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

Destruction of cutaneous vascular proliferative lesions is reported when the total treated area exceeds 50 square centimeters, such as during laser treatment.

CMS RVU26DEffective Oct 1, 2026One payment locality7K Medicare services in 2024

In Fort Worth, TX, Medicare pays $625.54 for 17108 in the office and $449.35 when it’s performed in a hospital or facility.

$625.54Office (non-facility)
$449.35Hospital or facility
−1.1%vs the national office rate ($632.28)

Check a contract rate as a % of Medicare · 17108 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 17108 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Fort Worth, TX
  2. What 17108 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 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.

How Fort Worth, TX compares for 17108

Across 109 of 109 payment localities, the office rate for 17108 runs from $567.05 in Arkansas to $803.26 in San Benito County, CA. Fort Worth, TX pays $625.54. The RVUs are the same everywhere; the geographic indexes change the dollars.

17108 in Fort Worth, TX vs other payment areas
  1. Fort Worth, TX · this page$625.54
  2. Austin, TX · Texas$650.07+$24.53
  3. Beaumont, TX · Texas$597.90−$27.64
  4. Brazoria, TX · Texas$624.32−$1.22
  5. Dallas, TX · Texas$628.73+$3.19
  6. Galveston, TX · Texas$626.50+$0.96
  7. Houston, TX · Texas$643.15+$17.61

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

Every other payment area

17108 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$611.07$441.49
Los Angeles, CACalifornia$697.59$486.19
Washington, DC areaDistrict of Columbia$712.61$502.11
Miami, FLFlorida$693.43$507.41
Chicago, ILIllinois$675.14$495.55
Manhattan, NYNew York$723.70$516.06
AlaskaAlaska$763.82$573.51
AlabamaAlabama$574.33$417.97

17108 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.

$567.05

$763.82

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

View every state and territory as a table
17108 office rate range by state
State / territoryOffice rate rangeLocalities
AK$763.821
AL$574.331
AR$567.051
AZ$616.801
CA$656.69–$803.2629
CO$651.461
CT$671.111
DC$712.611
DE$626.131
FL$631.81–$693.433
GA$599.44–$644.852
GU$668.541
HI$668.541
IA$583.521
ID$587.621
IL$618.24–$675.144
IN$590.521
KS$582.831
KY$589.951
LA$589.83–$615.292
MA$648.99–$708.402
MD$636.52–$712.613
ME$592.15–$617.842
MI$605.05–$640.602
MN$621.261
MO$582.08–$615.153
MS$574.581
MT$632.221
NC$597.321
ND$614.221
NE$585.801
NH$643.161
NJ$677.92–$707.002
NM$608.671
NV$627.561
NY$605.35–$741.615
OH$601.371
OK$587.191
OR$621.82–$668.142
PA$601.25–$657.212
PR$635.761
RI$645.451
SC$600.511
SD$612.101
TN$585.621
TX$597.90–$650.078
UT$607.701
VA$617.26–$712.612
VI$635.761
VT$613.681
WA$647.16–$720.192
WI$596.211
WV$598.471
WY$624.381

See 17108 in every payment locality

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.

How the rate is built · 17108

RVUs × geographic indexes × conversion factor

Office or facility?

Work7.30

7.30 RVUs× 1.000 GPCI

Practice expense10.72

10.72 RVUs× 1.000 GPCI

Malpractice0.91

0.91 RVUs× 1.000 GPCI

Adjusted RVUs

18.9300

Conversion factor

$33.4009

Medicare rate

$632.28

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

The exact Fort Worth, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,624

Code
17108
Physician work
7.30
Practice expense
10.72
Malpractice
0.91

GPCI2026.csv

100

Locality
Fort Worth, TX
Physician work
1.009
Practice expense
0.986
Malpractice
0.871
Office calculation for 17108 in Fort Worth, TX
ComponentRVULocality factorAdjusted
Physician work7.30× 1.0097.3657
Practice expense10.72× 0.98610.5699
Malpractice0.91× 0.8710.7926
Total RVUs18.7282
Conversion factor× 33.4009

