CPT code 17108: Vascular lesion destruction, more than 50 sq cm2026 Medicare rate & RVUs

Medicare pays $632.28 for 17108 nationally in the office and $453.58 in a hospital or facility. Local office rates run $567.05–$803.26.

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

What 17108 covers

This code covers destruction of cutaneous vascular proliferative lesions over a total treated area greater than 50 square centimeters. Laser treatment is a common method; dermatologists and plastic surgeons may use it for conditions such as port-wine stains in an office or procedural setting. The service is selected by the extent of the area treated, not by the number of lesions.

Document the vascular lesion diagnosis, treatment method, anatomic sites, and total area treated so the selected size level is supported. This major surgery code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

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.

Where 17108 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

17108 rates by state

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

How the 17108 rate is calculated

Each of 17108’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.

Payment rules and modifiers for 17108

17108 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

17108 compared with similar codes

How to choose

17106Vascular lesion destructionUnder 10 square centimeters

Use 17106 for cutaneous vascular proliferative lesions treated over an area under 10 square centimeters; 17108 requires an area over 50 square centimeters.

17107Vascular lesion destruction10–50 sq cm

Use 17107 for a total treated area from 10 through 50 square centimeters. Choose 17108 when the area exceeds 50 square centimeters.

17110Benign lesion destructionUp to 14 lesions

17110 concerns destruction of benign lesions, not cutaneous vascular proliferative lesions. Choose based on the lesion type being treated, not simply the destruction method.

17111Lesion destruction15 or more benign lesions

17111 is for destruction of 15 or more benign lesions; 17108 is selected by the treated area of vascular proliferative lesions.

Codes related to 17108

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

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

Open CMS sourceHow we calculate rates