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

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 South Dakota, Medicare pays $6.35 for 17003 in the office and $1.67 when it’s performed in a hospital or facility.

$6.35Office (non-facility)
$1.67Hospital or facility
+0.0%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 South Dakota
  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 South Dakota 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. South Dakota pays $6.35. The RVUs are the same everywhere; the geographic indexes change the dollars.

17003 in South Dakota vs other payment areas
  1. South Dakota · this page$6.35
  2. Los Angeles, CA · California$7.32+$0.97
  3. Washington, DC area · District of Columbia$7.31+$0.96
  4. Miami, FL · Florida$6.55+$0.20
  5. Chicago, IL · Illinois$6.38+$0.03
  6. Manhattan, NY · New York$7.24+$0.89
  7. Alaska · Alaska$7.34+$0.99

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

Every other payment area

17003 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$5.72$1.63
ArkansasArkansas$5.64$1.62
ArizonaArizona$6.19$1.66
Bakersfield, CACalifornia$6.85$1.73
Chico, CACalifornia$6.85$1.72
El Centro, CACalifornia$6.85$1.72
Fresno, CACalifornia$6.85$1.72
Hanford, CACalifornia$6.85$1.72

17003 rates by state

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

Explore a state

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 South Dakota 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

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 17003 in South Dakota
ComponentRVULocality factorAdjusted
Physician work0.04× 1.0000.0400
Practice expense0.15× 1.0000.1500
Malpractice0.00× 0.3360.0000
Total RVUs0.1900
Conversion factor× 33.4009

Office rate, South Dakota$6.35

Office: (0.04 × 1 + 0.15 × 1 + 0 × 0.336) × $33.4009 = $6.35

Facility: (0.04 × 1 + 0.01 × 1 + 0 × 0.336) × $33.4009 = $1.67

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 South Dakota

17003 · Office / nonfacility

$6.35

Effective 2026-10-01

The base rate is $0.12 lower than on 2025-10-01, moving from $6.47 to $6.35 (1.9%).

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

    $6.47changed to$6.35

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.16 changed to 0.15
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $6.66changed to$6.47

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $6.55changed to$6.66

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $6.78changed to$6.55

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $6.92changed to$6.78

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $6.63changed to$6.92

    • 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

    $6.14changed to$6.63

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.13 changed to 0.15
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $5.55changed to$6.14

    • 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
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $5.18changed to$5.55

    • 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

    $5.53changed to$5.18

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.11 changed to 0.10
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $5.51changed to$5.53

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $5.53changed to$5.51

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $5.51changed to$5.53

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $9.82changed to$5.51

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.23 changed to 0.11
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $6.61changed to$9.82

    • Conversion factor 34.0230 changed to 35.8228
    • Work RVU 0.07 changed to 0.04
    • Practice expense RVU 0.12 changed to 0.23
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $6.61

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$6.35$1.67RVU26D
2026-07-01$6.35$1.67RVU26C
2026-04-01$6.35$1.67RVU26B
2026-01-01$6.35$1.67RVU26A
2025-10-01$6.47$1.94RVU25D
2025-07-01$6.47$1.94RVU25C
2025-04-01$6.47$1.94RVU25B
2025-01-01$6.47$1.94RVU25A
2024-10-01$6.66$2.00RVU24D
2024-07-01$6.66$2.00RVU24C
2024-04-01$6.66$2.00RVU24B
2024-03-09$6.66$2.00RVU24AR
2024-01-01$6.55$1.96RVU24A
2023-10-01$6.78$2.03RVU23D
2023-07-01$6.78$2.03RVU23C
2023-04-01$6.78$2.03RVU23B
2023-01-01$6.78$2.03RVU23A
2022-10-01$6.92$2.08RVU22D
2022-07-01$6.92$2.08RVU22C
2022-04-01$6.92$2.08RVU22B
2022-01-01$6.92$2.08RVU22A
2021-10-01$6.63$2.09RVU21D
2021-07-01$6.63$2.09RVU21C
2021-04-01$6.63$2.09RVU21B
2021-01-01$6.63$2.09RVU21A
2020-10-01$6.14$2.17RVU20D
2020-07-01$6.14$2.17RVU20C
2020-04-01$6.14$2.17RVU20B
2020-01-01$6.14$2.17RVU20A
2019-10-01$5.55$2.30RVU19D
2019-07-01$5.55$2.30RVU19C
2019-04-01$5.55$2.30RVU19B
2019-01-01$5.55$2.30RVU19A
2018-10-01$5.18$2.30RVU18D
2018-07-01$5.18$2.30RVU18C
2018-04-01$5.18$2.30RVU18B
2018-01-01$5.18$2.30RVU18AR1
2017-10-01$5.53$2.30RVU17D
2017-07-01$5.53$2.30RVU17C
2017-04-01$5.53$2.30RVU17B
2017-01-01$5.53$2.30RVU17A
2016-10-01$5.51$2.29RVU16D
2016-07-01$5.51$2.29RVU16C
2016-04-01$5.51$2.29RVU16B
2016-01-01$5.51$2.29RVU16A
2015-10-01$5.53$2.30RVU15D
2015-07-01$5.53$2.30RVU15C
2015-04-01$5.51$2.29RVU15B
2015-01-01$5.51$2.29RVU15A
2014-10-01$9.82$2.30RVU14D
2014-07-01$9.82$2.30RVU14C
2014-04-01$9.82$2.30RVU14B
2014-01-01$9.82$2.30RVU14A
2013-10-01$6.61$4.23RVU13D
2013-07-01$6.61$4.23RVU13C
2013-04-01$6.61$4.23RVU13B
2013-01-01$6.61$4.23RVU13AR

Price 17003 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

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 South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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