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CPT code 17263: Malignant lesion destruction, trunk, arms, or legs, 2.1–3.0 cm2026 Medicare rate & RVUs in Nevada

Reports definitive destruction of a 2.1–3.0 cm malignant skin lesion on the trunk, an arm, or a leg using an accepted destructive technique.

CMS RVU26DEffective Oct 1, 2026One payment locality51.1K Medicare services in 2024

In Nevada, Medicare pays $187.50 for 17263 in the office and $101.57 when it’s performed in a hospital or facility.

$187.50Office (non-facility)
$101.57Hospital or facility
−0.5%vs the national office rate ($188.38)

Check a contract rate as a % of Medicare · 17263 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 17263 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 17263 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 17263 covers

This code covers definitive destruction of a malignant skin lesion measuring 2.1–3.0 cm on the trunk, an arm, or a leg. Techniques include electrosurgery, cryosurgery, laser treatment, chemical treatment, and surgical curettement. Dermatologists commonly perform the service in an office; it may also be performed in an outpatient facility. The record should identify the malignant lesion, its anatomic site and measured size, and the destruction method.

Choose the size and site code that matches the treated lesion; the neighboring size bands and codes for other anatomic groups are distinct. Related postoperative visits during the 10-day global period are included. For multiple procedures 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 for this lesion-based service. Medicare does not pay an assistant at surgery, 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 Nevada compares for 17263

Across 109 of 109 payment localities, the office rate for 17263 runs from $168.18 in Arkansas to $246.35 in San Benito County, CA. Nevada pays $187.50. The RVUs are the same everywhere; the geographic indexes change the dollars.

17263 in Nevada vs other payment areas
  1. Nevada · this page$187.50
  2. Los Angeles, CA · California$211.24+$23.74
  3. Washington, DC area · District of Columbia$214.11+$26.61
  4. Miami, FL · Florida$202.60+$15.10
  5. Chicago, IL · Illinois$197.20+$9.70
  6. Manhattan, NY · New York$215.59+$28.09
  7. Alaska · Alaska$223.54+$36.04

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

Every other payment area

17263 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$170.45$95.34
ArkansasArkansas$168.18$94.44
ArizonaArizona$183.72$100.54
Bakersfield, CACalifornia$198.93$104.85
Chico, CACalifornia$198.38$104.29
El Centro, CACalifornia$198.41$104.32
Fresno, CACalifornia$198.38$104.29
Hanford, CACalifornia$198.38$104.29

17263 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.

$168.18

$223.54

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

View every state and territory as a table
17263 office rate range by state
State / territoryOffice rate rangeLocalities
AK$223.541
AL$170.451
AR$168.181
AZ$183.721
CA$198.38–$246.3529
CO$195.631
CT$200.281
DC$214.111
DE$186.601
FL$186.01–$202.603
GA$176.30–$191.732
GU$202.641
HI$202.641
IA$174.341
ID$175.411
IL$181.10–$197.204
IN$176.341
KS$173.631
KY$174.261
LA$174.03–$181.972
MA$194.61–$213.952
MD$189.96–$214.113
ME$176.30–$185.062
MI$178.49–$188.222
MN$187.701
MO$171.31–$182.513
MS$169.771
MT$188.371
NC$178.001
ND$184.811
NE$175.201
NH$192.661
NJ$202.63–$212.172
NM$179.421
NV$187.501
NY$180.47–$220.535
OH$177.761
OK$173.921
OR$186.11–$201.412
PA$178.00–$195.642
PR$189.641
RI$192.911
SC$178.161
SD$184.391
TN$174.441
TX$176.92–$194.928
UT$180.411
VA$184.53–$214.112
VI$189.641
VT$184.191
WA$194.22–$218.102
WI$179.071
WV$174.911
WY$186.821

