003 billing questions

How many units of 17003 can be reported?

Report one unit per premalignant lesion from the second through the fourteenth, or 1 to 13 units alongside one unit of 17000. Treating 15 or more premalignant lesions shifts reporting to 17004 alone.

Can 17003 be reported with 17004?

No. When 15 or more premalignant lesions are destroyed in a session, 17004 covers the entire count and replaces both 17000 and 17003.

Is 17003 billable without 17000?

No. It is an add-on reported with 17000 for the first premalignant lesion treated in the same session.

Can an E/M visit be billed on the same day as 17000 and 17003?

Yes, if documentation supports a significant, separately identifiable E/M service beyond the usual evaluation and decision to destroy the lesions. Append modifier 25 to the E/M code; a different diagnosis is not required.

Does 17003 apply to warts or seborrheic keratoses?

No. It covers premalignant lesions such as actinic keratoses. Destruction of benign lesions such as warts or seborrheic keratoses is reported with 17110 or 17111 according to the benign lesion count.

What documentation supports the unit count?

The note should list the number of lesions treated, their body sites, the premalignant diagnosis, and the destruction method used, so the units tie directly to the record.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 17003PPRRVU2026_Oct_nonQPP.csv, line 1,620 (RVU26D)
Geographic factors for Redding, CAGPCI2026.csv, line 19 (RVU26D)

Open CMS sourceHow we calculate rates

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