CPT code 17264: Skin lesion destruction, trunk, arms, or legs; 3.1–4.0 cm2026 Medicare rate & RVUs in Vallejo, CA

Destruction of a malignant skin lesion measuring 3.1–4.0 cm on the trunk, an arm, or a leg, selected by site and lesion diameter.

CMS RVU26DEffective Oct 1, 2026One payment locality7.4K Medicare services in 2024

In Vallejo, CA, Medicare pays $244.36 for 17264 in the office and $121.98 when it’s performed in a hospital or facility.

$244.36Office (non-facility)
$121.98Hospital or facility
+20.9%vs the national office rate ($202.08)

Check a contract rate as a % of Medicare · 17264 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 17264 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Vallejo, CA
  2. What 17264 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 17264 covers

This service treats a malignant skin lesion on the trunk, an arm, or a leg by destroying the lesion rather than removing it as an intact excision specimen. A dermatologist or other physician may perform the treatment in an office or facility using a destructive technique appropriate to the lesion. The measurement and location determine the code family level; this code is for a lesion measuring 3.1–4.0 cm in the specified anatomic group.

Report the documented malignant diagnosis, exact site, pretreatment lesion diameter, and treatment performed. Use the neighboring size level when the measurement falls outside this range, and use a different site group for lesions on the scalp, neck, hands, feet, genitalia, face, ears, eyelids, nose, lips, or mucous membranes. Related postoperative visits during the 10-day global period are 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 multiple-procedure reduction. Assistant-at-surgery payment is restricted; 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 Vallejo, CA compares for 17264

Across 109 of 109 payment localities, the office rate for 17264 runs from $180.54 in Arkansas to $264.13 in San Benito County, CA. Vallejo, CA pays $244.36. The RVUs are the same everywhere; the geographic indexes change the dollars.

17264 in Vallejo, CA vs other payment areas
  1. Vallejo, CA · this page$244.36
  2. Bakersfield, CA · California$213.39−$30.97
  3. Chico, CA · California$212.80−$31.56
  4. El Centro, CA · California$212.83−$31.53
  5. Fresno, CA · California$212.80−$31.56
  6. Hanford, CA · California$212.80−$31.56
  7. Los Angeles, CA · California$226.56−$17.80

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

Every other payment area

17264 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$212.80$111.03
Merced, CACalifornia$212.80$111.03
Modesto, CACalifornia$212.80$111.03
Napa, CACalifornia$244.67$122.29
Oxnard, CACalifornia$225.33$115.57
Redding, CACalifornia$212.80$111.03
Rest of CaliforniaCalifornia$212.80$111.03
Riverside, CACalifornia$214.88$113.11

17264 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.

$180.54

$240.14

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

View every state and territory as a table
17264 office rate range by state
State / territoryOffice rate rangeLocalities
AK$240.141
AL$182.951
AR$180.541
AZ$197.101
CA$212.80–$264.1329
CO$209.841
CT$214.791
DC$229.601
DE$200.191
FL$199.51–$217.153
GA$189.15–$205.642
GU$217.341
HI$217.341
IA$187.121
ID$188.261
IL$194.26–$211.404
IN$189.261
KS$186.361
KY$187.001
LA$186.75–$195.212
MA$208.76–$229.432
MD$203.77–$229.603
ME$189.20–$198.562
MI$191.50–$201.852
MN$201.401
MO$183.84–$195.803
MS$182.221
MT$202.061
NC$191.011
ND$198.311
NE$188.051
NH$206.651
NJ$217.33–$227.542
NM$192.481
NV$201.151
NY$193.64–$236.415
OH$190.741
OK$186.651
OR$199.67–$216.022
PA$190.99–$209.832
PR$203.421
RI$206.941
SC$191.171
SD$197.861
TN$187.221
TX$189.84–$209.088
UT$193.571
VA$197.98–$229.602
VI$203.421
VT$197.631
WA$208.34–$233.882
WI$192.181
WV$187.661
WY$200.431

See 17264 in every payment locality

How the 17264 rate is calculated

Each of 17264’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 · 17264

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.94

1.94 RVUs× 1.000 GPCI

Practice expense3.92

3.92 RVUs× 1.000 GPCI

Malpractice0.19

0.19 RVUs× 1.000 GPCI

Adjusted RVUs

6.0500

Conversion factor

$33.4009

Medicare rate

$202.08

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

The exact Vallejo, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,632

Code
17264
Physician work
1.94
Practice expense
3.92
Malpractice
0.19

GPCI2026.csv

33

Locality
Vallejo, CA
Physician work
1.063
Practice expense
1.318
Malpractice
0.459
Office calculation for 17264 in Vallejo, CA
ComponentRVULocality factorAdjusted
Physician work1.94× 1.0632.0622
Practice expense3.92× 1.3185.1666
Malpractice0.19× 0.4590.0872
Total RVUs7.3160
Conversion factor× 33.4009

Office rate, Vallejo, CA$244.36

Office: (1.94 × 1.063 + 3.92 × 1.318 + 0.19 × 0.459) × $33.4009 = $244.36

Facility: (1.94 × 1.063 + 1.14 × 1.318 + 0.19 × 0.459) × $33.4009 = $121.98

Open 17264 in the RVU calculator

Payment rules and modifiers for 17264

17264 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 17264

Skin lesion destruction, trunk, arms, or legs; 3.1–4.0 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 · 17264

Skin lesion destruction, trunk, arms, or legs; 3.1–4.0 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

17264 without 51 · national office

$202.08

Skin lesion destruction, trunk, arms, or legs; 3.1–4.0 cm

17264-51 · Second procedure: 50%

$101.04

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 17264 has changed in Vallejo, CA

17264 · Office / nonfacility

$244.36

Effective 2026-10-01

The base rate is $2.30 higher than on 2025-10-01, moving from $242.06 to $244.36 (1.0%).

