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

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 Fort Worth, TX, Medicare pays $200.01 for 17264 in the office and $108.45 when it’s performed in a hospital or facility.

$200.01Office (non-facility)
$108.45Hospital or facility
−1.0%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 Fort Worth, TX
  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 Fort Worth, TX 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. Fort Worth, TX pays $200.01. The RVUs are the same everywhere; the geographic indexes change the dollars.

17264 in Fort Worth, TX vs other payment areas
  1. Fort Worth, TX · this page$200.01
  2. Austin, TX · Texas$209.08+$9.07
  3. Beaumont, TX · Texas$189.84−$10.17
  4. Brazoria, TX · Texas$200.02+$0.01
  5. Dallas, TX · Texas$201.23+$1.22
  6. Galveston, TX · Texas$200.59+$0.58
  7. Houston, TX · Texas$204.06+$4.05

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

Every other payment area

17264 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$194.78$106.66
Los Angeles, CACalifornia$226.56$116.71
Washington, DC areaDistrict of Columbia$229.60$120.21
Miami, FLFlorida$217.15$120.49
Chicago, ILIllinois$211.40$118.08
Manhattan, NYNew York$231.15$123.26
AlaskaAlaska$240.14$141.25
AlabamaAlabama$182.95$101.71

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 Fort Worth, TX 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

100

Locality
Fort Worth, TX
Physician work
1.009
Practice expense
0.986
Malpractice
0.871
Office calculation for 17264 in Fort Worth, TX
ComponentRVULocality factorAdjusted
Physician work1.94× 1.0091.9575
Practice expense3.92× 0.9863.8651
Malpractice0.19× 0.8710.1655
Total RVUs5.9881
Conversion factor× 33.4009

Office rate, Fort Worth, TX$200.01

Office: (1.94 × 1.009 + 3.92 × 0.986 + 0.19 × 0.871) × $33.4009 = $200.01

Facility: (1.94 × 1.009 + 1.14 × 0.986 + 0.19 × 0.871) × $33.4009 = $108.45

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, Fort Worth, TX
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.$186.43
17266Lesion destruction, trunk or extremity, over 4 cmSame site group, for a malignant lesion larger than 4.0 cm.$228.15
17274Lesion destruction, 3.1-4 cm, scalp/neck/hands/feet/genitaliaSame size range, but for the scalp, neck, hands, feet, or genitalia.$236.82
17284Malignant lesion destruction, face and related sites, 3.1–4 cmSame size range, but for the face, ears, eyelids, nose, lips, or mucous membranes.$269.21

How 17264 has changed in Fort Worth, TX

17264 · Office / nonfacility

$200.01

Effective 2026-10-01

The base rate is $1.29 lower than on 2025-10-01, moving from $201.30 to $200.01 (0.6%).

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

    $201.30changed to$200.01

    • 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 1.011 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

    $207.49changed to$201.30

    • 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

    $204.10changed to$207.49

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $208.54changed to$204.10

    • 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 1.013 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

    $209.37changed to$208.54

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.94 changed to 4.01
    • 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

    $209.18changed to$209.37

    • 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

    $207.92changed to$209.18

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

    $207.06changed to$207.92

    • 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 1.007 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

    $206.66changed to$207.06

    • 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

    $204.68changed to$206.66

    • 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 1.006 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

    $205.02changed to$204.68

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice RVU 0.29 changed to 0.28
    • 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

    $205.57changed to$205.02

    • 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

    $204.54changed to$205.57

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $200.72changed to$204.54

    • 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 1.002 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

    $205.09changed to$200.72

    • 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 1.000 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: $205.09

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$200.01$108.45RVU26D
2026-07-01$200.01$108.45RVU26C
2026-04-01$200.01$108.45RVU26B
2026-01-01$200.01$108.45RVU26A
2025-10-01$201.30$128.02RVU25D
2025-07-01$201.30$128.02RVU25C
2025-04-01$201.30$128.02RVU25B
2025-01-01$201.30$128.02RVU25A
2024-10-01$207.49$130.08RVU24D
2024-07-01$207.49$130.08RVU24C
2024-04-01$207.49$130.08RVU24B
2024-03-09$207.49$130.08RVU24AR
2024-01-01$204.10$127.96RVU24A
2023-10-01$208.54$129.56RVU23D
2023-07-01$208.54$129.56RVU23C
2023-04-01$208.54$129.56RVU23B
2023-01-01$208.54$129.56RVU23A
2022-10-01$209.37$128.79RVU22D
2022-07-01$209.37$128.79RVU22C
2022-04-01$209.37$128.79RVU22B
2022-01-01$209.37$128.79RVU22A
2021-10-01$209.18$129.67RVU21D
2021-07-01$209.18$129.67RVU21C
2021-04-01$209.18$129.67RVU21B
2021-01-01$209.18$129.67RVU21A
2020-10-01$207.92$134.60RVU20D
2020-07-01$207.92$134.60RVU20C
2020-04-01$207.92$134.60RVU20B
2020-01-01$207.92$134.60RVU20A
2019-10-01$207.06$137.77RVU19D
2019-07-01$207.06$137.77RVU19C
2019-04-01$207.06$137.77RVU19B
2019-01-01$207.06$137.77RVU19A
2018-10-01$206.66$139.93RVU18D
2018-07-01$206.66$139.93RVU18C
2018-04-01$206.66$139.93RVU18B
2018-01-01$206.66$139.93RVU18AR1
2017-10-01$204.68$139.23RVU17D
2017-07-01$204.68$139.23RVU17C
2017-04-01$204.68$139.23RVU17B
2017-01-01$204.68$139.23RVU17A
2016-10-01$205.02$139.47RVU16D
2016-07-01$205.02$139.47RVU16C
2016-04-01$205.02$139.47RVU16B
2016-01-01$205.02$139.47RVU16A
2015-10-01$205.57$139.42RVU15D
2015-07-01$205.57$139.42RVU15C
2015-04-01$204.54$138.73RVU15B
2015-01-01$204.54$138.73RVU15A
2014-10-01$200.72$137.43RVU14D
2014-07-01$200.72$137.43RVU14C
2014-04-01$200.72$137.43RVU14B
2014-01-01$200.72$137.43RVU14A
2013-10-01$205.09$136.81RVU13D
2013-07-01$205.09$136.81RVU13C
2013-04-01$205.09$136.81RVU13B
2013-01-01$205.09$136.81RVU13AR

Price 17264 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

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

Open CMS sourceHow we calculate rates

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