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

In South Dakota, Medicare pays $197.86 for 17264 in the office and $105.01 when it’s performed in a hospital or facility.

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.

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 South Dakota 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. South Dakota pays $197.86. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

17264 rates by state

Office rate range in each state. Select a state to see its payment localities.

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.

Payment rules and modifiers for 17264

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

What modifiers do to the payment

When to use modifier 51

Codes related to 17264

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

How 17264 has changed in South Dakota

Price 17264 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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

Open CMS sourceHow we calculate rates