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

    $242.06changed to$244.36

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.99 changed to 1.94
    • Practice expense RVU 4.03 changed to 3.92
    • Malpractice RVU 0.21 changed to 0.19
    • Work GPCI 1.058 changed to 1.063
    • Practice expense GPCI 1.310 changed to 1.318
    • Malpractice GPCI 0.470 changed to 0.459

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $249.54changed to$242.06

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.04 changed to 4.03

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $245.47changed to$249.54

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $246.07changed to$245.47

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.01 changed to 4.04
    • Malpractice RVU 0.20 changed to 0.21
    • Work GPCI 1.051 changed to 1.058
    • Practice expense GPCI 1.265 changed to 1.310
    • Malpractice GPCI 0.487 changed to 0.470
  5. January 1, 2023

    RVU23A

    $241.73changed to$246.07

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.94 changed to 4.01
    • Work GPCI 1.044 changed to 1.051
    • Practice expense GPCI 1.220 changed to 1.265
    • Malpractice GPCI 0.504 changed to 0.487

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $241.43changed to$241.73

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.89 changed to 3.94
    • Malpractice RVU 0.19 changed to 0.20

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $242.26changed to$241.43

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.66 changed to 3.89
    • 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

    $242.62changed to$242.26

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.59 changed to 3.66
    • Malpractice RVU 0.27 changed to 0.19
    • 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

    $241.78changed to$242.62

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.57 changed to 3.59
    • Malpractice RVU 0.29 changed to 0.27

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $240.85changed to$241.78

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.52 changed to 3.57
    • Malpractice RVU 0.28 changed to 0.29
    • 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$240.85

    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$244.36$121.98RVU26D
2026-07-01$244.36$121.98RVU26C
2026-04-01$244.36$121.98RVU26B
2026-01-01$244.36$121.98RVU26A
2025-10-01$242.06$145.87RVU25D
2025-07-01$242.06$145.87RVU25C
2025-04-01$242.06$145.87RVU25B
2025-01-01$242.06$145.87RVU25A
2024-10-01$249.54$147.94RVU24D
2024-07-01$249.54$147.94RVU24C
2024-04-01$249.54$147.94RVU24B
2024-03-09$249.54$147.94RVU24AR
2024-01-01$245.47$145.52RVU24A
2023-10-01$246.07$145.76RVU23D
2023-07-01$246.07$145.76RVU23C
2023-04-01$246.07$145.76RVU23B
2023-01-01$246.07$145.76RVU23A
2022-10-01$241.73$142.94RVU22D
2022-07-01$241.73$142.94RVU22C
2022-04-01$241.73$142.94RVU22B
2022-01-01$241.73$142.94RVU22A
2021-10-01$241.43$143.95RVU21D
2021-07-01$241.43$143.95RVU21C
2021-04-01$241.43$143.95RVU21B
2021-01-01$241.43$143.95RVU21A
2020-10-01$242.26$150.67RVU20D
2020-07-01$242.26$150.67RVU20C
2020-04-01$242.26$150.67RVU20B
2020-01-01$242.26$150.67RVU20A
2019-10-01$242.62$154.35RVU19D
2019-07-01$242.62$154.35RVU19C
2019-04-01$242.62$154.35RVU19B
2019-01-01$242.62$154.35RVU19A
2018-10-01$241.78$156.78RVU18D
2018-07-01$241.78$156.78RVU18C
2018-04-01$241.78$156.78RVU18B
2018-01-01$241.78$156.78RVU18AR1
2017-10-01$240.85$156.92RVU17D
2017-07-01$240.85$156.92RVU17C
2017-04-01$240.85$156.92RVU17B
2017-01-01$240.85$156.92RVU17A
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 17264 for an earlier date of service

Where the Vallejo, CA rate applies

Vallejo, 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.

  • Vallejo
  • Allendale
  • Benicia
  • Dixon
  • Elmira
  • Fairfield
  • Green Valley
  • Hartley

Browse all communities in California

17264 billing questions

How is this code distinguished from 17263 or 17266?

The anatomic group is the same, but this code is for a lesion measuring 3.1–4.0 cm. Code 17263 is for the next smaller size range, and 17266 is for a lesion larger than 4.0 cm.

Can this code be used for a lesion on the face or hand?

No. This code is limited to lesions on the trunk, arms, or legs; other anatomic groups have separate codes even when the lesion diameter is the same.

What documentation supports the size selection?

Record the malignant diagnosis, precise anatomic site, pretreatment lesion diameter, and the destructive treatment performed. The documented diameter must fall within the 3.1–4.0 cm range.

Are related postoperative visits separately reported?

Related postoperative visits during the 10-day global period are included in this procedure's payment.

How does CMS treat other procedures performed in the same session?

The highest-valued procedure is paid in full, and other procedures performed in that session are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.

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 17264PPRRVU2026_Oct_nonQPP.csv, line 1,632 (RVU26D)
Geographic factors for Vallejo, CAGPCI2026.csv, line 33 (RVU26D)

Open CMS sourceHow we calculate rates

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