See 17263 in every payment locality

How the 17263 rate is calculated

Each of 17263’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 · 17263

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.79

1.79 RVUs× 1.000 GPCI

Practice expense3.67

3.67 RVUs× 1.000 GPCI

Malpractice0.18

0.18 RVUs× 1.000 GPCI

Adjusted RVUs

5.6400

Conversion factor

$33.4009

Medicare rate

$188.38

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

The exact Nevada inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,631

Code
17263
Physician work
1.79
Practice expense
3.67
Malpractice
0.18

GPCI2026.csv

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 17263 in Nevada
ComponentRVULocality factorAdjusted
Physician work1.79× 1.0001.7900
Practice expense3.67× 1.0013.6737
Malpractice0.18× 0.8330.1499
Total RVUs5.6136
Conversion factor× 33.4009

Office rate, Nevada$187.50

Office: (1.79 × 1 + 3.67 × 1.001 + 0.18 × 0.833) × $33.4009 = $187.50

Facility: (1.79 × 1 + 1.1 × 1.001 + 0.18 × 0.833) × $33.4009 = $101.57

Open 17263 in the RVU calculator

Payment rules and modifiers for 17263

17263 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 17263

Malignant lesion destruction, trunk, arms, or legs, 2.1–3.0 cm

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 · 17263

Malignant lesion destruction, trunk, arms, or legs, 2.1–3.0 cm

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

17263 without 51 · national office

$188.38

Malignant lesion destruction, trunk, arms, or legs, 2.1–3.0 cm

17263-51 · Second procedure: 50%

$94.19

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 17263

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

Codes related to 17263
CodeHow it relatesOffice range, Nevada
Same family
17262Lesion destruction, trunk, arms, or legs; 1.1–2.0 cmDestruction of a smaller malignant lesion in the same anatomic group.$172.91
17264Skin lesion destruction, trunk, arms, or legs; 3.1–4.0 cmDestruction of a larger malignant lesion in the same anatomic group.$201.15
17273Lesion destruction, scalp, neck, hands, feet, genitaliaSame size band, for malignant lesions on the scalp, neck, hands, feet, or genitalia.$203.09
17283Lesion destruction, face or similar site, 2.1–3.0 cmSame size band, for malignant lesions of the face and specified facial sites.$236.23
Used instead
11603Lesion excision, trunk or limb, 2.1–3 cmExcision option for a 2.1–3.0 cm malignant lesion on the trunk, arms, or legs.$274.56

How 17263 has changed in Nevada

17263 · Office / nonfacility

$187.50

Effective 2026-10-01

The base rate is $0.80 higher than on 2025-10-01, moving from $186.70 to $187.50 (0.4%).

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

    $186.70changed to$187.50

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.84 changed to 1.79
    • Practice expense RVU 3.78 changed to 3.67
    • Practice expense GPCI 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $192.75changed to$186.70

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.79 changed to 3.78
    • Malpractice RVU 0.19 changed to 0.18

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $189.60changed to$192.75

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $196.84changed to$189.60

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.76 changed to 3.79
    • Malpractice GPCI 1.098 changed to 0.844

  5. January 1, 2023

    RVU23A

    $200.92changed to$196.84

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.70 changed to 3.76
    • Work GPCI 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $199.90changed to$200.92

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.65 changed to 3.70
    • Malpractice RVU 0.17 changed to 0.19

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $197.80changed to$199.90

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.43 changed to 3.65
    • Malpractice RVU 0.18 changed to 0.17
    • Work GPCI 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $198.48changed to$197.80

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.37 changed to 3.43
    • Malpractice RVU 0.26 changed to 0.18
    • Work GPCI 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $197.53changed to$198.48

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.35 changed to 3.37

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $198.33changed to$197.53

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.32 changed to 3.35
    • Work GPCI 1.004 changed to 1.002
    • Practice expense GPCI 1.034 changed to 1.017
    • Malpractice GPCI 0.946 changed to 0.909

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $199.88changed to$198.33

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.30 changed to 3.32
    • Malpractice RVU 0.27 changed to 0.26
    • Work GPCI 1.005 changed to 1.004
    • Practice expense GPCI 1.051 changed to 1.034
    • Malpractice GPCI 0.982 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $199.55changed to$199.88

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.24 changed to 0.27

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $198.55changed to$199.55

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $197.21changed to$198.55

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.21 changed to 3.30
    • Malpractice RVU 0.25 changed to 0.24
    • Work GPCI 1.001 changed to 1.005
    • Practice expense GPCI 1.055 changed to 1.051
    • Malpractice GPCI 1.107 changed to 0.982

