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

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 Virginia, Medicare pays $6.26 for 17003 in the office and $1.66 when it’s performed in a hospital or facility.

$6.26Office (non-facility)
$1.66Hospital or facility
−1.4%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 Virginia
  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 Virginia 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. Virginia pays $6.26. The RVUs are the same everywhere; the geographic indexes change the dollars.

17003 in Virginia vs other payment areas
  1. Virginia · this page$6.26
  2. Los Angeles, CA · California$7.32+$1.06
  3. Washington, DC area · District of Columbia$7.31+$1.05
  4. Miami, FL · Florida$6.55+$0.29
  5. Chicago, IL · Illinois$6.38+$0.12
  6. Manhattan, NY · New York$7.24+$0.98
  7. Alaska · Alaska$7.34+$1.08

Other areas in Virginia 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.

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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 Virginia 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

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 17003 in Virginia
ComponentRVULocality factorAdjusted
Physician work0.04× 1.0000.0400
Practice expense0.15× 0.9830.1474
Malpractice0.00× 0.7060.0000
Total RVUs0.1875
Conversion factor× 33.4009

Office rate, Virginia$6.26

Office: (0.04 × 1 + 0.15 × 0.983 + 0 × 0.706) × $33.4009 = $6.26

Facility: (0.04 × 1 + 0.01 × 0.983 + 0 × 0.706) × $33.4009 = $1.66

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 Virginia

17003 · Office / nonfacility

$6.26

Effective 2026-10-01

The base rate is $0.13 lower than on 2025-10-01, moving from $6.39 to $6.26 (2.0%).

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

    $6.39changed to$6.26

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.16 changed to 0.15
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $6.57changed to$6.39

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $6.47changed to$6.57

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $6.72changed to$6.47

    • Conversion factor 33.8872 changed to 32.7442
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755
  5. January 1, 2023

    RVU23A

    $6.89changed to$6.72

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $6.60changed to$6.89

    • 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

    $6.09changed to$6.60

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.13 changed to 0.15
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $5.68changed to$6.09

    • 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
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $5.32changed to$5.68

    • 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

    $5.63changed to$5.32

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.11 changed to 0.10
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $5.60changed to$5.63

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $5.62changed to$5.60

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $5.59changed to$5.62

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $9.79changed to$5.59

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.23 changed to 0.11
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $6.62changed to$9.79

    • 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
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $6.62

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$6.26$1.66RVU26D
2026-07-01$6.26$1.66RVU26C
2026-04-01$6.26$1.66RVU26B
2026-01-01$6.26$1.66RVU26A
2025-10-01$6.39$1.93RVU25D
2025-07-01$6.39$1.93RVU25C
2025-04-01$6.39$1.93RVU25B
2025-01-01$6.39$1.93RVU25A
2024-10-01$6.57$1.99RVU24D
2024-07-01$6.57$1.99RVU24C
2024-04-01$6.57$1.99RVU24B
2024-03-09$6.57$1.99RVU24AR
2024-01-01$6.47$1.96RVU24A
2023-10-01$6.72$2.03RVU23D
2023-07-01$6.72$2.03RVU23C
2023-04-01$6.72$2.03RVU23B
2023-01-01$6.72$2.03RVU23A
2022-10-01$6.89$2.07RVU22D
2022-07-01$6.89$2.07RVU22C
2022-04-01$6.89$2.07RVU22B
2022-01-01$6.89$2.07RVU22A
2021-10-01$6.60$2.09RVU21D
2021-07-01$6.60$2.09RVU21C
2021-04-01$6.60$2.09RVU21B
2021-01-01$6.60$2.09RVU21A
2020-10-01$6.09$2.16RVU20D
2020-07-01$6.09$2.16RVU20C
2020-04-01$6.09$2.16RVU20B
2020-01-01$6.09$2.16RVU20A
2019-10-01$5.68$2.48RVU19D
2019-07-01$5.68$2.48RVU19C
2019-04-01$5.68$2.48RVU19B
2019-01-01$5.68$2.48RVU19A
2018-10-01$5.32$2.48RVU18D
2018-07-01$5.32$2.48RVU18C
2018-04-01$5.32$2.48RVU18B
2018-01-01$5.32$2.48RVU18AR1
2017-10-01$5.63$2.45RVU17D
2017-07-01$5.63$2.45RVU17C
2017-04-01$5.63$2.45RVU17B
2017-01-01$5.63$2.45RVU17A
2016-10-01$5.60$2.43RVU16D
2016-07-01$5.60$2.43RVU16C
2016-04-01$5.60$2.43RVU16B
2016-01-01$5.60$2.43RVU16A
2015-10-01$5.62$2.44RVU15D
2015-07-01$5.62$2.44RVU15C
2015-04-01$5.59$2.43RVU15B
2015-01-01$5.59$2.43RVU15A
2014-10-01$9.79$2.41RVU14D
2014-07-01$9.79$2.41RVU14C
2014-04-01$9.79$2.41RVU14B
2014-01-01$9.79$2.41RVU14A
2013-10-01$6.62$4.29RVU13D
2013-07-01$6.62$4.29RVU13C
2013-04-01$6.62$4.29RVU13B
2013-01-01$6.62$4.29RVU13AR

Price 17003 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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 VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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