CPT code 17111: Lesion destruction, 15 or more benign lesions2026 Medicare rate & RVUs in Napa, CA

Reports destruction of 15 or more eligible benign skin lesions, such as common warts or seborrheic keratoses, in one treatment session.

CMS RVU26DEffective Oct 1, 2026One payment locality150.4K Medicare services in 2024

In Napa, CA, Medicare pays $160.99 for 17111 in the office and $87.03 when it’s performed in a hospital or facility.

$160.99Office (non-facility)
$87.03Hospital or facility
+23.9%vs the national office rate ($129.93)

Check a contract rate as a % of Medicare · 17111 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 17111 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Napa, CA
  2. What 17111 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 17111 covers

This service covers destruction of 15 or more benign skin lesions in a treatment session, using methods such as cryotherapy, electrosurgery, chemical treatment, laser, or curettage. Dermatologists, primary care clinicians, and other qualified practitioners commonly treat lesions such as common warts and seborrheic keratoses in office settings. Skin tags and cutaneous vascular proliferative lesions are outside this code’s lesion group.

Select this code when the total number of eligible lesions treated reaches 15; for 14 or fewer, consider 17110. Document the lesion count, clinical findings, locations, and treatment performed. Medicare assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeon and team-surgery reporting 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 Napa, CA compares for 17111

Across 109 of 109 payment localities, the office rate for 17111 runs from $115.16 in Arkansas to $174.40 in San Benito County, CA. Napa, CA pays $160.99. The RVUs are the same everywhere; the geographic indexes change the dollars.

17111 in Napa, CA vs other payment areas
  1. Napa, CA · this page$160.99
  2. Bakersfield, CA · California$138.66−$22.33
  3. Chico, CA · California$138.40−$22.59
  4. El Centro, CA · California$138.41−$22.58
  5. Fresno, CA · California$138.40−$22.59
  6. Hanford, CA · California$138.40−$22.59
  7. Los Angeles, CA · California$147.81−$13.18

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

Every other payment area

17111 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$138.40$76.90
Merced, CACalifornia$138.40$76.90
Modesto, CACalifornia$138.40$76.90
Oxnard, CACalifornia$147.20$80.87
Redding, CACalifornia$138.40$76.90
Rest of CaliforniaCalifornia$138.40$76.90
Riverside, CACalifornia$139.28$77.78
Sacramento, CACalifornia$145.40$80.14

17111 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.

$115.16

$156.40

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

View every state and territory as a table
17111 office rate range by state
State / territoryOffice rate rangeLocalities
AK$150.801
AL$116.831
AR$115.161
AZ$126.581
CA$138.40–$174.4029
CO$135.841
CT$138.481
DC$148.951
DE$128.671
FL$127.07–$137.933
GA$120.13–$132.092
GU$141.891
HI$141.891
IA$120.201
ID$120.881
IL$123.12–$134.794
IN$121.581
KS$119.431
KY$119.101
LA$118.83–$124.662
MA$134.96–$149.472
MD$131.17–$148.953
ME$121.28–$128.082
MI$121.96–$128.422
MN$130.821
MO$116.68–$125.353
MS$115.951
MT$129.921
NC$122.561
ND$128.341
NE$120.911
NH$133.511
NJ$140.25–$147.392
NM$122.541
NV$129.581
NY$124.36–$152.305
OH$121.641
OK$119.111
OR$128.75–$140.362
PA$121.95–$134.932
PR$130.941
RI$133.401
SC$122.271
SD$128.161
TN$120.001
TX$121.14–$135.238
UT$123.931
VA$127.52–$148.952
VI$130.941
VT$127.651
WA$134.77–$152.712
WI$124.071
WV$118.571
WY$129.231

See 17111 in every payment locality

How the 17111 rate is calculated

Each of 17111’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 · 17111

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.95

0.95 RVUs× 1.000 GPCI

Practice expense2.86

2.86 RVUs× 1.000 GPCI

Malpractice0.08

0.08 RVUs× 1.000 GPCI

Adjusted RVUs

3.8900

Conversion factor

$33.4009

Medicare rate

$129.93

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

The exact Napa, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,626

Code
17111
Physician work
0.95
Practice expense
2.86
Malpractice
0.08

GPCI2026.csv

17

Locality
Napa, CA
Physician work
1.063
Practice expense
1.318
Malpractice
0.508
Office calculation for 17111 in Napa, CA
ComponentRVULocality factorAdjusted
Physician work0.95× 1.0631.0098
Practice expense2.86× 1.3183.7695
Malpractice0.08× 0.5080.0406
Total RVUs4.8200
Conversion factor× 33.4009

Office rate, Napa, CA$160.99

Office: (0.95 × 1.063 + 2.86 × 1.318 + 0.08 × 0.508) × $33.4009 = $160.99

Facility: (0.95 × 1.063 + 1.18 × 1.318 + 0.08 × 0.508) × $33.4009 = $87.03

Open 17111 in the RVU calculator

Payment rules and modifiers for 17111

17111 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 17111

Lesion destruction, 15 or more benign lesions

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 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)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 17111

Lesion destruction, 15 or more benign lesions

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

17111 without 51 · national office

$129.93

Lesion destruction, 15 or more benign lesions

17111-51 · Second procedure: 50%

$64.97

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

How 17111 has changed in Napa, CA

17111 · Office / nonfacility

$160.99

Effective 2026-10-01

The base rate is $2.38 higher than on 2025-10-01, moving from $158.61 to $160.99 (1.5%).