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $204.53changed to$197.21

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.64 changed to 3.21
    • Malpractice RVU 0.26 changed to 0.25
    • Work GPCI 1.000 changed to 1.001
    • Practice expense GPCI 1.058 changed to 1.055
    • Malpractice GPCI 1.232 changed to 1.107

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$204.53

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$187.50$101.57RVU26D
2026-07-01$187.50$101.57RVU26C
2026-04-01$187.50$101.57RVU26B
2026-01-01$187.50$101.57RVU26A
2025-10-01$186.70$118.45RVU25D
2025-07-01$186.70$118.45RVU25C
2025-04-01$186.70$118.45RVU25B
2025-01-01$186.70$118.45RVU25A
2024-10-01$192.75$120.85RVU24D
2024-07-01$192.75$120.85RVU24C
2024-04-01$192.75$120.85RVU24B
2024-03-09$192.75$120.85RVU24AR
2024-01-01$189.60$118.87RVU24A
2023-10-01$196.84$123.30RVU23D
2023-07-01$196.84$123.30RVU23C
2023-04-01$196.84$123.30RVU23B
2023-01-01$196.84$123.30RVU23A
2022-10-01$200.92$125.48RVU22D
2022-07-01$200.92$125.48RVU22C
2022-04-01$200.92$125.48RVU22B
2022-01-01$200.92$125.48RVU22A
2021-10-01$199.90$125.58RVU21D
2021-07-01$199.90$125.58RVU21C
2021-04-01$199.90$125.58RVU21B
2021-01-01$199.90$125.58RVU21A
2020-10-01$197.80$129.23RVU20D
2020-07-01$197.80$129.23RVU20C
2020-04-01$197.80$129.23RVU20B
2020-01-01$197.80$129.23RVU20A
2019-10-01$198.48$132.14RVU19D
2019-07-01$198.48$132.14RVU19C
2019-04-01$198.48$132.14RVU19B
2019-01-01$198.48$132.14RVU19A
2018-10-01$197.53$133.46RVU18D
2018-07-01$197.53$133.46RVU18C
2018-04-01$197.53$133.46RVU18B
2018-01-01$197.53$133.46RVU18AR1
2017-10-01$198.33$134.87RVU17D
2017-07-01$198.33$134.87RVU17C
2017-04-01$198.33$134.87RVU17B
2017-01-01$198.33$134.87RVU17A
2016-10-01$199.88$135.91RVU16D
2016-07-01$199.88$135.91RVU16C
2016-04-01$199.88$135.91RVU16B
2016-01-01$199.88$135.91RVU16A
2015-10-01$199.55$135.34RVU15D
2015-07-01$199.55$135.34RVU15C
2015-04-01$198.55$134.67RVU15B
2015-01-01$198.55$134.67RVU15A
2014-10-01$197.21$134.85RVU14D
2014-07-01$197.21$134.85RVU14C
2014-04-01$197.21$134.85RVU14B
2014-01-01$197.21$134.85RVU14A
2013-10-01$204.53$136.13RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 17263 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

17263 billing questions

How does this code differ from 17262 and 17264?

Those codes cover smaller and larger size bands, respectively, for malignant lesions on the trunk, arms, or legs. Use 17263 for a lesion measuring 2.1–3.0 cm.

Which sites belong under this code?

It covers the trunk, arms, and legs. Malignant lesions on the scalp, neck, hands, feet, genitalia, or face belong to different site-specific code groups.

Can modifier 50 be used for lesions on both sides?

No. Modifier 50 is inappropriate for this code; select and report the applicable lesion code based on the treated lesion's site and size.

Are postoperative visits separately reportable?

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

How does destruction differ from excision?

Destruction eliminates the lesion using a destructive technique; excision removes tissue. For a 2.1–3.0 cm malignant lesion on the trunk, arms, or legs, 11603 is the corresponding excision code.

What should the procedure note document?

Document the malignant lesion, its location, measured size, and the technique used to destroy it. The size and anatomic group support selection of this code over neighboring codes.

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 17263PPRRVU2026_Oct_nonQPP.csv, line 1,631 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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