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

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 Fort Worth, TX, Medicare pays $186.43 for 17263 in the office and $101.79 when it’s performed in a hospital or facility.

$186.43Office (non-facility)
$101.79Hospital or facility
−1.0%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 Fort Worth, TX
  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 Fort Worth, TX 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. Fort Worth, TX pays $186.43. The RVUs are the same everywhere; the geographic indexes change the dollars.

17263 in Fort Worth, TX vs other payment areas
  1. Fort Worth, TX · this page$186.43
  2. Austin, TX · Texas$194.92+$8.49
  3. Beaumont, TX · Texas$176.92−$9.51
  4. Brazoria, TX · Texas$186.43
  5. Dallas, TX · Texas$187.58+$1.15
  6. Galveston, TX · Texas$186.97+$0.54
  7. Houston, TX · Texas$190.26+$3.83

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

Every other payment area

17263 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$181.55$100.08
Los Angeles, CACalifornia$211.24$109.70
Washington, DC areaDistrict of Columbia$214.11$112.99
Miami, FLFlorida$202.60$113.24
Chicago, ILIllinois$197.20$110.93
Manhattan, NYNew York$215.59$115.84
AlaskaAlaska$223.54$132.12
AlabamaAlabama$170.45$95.34

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 Fort Worth, TX 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

100

Locality
Fort Worth, TX
Physician work
1.009
Practice expense
0.986
Malpractice
0.871
Office calculation for 17263 in Fort Worth, TX
ComponentRVULocality factorAdjusted
Physician work1.79× 1.0091.8061
Practice expense3.67× 0.9863.6186
Malpractice0.18× 0.8710.1568
Total RVUs5.5815
Conversion factor× 33.4009

Office rate, Fort Worth, TX$186.43

Office: (1.79 × 1.009 + 3.67 × 0.986 + 0.18 × 0.871) × $33.4009 = $186.43

Facility: (1.79 × 1.009 + 1.1 × 0.986 + 0.18 × 0.871) × $33.4009 = $101.79

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, Fort Worth, TX
Same family
17262Lesion destruction, trunk, arms, or legs; 1.1–2.0 cmDestruction of a smaller malignant lesion in the same anatomic group.$171.86
17264Skin lesion destruction, trunk, arms, or legs; 3.1–4.0 cmDestruction of a larger malignant lesion in the same anatomic group.$200.01
17273Lesion destruction, scalp, neck, hands, feet, genitaliaSame size band, for malignant lesions on the scalp, neck, hands, feet, or genitalia.$202.03
17283Lesion destruction, face or similar site, 2.1–3.0 cmSame size band, for malignant lesions of the face and specified facial sites.$235.21
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.$273.20

How 17263 has changed in Fort Worth, TX

17263 · Office / nonfacility

$186.43

Effective 2026-10-01

The base rate is $1.02 lower than on 2025-10-01, moving from $187.45 to $186.43 (0.5%).

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

    $187.45changed to$186.43

    • 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
    • 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

    $193.53changed to$187.45

    • 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

    $190.38changed to$193.53

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $194.71changed to$190.38

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.76 changed to 3.79
    • 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

    $195.64changed to$194.71

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.70 changed to 3.76
    • 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

    $195.15changed to$195.64

    • 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

    $193.99changed to$195.15

    • 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 1.011 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

    $193.53changed to$193.99

    • 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 1.007 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

    $192.61changed to$193.53

    • 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

    $191.60changed to$192.61

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.32 changed to 3.35
    • 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

    $191.24changed to$191.60

    • 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 1.006
    • 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

    $191.09changed to$191.24

    • 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

    $190.14changed to$191.09

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $186.70changed to$190.14

    • 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 1.002 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

    $191.15changed to$186.70

    • 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 1.002
    • 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: $191.15

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$186.43$101.79RVU26D
2026-07-01$186.43$101.79RVU26C
2026-04-01$186.43$101.79RVU26B
2026-01-01$186.43$101.79RVU26A
2025-10-01$187.45$119.33RVU25D
2025-07-01$187.45$119.33RVU25C
2025-04-01$187.45$119.33RVU25B
2025-01-01$187.45$119.33RVU25A
2024-10-01$193.53$121.78RVU24D
2024-07-01$193.53$121.78RVU24C
2024-04-01$193.53$121.78RVU24B
2024-03-09$193.53$121.78RVU24AR
2024-01-01$190.38$119.79RVU24A
2023-10-01$194.71$121.47RVU23D
2023-07-01$194.71$121.47RVU23C
2023-04-01$194.71$121.47RVU23B
2023-01-01$194.71$121.47RVU23A
2022-10-01$195.64$120.58RVU22D
2022-07-01$195.64$120.58RVU22C
2022-04-01$195.64$120.58RVU22B
2022-01-01$195.64$120.58RVU22A
2021-10-01$195.15$121.20RVU21D
2021-07-01$195.15$121.20RVU21C
2021-04-01$195.15$121.20RVU21B
2021-01-01$195.15$121.20RVU21A
2020-10-01$193.99$126.03RVU20D
2020-07-01$193.99$126.03RVU20C
2020-04-01$193.99$126.03RVU20B
2020-01-01$193.99$126.03RVU20A
2019-10-01$193.53$129.21RVU19D
2019-07-01$193.53$129.21RVU19C
2019-04-01$193.53$129.21RVU19B
2019-01-01$193.53$129.21RVU19A
2018-10-01$192.61$130.49RVU18D
2018-07-01$192.61$130.49RVU18C
2018-04-01$192.61$130.49RVU18B
2018-01-01$192.61$130.49RVU18AR1
2017-10-01$191.60$130.78RVU17D
2017-07-01$191.60$130.78RVU17C
2017-04-01$191.60$130.78RVU17B
2017-01-01$191.60$130.78RVU17A
2016-10-01$191.24$130.67RVU16D
2016-07-01$191.24$130.67RVU16C
2016-04-01$191.24$130.67RVU16B
2016-01-01$191.24$130.67RVU16A
2015-10-01$191.09$130.31RVU15D
2015-07-01$191.09$130.31RVU15C
2015-04-01$190.14$129.66RVU15B
2015-01-01$190.14$129.66RVU15A
2014-10-01$186.70$128.36RVU14D
2014-07-01$186.70$128.36RVU14C
2014-04-01$186.70$128.36RVU14B
2014-01-01$186.70$128.36RVU14A
2013-10-01$191.15$127.87RVU13D
2013-07-01$191.15$127.87RVU13C
2013-04-01$191.15$127.87RVU13B
2013-01-01$191.15$127.87RVU13AR

Price 17263 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

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 Fort Worth, TXGPCI2026.csv, line 100 (RVU26D)

Open CMS sourceHow we calculate rates

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