CPT code 17272: Lesion destruction, scalp, neck, hands, feet, genitalia; 1.1–2 cm2026 Medicare rate & RVUs in Utah
Destruction of a 1.1–2 cm malignant skin lesion on the scalp, neck, hands, feet, or genitalia, reported according to lesion size and site.
In Utah, Medicare pays $175.66 for 17272 in the office and $98.74 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 17272 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 17272 covers
This code covers destruction of a malignant skin lesion in the 1.1–2 cm size range on the scalp, neck, hands, feet, or genitalia. Destruction may use an appropriate technique such as cryosurgery, electrosurgery, laser, or curettage. Dermatologists commonly perform the procedure in an office; surgeons and other qualified clinicians may perform it in office or facility settings. Examples include treating a confirmed basal cell carcinoma on the scalp or a squamous cell carcinoma on a hand when destruction is selected rather than excision.
Select the code for each lesion using its documented diameter and anatomic site; do not combine the diameters of separate lesions. Documentation should identify the malignant lesion, its location and size, and the destruction performed. The procedure has a 10-day global period, so related postoperative visits during that 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 50% reduction. Modifier 50 is inappropriate for this code. Medicare does not pay for an assistant at surgery, and co-surgery 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 Utah compares for 17272
Across 109 of 109 payment localities, the office rate for 17272 runs from $163.78 in Arkansas to $239.35 in San Benito County, CA. Utah pays $175.66. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$175.66
- Los Angeles, CA · California$205.41+$29.75
- Washington, DC area · District of Columbia$208.29+$32.63
- Miami, FL · Florida$197.41+$21.75
- Chicago, IL · Illinois$192.16+$16.50
- Manhattan, NY · New York$209.83+$34.17
- Alaska · Alaska$217.92+$42.26
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $165.98 | $94.38 |
| ArkansasArkansas | $163.78 | $93.49 |
| ArizonaArizona | $178.84 | $99.54 |
| Bakersfield, CACalifornia | $193.49 | $103.81 |
| Chico, CACalifornia | $192.94 | $103.25 |
| El Centro, CACalifornia | $192.97 | $103.28 |
| Fresno, CACalifornia | $192.94 | $103.25 |
| Hanford, CACalifornia | $192.94 | $103.25 |
| Madera, CACalifornia | $192.94 | $103.25 |
| Merced, CACalifornia | $192.94 | $103.25 |
| Modesto, CACalifornia | $192.94 | $103.25 |
| Napa, CACalifornia | $221.74 | $113.88 |
| Oxnard, CACalifornia | $204.28 | $107.55 |
| Redding, CACalifornia | $192.94 | $103.25 |
| Rest of CaliforniaCalifornia | $192.94 | $103.25 |
| Riverside, CACalifornia | $194.90 | $105.21 |
| Sacramento, CACalifornia | $201.98 | $106.81 |
| Salinas, CACalifornia | $201.21 | $106.37 |
| San Diego, CACalifornia | $205.57 | $107.69 |
| Marin County, CACalifornia | $234.21 | $118.83 |
| San Francisco, CACalifornia | $234.01 | $118.62 |
| San Benito County, CACalifornia | $239.35 | $121.34 |
| Santa Clara County, CACalifornia | $238.51 | $120.51 |
| San Luis Obispo, CACalifornia | $198.02 | $104.81 |
| Santa Cruz, CACalifornia | $207.24 | $107.82 |
| Santa Maria, CACalifornia | $201.86 | $106.45 |
| Santa Rosa, CACalifornia | $209.31 | $108.82 |
| Stockton, CACalifornia | $192.94 | $103.25 |
| Vallejo, CACalifornia | $221.44 | $113.59 |
| Visalia, CACalifornia | $192.94 | $103.25 |
| Yuba City, CACalifornia | $192.94 | $103.25 |
| ColoradoColorado | $190.33 | $103.26 |
| ConnecticutConnecticut | $194.92 | $106.79 |
| DelawareDelaware | $181.64 | $100.79 |
| Fort Lauderdale, FLFlorida | $189.77 | $106.87 |
| Rest of FloridaFlorida | $181.19 | $102.96 |
| Atlanta, GAGeorgia | $186.65 | $103.51 |
| Rest of GeorgiaGeorgia | $171.76 | $98.76 |
| Hawaii, Guam, HIHawaii | $197.04 | $104.00 |
| IowaIowa | $169.70 | $94.82 |
| IdahoIdaho | $170.74 | $95.46 |
| East St. Louis, ILIllinois | $180.01 | $104.72 |
| Rest of IllinoisIllinois | $176.47 | $101.76 |
| Suburban Chicago, ILIllinois | $191.62 | $107.58 |
