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

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 Washington, DC area, Medicare pays $229.60 for 17264 in the office and $120.21 when it’s performed in a hospital or facility.

$229.60Office (non-facility)
$120.21Hospital or facility
+13.6%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 Washington, DC area
  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 Washington, DC area 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. Washington, DC area pays $229.60. The RVUs are the same everywhere; the geographic indexes change the dollars.

17264 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$229.60
  2. Los Angeles, CA · California$226.56−$3.04
  3. Miami, FL · Florida$217.15−$12.45
  4. Chicago, IL · Illinois$211.40−$18.20
  5. Manhattan, NY · New York$231.15+$1.55
  6. Alaska · Alaska$240.14+$10.54
  7. Alabama · Alabama$182.95−$46.65

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

17264 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$180.54$100.77
ArizonaArizona$197.10$107.13
Bakersfield, CACalifornia$213.39$111.63
Chico, CACalifornia$212.80$111.03
El Centro, CACalifornia$212.83$111.07
Fresno, CACalifornia$212.80$111.03
Hanford, CACalifornia$212.80$111.03
Madera, CACalifornia$212.80$111.03

17264 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.

$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 Washington, DC area 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

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 17264 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work1.94× 1.0542.0448
Practice expense3.92× 1.1784.6178
Malpractice0.19× 1.1130.2115
Total RVUs6.8740
Conversion factor× 33.4009

Office rate, Washington, DC area$229.60

Office: (1.94 × 1.054 + 3.92 × 1.178 + 0.19 × 1.113) × $33.4009 = $229.60

Facility: (1.94 × 1.054 + 1.14 × 1.178 + 0.19 × 1.113) × $33.4009 = $120.21

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

Codes related to 17264

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

Codes related to 17264
CodeHow it relatesOffice range, Washington, DC area
Same family
17263Malignant lesion destruction, trunk, arms, or legs, 2.1–3.0 cmSame site group, for a malignant lesion in the next smaller size range.$214.11
17266Lesion destruction, trunk or extremity, over 4 cmSame site group, for a malignant lesion larger than 4.0 cm.$261.34
17274Lesion destruction, 3.1-4 cm, scalp/neck/hands/feet/genitaliaSame size range, but for the scalp, neck, hands, feet, or genitalia.$270.53
17284Malignant lesion destruction, face and related sites, 3.1–4 cmSame size range, but for the face, ears, eyelids, nose, lips, or mucous membranes.$306.64

How 17264 has changed in Washington, DC area

17264 · Office / nonfacility

$229.60

Effective 2026-10-01

The base rate is $1.76 lower than on 2025-10-01, moving from $231.36 to $229.60 (0.8%).

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

    $231.36changed to$229.60

    • 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 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $238.48changed to$231.36

    • 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

    $234.59changed to$238.48

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $244.52changed to$234.59

    • 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 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $250.07changed to$244.52

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.94 changed to 4.01
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $249.53changed to$250.07

    • 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

    $245.37changed to$249.53

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.66 changed to 3.89
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $243.12changed to$245.37

    • 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 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $242.89changed to$243.12

    • 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

    $239.84changed to$242.89

    • 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 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $240.04changed to$239.84

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice RVU 0.29 changed to 0.28
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $240.42changed to$240.04

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.53 changed to 3.52
    • Malpractice RVU 0.27 changed to 0.29

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $239.23changed to$240.42

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $234.63changed to$239.23

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.43 changed to 3.53
    • Malpractice RVU 0.28 changed to 0.27
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $240.32changed to$234.63

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.88 changed to 3.43
    • Malpractice RVU 0.29 changed to 0.28
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $240.32

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$229.60$120.21RVU26D
2026-07-01$229.60$120.21RVU26C
2026-04-01$229.60$120.21RVU26B
2026-01-01$229.60$120.21RVU26A
2025-10-01$231.36$143.83RVU25D
2025-07-01$231.36$143.83RVU25C
2025-04-01$231.36$143.83RVU25B
2025-01-01$231.36$143.83RVU25A
2024-10-01$238.48$146.03RVU24D
2024-07-01$238.48$146.03RVU24C
2024-04-01$238.48$146.03RVU24B
2024-03-09$238.48$146.03RVU24AR
2024-01-01$234.59$143.65RVU24A
2023-10-01$244.52$148.26RVU23D
2023-07-01$244.52$148.26RVU23C
2023-04-01$244.52$148.26RVU23B
2023-01-01$244.52$148.26RVU23A
2022-10-01$250.07$149.98RVU22D
2022-07-01$250.07$149.98RVU22C
2022-04-01$250.07$149.98RVU22B
2022-01-01$250.07$149.98RVU22A
2021-10-01$249.53$150.77RVU21D
2021-07-01$249.53$150.77RVU21C
2021-04-01$249.53$150.77RVU21B
2021-01-01$249.53$150.77RVU21A
2020-10-01$245.37$155.04RVU20D
2020-07-01$245.37$155.04RVU20C
2020-04-01$245.37$155.04RVU20B
2020-01-01$245.37$155.04RVU20A
2019-10-01$243.12$158.44RVU19D
2019-07-01$243.12$158.44RVU19C
2019-04-01$243.12$158.44RVU19B
2019-01-01$243.12$158.44RVU19A
2018-10-01$242.89$161.34RVU18D
2018-07-01$242.89$161.34RVU18C
2018-04-01$242.89$161.34RVU18B
2018-01-01$242.89$161.34RVU18AR1
2017-10-01$239.84$160.27RVU17D
2017-07-01$239.84$160.27RVU17C
2017-04-01$239.84$160.27RVU17B
2017-01-01$239.84$160.27RVU17A
2016-10-01$240.04$160.66RVU16D
2016-07-01$240.04$160.66RVU16C
2016-04-01$240.04$160.66RVU16B
2016-01-01$240.04$160.66RVU16A
2015-10-01$240.42$160.32RVU15D
2015-07-01$240.42$160.32RVU15C
2015-04-01$239.23$159.52RVU15B
2015-01-01$239.23$159.52RVU15A
2014-10-01$234.63$157.56RVU14D
2014-07-01$234.63$157.56RVU14C
2014-04-01$234.63$157.56RVU14B
2014-01-01$234.63$157.56RVU14A
2013-10-01$240.32$156.76RVU13D
2013-07-01$240.32$156.76RVU13C
2013-04-01$240.32$156.76RVU13B
2013-01-01$240.32$156.76RVU13AR

Price 17264 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

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 Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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