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CPT code 17107: Vascular lesion destruction, 10–50 sq cm2026 Medicare rate & RVUs in Puerto Rico

Reports destruction, commonly by laser, of cutaneous vascular proliferative lesions when the total treated area is 10 to 50 square centimeters.

CMS RVU26DEffective Oct 1, 2026One payment locality2.2K Medicare services in 2024

In Puerto Rico, Medicare pays $445.63 for 17107 in the office and $310.22 when it’s performed in a hospital or facility.

$445.63Office (non-facility)
$310.22Hospital or facility
+0.6%vs the national office rate ($442.90)

Check a contract rate as a % of Medicare · 17107 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 17107 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 17107 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 17107 covers

This code covers destruction of cutaneous vascular proliferative lesions, commonly using a laser technique. Dermatologists and other physicians who treat vascular skin lesions may perform it in an office or facility setting. The code is selected by the total area treated: 10 through 50 square centimeters. Examples of lesions treated in this code family include port-wine stains and hemangiomas.

Document the lesion type, the treatment method, and measurements supporting the total treated surface area. Select the smaller-area or larger-area sibling when the total falls outside this range. The procedure has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted. Modifier 50 is inappropriate.

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 Puerto Rico compares for 17107

Across 109 of 109 payment localities, the office rate for 17107 runs from $396.81 in Arkansas to $572.04 in San Benito County, CA. Puerto Rico pays $445.63. The RVUs are the same everywhere; the geographic indexes change the dollars.

17107 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$445.63
  2. Los Angeles, CA · California$493.30+$47.67
  3. Washington, DC area · District of Columbia$501.33+$55.70
  4. Miami, FL · Florida$479.01+$33.38
  5. Chicago, IL · Illinois$466.54+$20.91
  6. Manhattan, NY · New York$506.30+$60.67
  7. Alaska · Alaska$531.12+$85.49

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

Every other payment area

17107 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$401.97$284.78
ArkansasArkansas$396.81$281.76
ArizonaArizona$432.15$302.37
Bakersfield, CACalifornia$465.43$318.64
Chico, CACalifornia$463.93$317.13
El Centro, CACalifornia$464.01$317.21
Fresno, CACalifornia$463.93$317.13
Hanford, CACalifornia$463.93$317.13

17107 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$396.81

$531.12

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

View every state and territory as a table
17107 office rate range by state
State / territoryOffice rate rangeLocalities
AK$531.121
AL$401.971
AR$396.811
AZ$432.151
CA$463.93–$572.0429
CO$458.501
CT$470.281
DC$501.331
DE$438.781
FL$439.22–$479.013
GA$416.82–$450.982
GU$473.071
HI$473.071
IA$410.031
ID$412.631
IL$428.57–$466.544
IN$414.731
KS$408.811
KY$411.471
LA$411.10–$429.162
MA$456.41–$499.982
MD$446.36–$501.333
ME$415.07–$434.422
MI$421.47–$444.652
MN$439.221
MO$405.13–$429.943
MS$401.021
MT$442.861
NC$418.861
ND$433.171
NE$411.881
NH$451.941
NJ$475.61–$497.122
NM$423.731
NV$440.431
NY$424.51–$518.045
OH$419.491
OK$410.301
OR$436.95–$471.232
PA$419.81–$459.952
PR$445.631
RI$453.021
SC$419.881
SD$432.031
TN$410.701
TX$417.38–$457.038
UT$424.991
VA$433.48–$501.332
VI$445.631
VT$432.111
WA$455.35–$509.112
WI$420.211
WV$414.511
WY$438.641

See 17107 in every payment locality

How the 17107 rate is calculated

Each of 17107’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 · 17107

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.67

4.67 RVUs× 1.000 GPCI

Practice expense8.10

8.10 RVUs× 1.000 GPCI

Malpractice0.49

0.49 RVUs× 1.000 GPCI

Adjusted RVUs

13.2600

Conversion factor

$33.4009

Medicare rate

$442.90

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

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,623

Code
17107
Physician work
4.67
Practice expense
8.10
Malpractice
0.49

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 17107 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work4.67× 1.0004.6700
Practice expense8.10× 1.0118.1891
Malpractice0.49× 0.9850.4826
Total RVUs13.3417
Conversion factor× 33.4009

Office rate, Puerto Rico$445.63

Office: (4.67 × 1 + 8.1 × 1.011 + 0.49 × 0.985) × $33.4009 = $445.63

Facility: (4.67 × 1 + 4.09 × 1.011 + 0.49 × 0.985) × $33.4009 = $310.22

Open 17107 in the RVU calculator

Payment rules and modifiers for 17107

17107 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 17107

Vascular lesion destruction, 10–50 sq cm

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
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.
Split (54/55/56)0.10/0.71/0.19Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 17107

Vascular lesion destruction, 10–50 sq cm

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

17107 without 51 · national office

$442.90

Vascular lesion destruction, 10–50 sq cm

17107-51 · Second procedure: 50%

$221.45

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 17107

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 17107
CodeHow it relatesOffice range, Puerto Rico
Same family
17106Vascular lesion destruction, under 10 square centimetersSibling code for destruction of cutaneous vascular proliferative lesions covering a smaller treated area.$344.10
17108Vascular lesion destruction, more than 50 sq cmSibling code for destruction of cutaneous vascular proliferative lesions covering a larger treated area.$635.76
Used instead
17110Benign lesion destruction, up to 14 lesionsFor destruction of other benign skin lesions, not the vascular proliferative lesions treated with 17107.$112.14
17111Lesion destruction, 15 or more benign lesionsFor destruction of other benign skin lesions by lesion count, not vascular proliferative lesions.$130.94

How 17107 has changed in Puerto Rico

17107 · Office / nonfacility

$445.63

Effective 2026-10-01

The base rate is $5.13 higher than on 2025-10-01, moving from $440.50 to $445.63 (1.2%).