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

    $158.61changed to$160.99

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.97 changed to 0.95
    • Practice expense RVU 2.92 changed to 2.86
    • Malpractice RVU 0.10 changed to 0.08
    • Work GPCI 1.058 changed to 1.063
    • Practice expense GPCI 1.310 changed to 1.318
    • Malpractice GPCI 0.521 changed to 0.508

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $164.10changed to$158.61

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.94 changed to 2.92

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $161.42changed to$164.10

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $161.03changed to$161.42

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.91 changed to 2.94
    • Work GPCI 1.051 changed to 1.058
    • Practice expense GPCI 1.265 changed to 1.310
    • Malpractice GPCI 0.513 changed to 0.521
  5. January 1, 2023

    RVU23A

    $157.96changed to$161.03

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.87 changed to 2.91
    • Work GPCI 1.044 changed to 1.051
    • Practice expense GPCI 1.220 changed to 1.265
    • Malpractice GPCI 0.504 changed to 0.513

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $157.82changed to$157.96

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.84 changed to 2.87
    • Malpractice RVU 0.09 changed to 0.10

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $157.18changed to$157.82

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.66 changed to 2.84
    • Work GPCI 1.049 changed to 1.044
    • Practice expense GPCI 1.238 changed to 1.220
    • Malpractice GPCI 0.496 changed to 0.504

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $157.17changed to$157.18

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.61 changed to 2.66
    • Malpractice RVU 0.13 changed to 0.09
    • Work GPCI 1.055 changed to 1.049
    • Practice expense GPCI 1.256 changed to 1.238
    • Malpractice GPCI 0.458 changed to 0.496

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $159.26changed to$157.17

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.66 changed to 2.61

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $158.99changed to$159.26

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.63 changed to 2.66
    • Work GPCI 1.057 changed to 1.055
    • Practice expense GPCI 1.271 changed to 1.256
    • Malpractice GPCI 0.477 changed to 0.458

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$158.99

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$160.99$87.03RVU26D
2026-07-01$160.99$87.03RVU26C
2026-04-01$160.99$87.03RVU26B
2026-01-01$160.99$87.03RVU26A
2025-10-01$158.61$97.59RVU25D
2025-07-01$158.61$97.59RVU25C
2025-04-01$158.61$97.59RVU25B
2025-01-01$158.61$97.59RVU25A
2024-10-01$164.10$98.69RVU24D
2024-07-01$164.10$98.69RVU24C
2024-04-01$164.10$98.69RVU24B
2024-03-09$164.10$98.69RVU24AR
2024-01-01$161.42$97.08RVU24A
2023-10-01$161.03$95.44RVU23D
2023-07-01$161.03$95.44RVU23C
2023-04-01$161.03$95.44RVU23B
2023-01-01$161.03$95.44RVU23A
2022-10-01$157.96$92.10RVU22D
2022-07-01$157.96$92.10RVU22C
2022-04-01$157.96$92.10RVU22B
2022-01-01$157.96$92.10RVU22A
2021-10-01$157.82$91.83RVU21D
2021-07-01$157.82$91.83RVU21C
2021-04-01$157.82$91.83RVU21B
2021-01-01$157.82$91.83RVU21A
2020-10-01$157.18$95.52RVU20D
2020-07-01$157.18$95.52RVU20C
2020-04-01$157.18$95.52RVU20B
2020-01-01$157.18$95.52RVU20A
2019-10-01$157.17$98.32RVU19D
2019-07-01$157.17$98.32RVU19C
2019-04-01$157.17$98.32RVU19B
2019-01-01$157.17$98.32RVU19A
2018-10-01$159.26$100.48RVU18D
2018-07-01$159.26$100.48RVU18C
2018-04-01$159.26$100.48RVU18B
2018-01-01$159.26$100.48RVU18AR1
2017-10-01$158.99$101.06RVU17D
2017-07-01$158.99$101.06RVU17C
2017-04-01$158.99$101.06RVU17B
2017-01-01$158.99$101.06RVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 17111 for an earlier date of service

Where the Napa, CA rate applies

Napa, CA is a Medicare payment area, not a city. Our Census mapping connects it to 11 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Napa
  • American Canyon
  • Angwin
  • Calistoga
  • Deer Park
  • Moskowite Corner
  • Oakville
  • Rutherford

Browse all communities in California

17111 billing questions

When should I report 17111 instead of 17110?

Use 17111 when 15 or more eligible benign lesions are destroyed in the session. Use 17110 for 14 or fewer.

Do skin tags count toward the lesion total?

No. Skin tags are excluded from this code’s lesion group and are reported with the applicable skin-tag removal code.

Should I report one unit for each lesion?

No. The code is selected by the total number of eligible lesions treated in the session: 15 or more, rather than one unit per lesion.

Can I append modifier 50?

No. CMS identifies bilateral adjustment as inappropriate for this code.

Are related postoperative visits separately payable during the global period?

Related postoperative visits during the 10-day global period are included in the procedure.

How does Medicare handle another procedure performed in the same session?

Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.

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 17111PPRRVU2026_Oct_nonQPP.csv, line 1,626 (RVU26D)
Geographic factors for Napa, CAGPCI2026.csv, line 17 (RVU26D)

Open CMS sourceHow we calculate rates

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