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CPT code 17250: Granulation cautery, chemical treatment2026 Medicare rate & RVUs in Virginia

Report chemical cauterization when a clinician treats excess granulation tissue, such as an umbilical granuloma or tissue around a stoma, with a chemical agent.

CMS RVU26DEffective Oct 1, 2026One payment locality207.9K Medicare services in 2024

In Virginia, Medicare pays $88.28 for 17250 in the office and $34.43 when it’s performed in a hospital or facility.

$88.28Office (non-facility)
$34.43Hospital or facility
−2.1%vs the national office rate ($90.18)

Check a contract rate as a % of Medicare · 17250 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 17250 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 17250 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 17250 covers

This service treats excess granulation tissue by applying a chemical cauterant, commonly silver nitrate, to the affected area. Typical examples include an umbilical granuloma or granulation tissue at a gastrostomy or other stoma site. A physician or other qualified clinician may perform it in an office, clinic, or wound-care setting. The target is granulation tissue, not a malignant skin lesion or an area requiring tissue removal by debridement.

Report the service for the chemical treatment itself, with documentation identifying the site and the granulation tissue treated. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; 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 Virginia compares for 17250

Across 109 of 109 payment localities, the office rate for 17250 runs from $78.97 in Arkansas to $122.49 in San Benito County, CA. Virginia pays $88.28. The RVUs are the same everywhere; the geographic indexes change the dollars.

17250 in Virginia vs other payment areas
  1. Virginia · this page$88.28
  2. Los Angeles, CA · California$103.15+$14.87
  3. Washington, DC area · District of Columbia$104.05+$15.77
  4. Miami, FL · Florida$96.69+$8.41
  5. Chicago, IL · Illinois$93.68+$5.40
  6. Manhattan, NY · New York$104.18+$15.90
  7. Alaska · Alaska$101.96+$13.68

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

Every other payment area

17250 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$80.23$32.30
ArkansasArkansas$78.97$31.92
ArizonaArizona$87.63$34.55
Bakersfield, CACalifornia$96.44$36.40
Chico, CACalifornia$96.24$36.20
El Centro, CACalifornia$96.25$36.21
Fresno, CACalifornia$96.24$36.20
Hanford, CACalifornia$96.24$36.20

17250 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.

$78.97

$109.37

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

View every state and territory as a table
17250 office rate range by state
State / territoryOffice rate rangeLocalities
AK$101.961
AL$80.231
AR$78.971
AZ$87.631
CA$96.24–$122.4929
CO$94.441
CT$96.501
DC$104.051
DE$89.171
FL$88.21–$96.693
GA$82.91–$91.852
GU$98.991
HI$98.991
IA$82.701
ID$83.231
IL$85.28–$94.034
IN$83.761
KS$82.161
KY$82.051
LA$81.86–$86.282
MA$93.76–$104.462
MD$91.01–$104.053
ME$83.58–$88.682
MI$84.27–$89.282
MN$90.611
MO$80.26–$86.763
MS$79.641
MT$90.181
NC$84.551
ND$88.791
NE$83.221
NH$92.821
NJ$97.64–$102.812
NM$84.721
NV$89.861
NY$85.91–$106.745
OH$83.981
OK$82.011
OR$89.20–$97.782
PA$84.19–$93.862
PR$90.931
RI$92.601
SC$84.401
SD$88.631
TN$82.601
TX$83.58–$94.098
UT$85.661
VA$88.28–$104.052
VI$90.931
VT$88.311
WA$93.62–$106.802
WI$85.561
WV$81.831
WY$89.571

See 17250 in every payment locality

How the 17250 rate is calculated

Each of 17250’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 · 17250

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.49

0.49 RVUs× 1.000 GPCI

Practice expense2.14

2.14 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

2.7000

Conversion factor

$33.4009

Medicare rate

$90.18

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

1,627

Code
17250
Physician work
0.49
Practice expense
2.14
Malpractice
0.07

GPCI2026.csv

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 17250 in Virginia
ComponentRVULocality factorAdjusted
Physician work0.49× 1.0000.4900
Practice expense2.14× 0.9832.1036
Malpractice0.07× 0.7060.0494
Total RVUs2.6430
Conversion factor× 33.4009

Office rate, Virginia$88.28

Office: (0.49 × 1 + 2.14 × 0.983 + 0.07 × 0.706) × $33.4009 = $88.28

Facility: (0.49 × 1 + 0.5 × 0.983 + 0.07 × 0.706) × $33.4009 = $34.43

Open 17250 in the RVU calculator

Payment rules and modifiers for 17250

The CMS indicators that decide how 17250 is paid alongside other services.

CMS payment indicators · 17250

Granulation cautery, chemical treatment

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is 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.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

17250 without 51 · national office

$90.18

Granulation cautery, chemical treatment

17250-51 · Second procedure: 50%

$45.09

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 17250

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

Codes related to 17250
CodeHow it relatesOffice range, Virginia
Used instead
11042Wound debridement, subcutaneous tissue, first 20 sq cmUsed when a wound requires debridement of subcutaneous tissue rather than chemical cautery.$129.70
97597Selective wound debridement, first 20 sq cm or lessSelective wound debridement is a different approach when devitalized tissue requires removal.$99.78
Often billed with
99213Office visit, established patient, low complexityA separately identifiable office evaluation may accompany cautery when documentation supports additional E/M work.$93.48

How 17250 has changed in Virginia

17250 · Office / nonfacility

$88.28

Effective 2026-10-01

The base rate is $7.66 higher than on 2025-10-01, moving from $80.62 to $88.28 (9.5%).