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

    $440.50changed to$445.63

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.79 changed to 4.67
    • Practice expense RVU 8.25 changed to 8.10
    • Malpractice RVU 0.53 changed to 0.49
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $450.63changed to$440.50

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.17 changed to 8.25

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $443.28changed to$450.63

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $453.59changed to$443.28

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.00 changed to 8.17
    • Malpractice RVU 0.54 changed to 0.53
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $451.72changed to$453.59

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $456.96changed to$451.72

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 7.80 changed to 8.00
    • Malpractice RVU 0.56 changed to 0.54
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $458.64changed to$456.96

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 7.74 changed to 7.80

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $461.28changed to$458.64

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 7.34 changed to 7.74
    • Malpractice RVU 0.60 changed to 0.56
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $458.16changed to$461.28

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 7.16 changed to 7.34
    • Malpractice RVU 0.72 changed to 0.60
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $452.23changed to$458.16

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 7.03 changed to 7.16
    • Malpractice RVU 0.70 changed to 0.72

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $397.70changed to$452.23

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 6.84 changed to 7.03
    • Malpractice RVU 0.68 changed to 0.70
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $351.29changed to$397.70

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $350.36changed to$351.29

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 6.77 changed to 6.84
    • Malpractice RVU 0.64 changed to 0.68

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $348.62changed to$350.36

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $345.72changed to$348.62

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 6.75 changed to 6.77
    • Malpractice RVU 0.70 changed to 0.64
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $344.70changed to$345.72

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 7.61 changed to 6.75
    • Malpractice RVU 0.73 changed to 0.70
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $344.70

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$445.63$310.22RVU26D
2026-07-01$445.63$310.22RVU26C
2026-04-01$445.63$310.22RVU26B
2026-01-01$445.63$310.22RVU26A
2025-10-01$440.50$354.83RVU25D
2025-07-01$440.50$354.83RVU25C
2025-04-01$440.50$354.83RVU25B
2025-01-01$440.50$354.83RVU25A
2024-10-01$450.63$360.80RVU24D
2024-07-01$450.63$360.80RVU24C
2024-04-01$450.63$360.80RVU24B
2024-03-09$450.63$360.80RVU24AR
2024-01-01$443.28$354.91RVU24A
2023-10-01$453.59$362.05RVU23D
2023-07-01$451.72$360.90RVU23C
2023-04-01$451.72$360.90RVU23B
2023-01-01$451.72$360.90RVU23A
2022-10-01$456.96$363.47RVU22D
2022-07-01$456.96$363.47RVU22C
2022-04-01$456.96$363.47RVU22B
2022-01-01$456.96$363.47RVU22A
2021-10-01$458.64$362.27RVU21D
2021-07-01$458.64$362.27RVU21C
2021-04-01$458.64$362.27RVU21B
2021-01-01$458.64$362.27RVU21A
2020-10-01$461.28$368.15RVU20D
2020-07-01$461.28$368.15RVU20C
2020-04-01$461.28$368.15RVU20B
2020-01-01$461.28$368.15RVU20A
2019-10-01$458.16$367.43RVU19D
2019-07-01$458.16$367.43RVU19C
2019-04-01$458.16$367.43RVU19B
2019-01-01$458.16$367.43RVU19A
2018-10-01$452.23$362.33RVU18D
2018-07-01$452.23$362.33RVU18C
2018-04-01$452.23$362.33RVU18B
2018-01-01$452.23$362.33RVU18AR1
2017-10-01$397.70$324.90RVU17D
2017-07-01$397.70$324.90RVU17C
2017-04-01$397.70$324.90RVU17B
2017-01-01$397.70$324.90RVU17A
2016-10-01$351.29$291.47RVU16D
2016-07-01$351.29$291.47RVU16C
2016-04-01$351.29$291.47RVU16B
2016-01-01$351.29$291.47RVU16A
2015-10-01$350.36$290.33RVU15D
2015-07-01$350.36$290.33RVU15C
2015-04-01$348.62$288.88RVU15B
2015-01-01$348.62$288.88RVU15A
2014-10-01$345.72$288.45RVU14D
2014-07-01$345.72$288.45RVU14C
2014-04-01$345.72$288.45RVU14B
2014-01-01$345.72$288.45RVU14A
2013-10-01$344.70$284.03RVU13D
2013-07-01$344.70$284.03RVU13C
2013-04-01$344.70$284.03RVU13B
2013-01-01$344.70$284.03RVU13AR

Price 17107 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

17107 billing questions

How is 17107 distinguished from 17106 and 17108?

Choose by the total area treated: 17107 applies to 10 through 50 square centimeters. The adjacent codes cover smaller and larger areas, respectively.

Is the code based on lesion count or treated area?

It is selected by treated area, not by the number of vascular lesions. Record measurements that support the total area treated.

Can 17107 be billed with another procedure performed in the same session?

When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.

Should modifier 50 be appended for lesions on both sides?

No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant, co-surgeon, or surgical team be reported?

Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.

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 17107PPRRVU2026_Oct_nonQPP.csv, line 1,623 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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