Office rate, Fort Worth, TX$625.54

Office: (7.3 × 1.009 + 10.72 × 0.986 + 0.91 × 0.871) × $33.4009 = $625.54

Facility: (7.3 × 1.009 + 5.37 × 0.986 + 0.91 × 0.871) × $33.4009 = $449.35

Open 17108 in the RVU calculator

Payment rules and modifiers for 17108

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

CMS payment indicators · 17108

Vascular lesion destruction, more than 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)0Not paid without supporting documentation.
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 · 17108

Vascular lesion destruction, more than 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

17108 without 51 · national office

$632.28

Vascular lesion destruction, more than 50 sq cm

17108-51 · Second procedure: 50%

$316.14

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 17108

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

Codes related to 17108
CodeHow it relatesOffice range, Fort Worth, TX
Same family
17106Vascular lesion destruction, under 10 square centimetersSame vascular-lesion destruction family; selected for a total treated area under 10 square centimeters.$338.39
17107Vascular lesion destruction, 10–50 sq cmSame vascular-lesion destruction family; selected for a total treated area from 10 through 50 square centimeters.$438.40

How 17108 has changed in Fort Worth, TX

17108 · Office / nonfacility

$625.54

Effective 2026-10-01

The base rate is $4.07 higher than on 2025-10-01, moving from $621.47 to $625.54 (0.7%).

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

    $621.47changed to$625.54

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 7.49 changed to 7.30
    • Practice expense RVU 10.76 changed to 10.72
    • Malpractice RVU 1.00 changed to 0.91
    • Work GPCI 1.011 changed to 1.009
    • Practice expense GPCI 0.998 changed to 0.986
    • Malpractice GPCI 0.902 changed to 0.871

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $636.79changed to$621.47

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 10.65 changed to 10.76
    • Malpractice RVU 1.03 changed to 1.00

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $626.40changed to$636.79

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $633.43changed to$626.40

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 10.44 changed to 10.65
    • Malpractice RVU 0.98 changed to 1.03
    • Work GPCI 1.013 changed to 1.011
    • Practice expense GPCI 0.996 changed to 0.998
    • Malpractice GPCI 0.721 changed to 0.902

  5. January 1, 2023

    RVU23A

    $629.69changed to$633.43

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 10.13 changed to 10.44
    • Malpractice RVU 0.94 changed to 0.98
    • Work GPCI 1.016 changed to 1.013
    • Practice expense GPCI 0.995 changed to 0.996
    • Malpractice GPCI 0.539 changed to 0.721

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $633.49changed to$629.69

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 10.10 changed to 10.13
    • Malpractice RVU 0.92 changed to 0.94

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $643.38changed to$633.49

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 9.79 changed to 10.10
    • Malpractice RVU 0.86 changed to 0.92
    • Work GPCI 1.011 changed to 1.016
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.643 changed to 0.539

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $648.08changed to$643.38

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 9.74 changed to 9.79
    • Malpractice RVU 1.12 changed to 0.86
    • Work GPCI 1.007 changed to 1.011
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.747 changed to 0.643

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $649.86changed to$648.08

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 9.81 changed to 9.74

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $646.23changed to$649.86

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 9.70 changed to 9.81
    • Malpractice RVU 1.13 changed to 1.12
    • Work GPCI 1.006 changed to 1.007
    • Practice expense GPCI 0.991 changed to 0.986
    • Malpractice GPCI 0.760 changed to 0.747

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $640.10changed to$646.23

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 9.51 changed to 9.70
    • Malpractice RVU 1.15 changed to 1.13
    • Work GPCI 1.005 changed to 1.006
    • Practice expense GPCI 0.995 changed to 0.991
    • Malpractice GPCI 0.772 changed to 0.760

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $643.60changed to$640.10

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 9.59 changed to 9.51
    • Malpractice RVU 1.09 changed to 1.15

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $640.40changed to$643.60

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $625.67changed to$640.40

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 9.08 changed to 9.59
    • Malpractice RVU 1.25 changed to 1.09
    • Work GPCI 1.002 changed to 1.005
    • Practice expense GPCI 0.987 changed to 0.995
    • Malpractice GPCI 0.799 changed to 0.772