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

    $80.62changed to$88.28

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.50 changed to 0.49
    • Practice expense RVU 1.97 changed to 2.14
    • 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

    $85.51changed to$80.62

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.04 changed to 1.97
    • Malpractice RVU 0.08 changed to 0.07

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $84.11changed to$85.51

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $87.96changed to$84.11

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.05 changed to 2.04
    • 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

    $92.06changed to$87.96

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.09 changed to 2.05
    • Malpractice RVU 0.09 changed to 0.08
    • 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

    $91.19changed to$92.06

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.07 changed to 2.09
    • Malpractice RVU 0.06 changed to 0.09

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $86.43changed to$91.19

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.83 changed to 2.07
    • Malpractice RVU 0.09 changed to 0.06
    • 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

    $82.14changed to$86.43

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.74 changed to 1.83
    • Malpractice RVU 0.07 changed to 0.09
    • 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

    $81.34changed to$82.14

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.72 changed to 1.74

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $79.16changed to$81.34

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.67 changed to 1.72
    • 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

    $78.74changed to$79.16

    • 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

    $79.09changed to$78.74

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.68 changed to 1.67
    • Malpractice RVU 0.06 changed to 0.07

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $78.69changed to$79.09

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $77.79changed to$78.69

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.65 changed to 1.68
    • Malpractice RVU 0.07 changed to 0.06
    • 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

    $80.25changed to$77.79

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.85 changed to 1.65
    • 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: $80.25

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$88.28$34.43RVU26D
2026-07-01$88.28$34.43RVU26C
2026-04-01$88.28$34.43RVU26B
2026-01-01$88.28$34.43RVU26A
2025-10-01$80.62$35.74RVU25D
2025-07-01$80.62$35.74RVU25C
2025-04-01$80.62$35.74RVU25B
2025-01-01$80.62$35.74RVU25A
2024-10-01$85.51$36.70RVU24D
2024-07-01$85.51$36.70RVU24C
2024-04-01$85.51$36.70RVU24B
2024-03-09$85.51$36.70RVU24AR
2024-01-01$84.11$36.10RVU24A
2023-10-01$87.96$36.96RVU23D
2023-07-01$87.96$36.96RVU23C
2023-04-01$87.96$36.96RVU23B
2023-01-01$87.96$36.96RVU23A
2022-10-01$92.06$37.66RVU22D
2022-07-01$92.06$37.66RVU22C
2022-04-01$92.06$37.66RVU22B
2022-01-01$92.06$37.66RVU22A
2021-10-01$91.19$36.68RVU21D
2021-07-01$91.19$36.68RVU21C
2021-04-01$91.19$36.68RVU21B
2021-01-01$91.19$36.68RVU21A
2020-10-01$86.43$38.14RVU20D
2020-07-01$86.43$38.14RVU20C
2020-04-01$86.43$38.14RVU20B
2020-01-01$86.43$38.14RVU20A
2019-10-01$82.14$37.37RVU19D
2019-07-01$82.14$37.37RVU19C
2019-04-01$82.14$37.37RVU19B
2019-01-01$82.14$37.37RVU19A
2018-10-01$81.34$38.04RVU18D
2018-07-01$81.34$38.04RVU18C
2018-04-01$81.34$38.04RVU18B
2018-01-01$81.34$38.04RVU18AR1
2017-10-01$79.16$37.44RVU17D
2017-07-01$79.16$37.44RVU17C
2017-04-01$79.16$37.44RVU17B
2017-01-01$79.16$37.44RVU17A
2016-10-01$78.74$37.21RVU16D
2016-07-01$78.74$37.21RVU16C
2016-04-01$78.74$37.21RVU16B
2016-01-01$78.74$37.21RVU16A
2015-10-01$79.09$37.05RVU15D
2015-07-01$79.09$37.05RVU15C
2015-04-01$78.69$36.87RVU15B
2015-01-01$78.69$36.87RVU15A
2014-10-01$77.79$37.06RVU14D
2014-07-01$77.79$37.06RVU14C
2014-04-01$77.79$37.06RVU14B
2014-01-01$77.79$37.06RVU14A
2013-10-01$80.25$36.37RVU13D
2013-07-01$80.25$36.37RVU13C
2013-04-01$80.25$36.37RVU13B
2013-01-01$80.25$36.37RVU13AR

Price 17250 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

17250 billing questions

When should this code be chosen instead of a skin-lesion destruction code?

Use it for chemical treatment of granulation tissue, such as an umbilical granuloma or peristomal tissue. Codes such as 17260 describe destruction of malignant skin lesions, not granulation tissue.

Does the code include same-day care around the procedure?

Yes. Its 0-day global period includes same-day preoperative and postoperative care.

Can an office E/M service be reported on the same date?

A separately identifiable E/M service may be reported when the record supports evaluation and management beyond the cautery; modifier 25 belongs on the E/M code when appropriate.

Should modifier 50 be appended for treatment on both sides?

No. Bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.

How are multiple procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction.

What documentation supports reporting this service?

Record the treated site, the presence of granulation tissue, and the chemical cauterization performed. The documentation should distinguish the service from lesion destruction or wound debridement.

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 17250PPRRVU2026_Oct_nonQPP.csv, line 1,627 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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