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $636.39changed to$625.67

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 10.35 changed to 9.08
    • Malpractice RVU 1.31 changed to 1.25
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.979 changed to 0.987
    • Malpractice GPCI 0.826 changed to 0.799

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $636.39

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$625.54$449.35RVU26D
2026-07-01$625.54$449.35RVU26C
2026-04-01$625.54$449.35RVU26B
2026-01-01$625.54$449.35RVU26A
2025-10-01$621.47$516.23RVU25D
2025-07-01$621.47$516.23RVU25C
2025-04-01$621.47$516.23RVU25B
2025-01-01$621.47$516.23RVU25A
2024-10-01$636.79$526.83RVU24D
2024-07-01$636.79$526.83RVU24C
2024-04-01$636.79$526.83RVU24B
2024-03-09$636.79$526.83RVU24AR
2024-01-01$626.40$518.23RVU24A
2023-10-01$633.43$522.72RVU23D
2023-07-01$633.43$522.72RVU23C
2023-04-01$633.43$522.72RVU23B
2023-01-01$633.43$522.72RVU23A
2022-10-01$629.69$517.78RVU22D
2022-07-01$629.69$517.78RVU22C
2022-04-01$629.69$517.78RVU22B
2022-01-01$629.69$517.78RVU22A
2021-10-01$633.49$518.23RVU21D
2021-07-01$633.49$518.23RVU21C
2021-04-01$633.49$518.23RVU21B
2021-01-01$633.49$518.23RVU21A
2020-10-01$643.38$531.43RVU20D
2020-07-01$643.38$531.43RVU20C
2020-04-01$643.38$531.43RVU20B
2020-01-01$643.38$531.43RVU20A
2019-10-01$648.08$536.50RVU19D
2019-07-01$648.08$536.50RVU19C
2019-04-01$648.08$536.50RVU19B
2019-01-01$648.08$536.50RVU19A
2018-10-01$649.86$536.27RVU18D
2018-07-01$649.86$536.27RVU18C
2018-04-01$649.86$536.27RVU18B
2018-01-01$649.86$536.27RVU18AR1
2017-10-01$646.23$535.62RVU17D
2017-07-01$646.23$535.62RVU17C
2017-04-01$646.23$535.62RVU17B
2017-01-01$646.23$535.62RVU17A
2016-10-01$640.10$530.73RVU16D
2016-07-01$640.10$530.73RVU16C
2016-04-01$640.10$530.73RVU16B
2016-01-01$640.10$530.73RVU16A
2015-10-01$643.60$532.05RVU15D
2015-07-01$643.60$532.05RVU15C
2015-04-01$640.40$529.40RVU15B
2015-01-01$640.40$529.40RVU15A
2014-10-01$625.67$521.01RVU14D
2014-07-01$625.67$521.01RVU14C
2014-04-01$625.67$521.01RVU14B
2014-01-01$625.67$521.01RVU14A
2013-10-01$636.39$520.81RVU13D
2013-07-01$636.39$520.81RVU13C
2013-04-01$636.39$520.81RVU13B
2013-01-01$636.39$520.81RVU13AR

Price 17108 for an earlier date of service

Where the Fort Worth, TX rate applies

Fort Worth, TX is a Medicare payment area, not a city. Our Census mapping connects it to 45 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

17108 billing questions

How is this code distinguished from 17107?

Use 17108 when the total treated area exceeds 50 square centimeters. Code 17107 is for an area from 10 through 50 square centimeters.

Is the code based on lesion count?

No. Select the level by the total area treated, rather than counting individual vascular lesions.

Can modifier 50 be used for treatment on both sides?

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

What postoperative care is included?

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

When is an assistant at surgery payable?

Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.

What documentation supports the size level?

Record the treated sites and the total area treated, along with the lesion diagnosis and destruction method. The documentation should support an area greater than 50 square centimeters.

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 17108PPRRVU2026_Oct_nonQPP.csv, line 1,624 (RVU26D)
Geographic factors for Fort Worth, TXGPCI2026.csv, line 100 (RVU26D)

Open CMS sourceHow we calculate rates

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