| IndianaIndiana | $171.65 | $95.79 |
| KansasKansas | $169.04 | $95.06 |
| KentuckyKentucky | $169.74 | $96.99 |
| New Orleans, LALouisiana | $177.21 | $100.21 |
| Rest of LouisianaLouisiana | $169.52 | $97.10 |
| Metropolitan Boston, MAMassachusetts | $208.07 | $110.36 |
| Rest of MassachusettsMassachusetts | $189.36 | $103.19 |
| Baltimore area, MDMaryland | $194.37 | $106.57 |
| Rest of MarylandMaryland | $184.89 | $102.07 |
| Rest of MaineMaine | $171.64 | $96.35 |
| Southern Maine, MEMaine | $180.09 | $98.99 |
| Detroit, MIMichigan | $183.36 | $104.39 |
| Rest of MichiganMichigan | $173.86 | $99.15 |
| MinnesotaMinnesota | $182.57 | $98.36 |
| Metropolitan Kansas City, MOMissouri | $176.02 | $99.18 |
| Metropolitan St. Louis, MOMissouri | $177.71 | $99.80 |
| Rest of MissouriMissouri | $166.90 | $96.36 |
| MississippiMississippi | $165.37 | $94.91 |
| MontanaMontana | $183.36 | $101.53 |
| North CarolinaNorth Carolina | $173.28 | $96.93 |
| North DakotaNorth Dakota | $179.80 | $97.97 |
| NebraskaNebraska | $170.53 | $95.00 |
| New HampshireNew Hampshire | $187.47 | $102.28 |
| Northern New JerseyNew Jersey | $206.42 | $111.50 |
| Rest of New JerseyNew Jersey | $197.20 | $107.84 |
| New MexicoNew Mexico | $174.77 | $99.73 |
| NevadaNevada | $182.49 | $100.57 |
| NYC suburbs and Long Island, NYNew York | $214.65 | $117.36 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $198.53 | $108.92 |
| Queens, NYNew York | $211.33 | $114.61 |
| Rest of New YorkNew York | $175.67 | $97.93 |
| OhioOhio | $173.13 | $98.42 |
| OklahomaOklahoma | $169.38 | $96.30 |
| Portland, OROregon | $195.90 | $104.99 |
| Rest of OregonOregon | $181.11 | $99.61 |
| Metropolitan Philadelphia, PAPennsylvania | $190.44 | $105.26 |
| Rest of PennsylvaniaPennsylvania | $173.34 | $98.22 |
| Puerto RicoPuerto Rico | $184.58 | $101.85 |
| Rhode IslandRhode Island | $187.75 | $103.21 |
| South CarolinaSouth Carolina | $173.48 | $97.87 |
| South DakotaSouth Dakota | $179.38 | $97.55 |
| TennesseeTennessee | $169.83 | $95.44 |
| Austin, TXTexas | $189.66 | $103.08 |
| Beaumont, TXTexas | $172.30 | $97.84 |
| Brazoria, TXTexas | $181.46 | $100.36 |
| Dallas, TXTexas | $182.58 | $101.07 |
| Fort Worth, TXTexas | $181.47 | $100.79 |
| Galveston, TXTexas | $181.98 | $100.72 |
| Houston, TXTexas | $185.28 | $104.02 |
| Rest of TexasTexas | $176.76 | $99.10 |
| VirginiaVirginia | $179.59 | $99.15 |
| Virgin Islands, VIUnited States Virgin Islands | $184.58 | $101.85 |
| VermontVermont | $179.22 | $98.20 |
| Rest of WashingtonWashington | $188.97 | $102.80 |
| King County, WAWashington | $212.07 | $111.66 |
| WisconsinWisconsin | $174.24 | $95.85 |
| West VirginiaWest Virginia | $170.47 | $99.36 |
| WyomingWyoming | $181.81 | $99.98 |
17272 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.
$163.78
$217.92
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $217.92 | 1 |
| AL | $165.98 | 1 |
| AR | $163.78 | 1 |
| AZ | $178.84 | 1 |
| CA | $192.94–$239.35 | 29 |
| CO | $190.33 | 1 |
| CT | $194.92 | 1 |
| DC | $208.29 | 1 |
| DE | $181.64 | 1 |
| FL | $181.19–$197.41 | 3 |
| GA | $171.76–$186.65 | 2 |
| GU | $197.04 | 1 |
| HI | $197.04 | 1 |
| IA | $169.70 | 1 |
| ID | $170.74 | 1 |
| IL | $176.47–$192.16 | 4 |
| IN | $171.65 | 1 |
| KS | $169.04 | 1 |
| KY | $169.74 | 1 |
| LA | $169.52–$177.21 | 2 |
| MA | $189.36–$208.07 | 2 |
| MD | $184.89–$208.29 | 3 |
| ME | $171.64–$180.09 | 2 |
| MI | $173.86–$183.36 | 2 |
| MN | $182.57 | 1 |
| MO | $166.90–$177.71 | 3 |
| MS | $165.37 | 1 |
| MT | $183.36 | 1 |
| NC | $173.28 | 1 |
| ND | $179.80 | 1 |
| NE | $170.53 | 1 |
| NH | $187.47 | 1 |
| NJ | $197.20–$206.42 | 2 |
| NM | $174.77 | 1 |
| NV | $182.49 | 1 |
| NY | $175.67–$214.65 | 5 |
| OH | $173.13 | 1 |
| OK | $169.38 | 1 |
| OR | $181.11–$195.90 | 2 |
| PA | $173.34–$190.44 | 2 |
| PR | $184.58 | 1 |
| RI | $187.75 | 1 |
| SC | $173.48 | 1 |
| SD | $179.38 | 1 |
| TN | $169.83 | 1 |
| TX | $172.30–$189.66 | 8 |
| UT | $175.66 | 1 |
| VA | $179.59–$208.29 | 2 |
| VI | $184.58 | 1 |
| VT | $179.22 | 1 |
| WA | $188.97–$212.07 | 2 |
| WI | $174.24 | 1 |
| WV | $170.47 | 1 |
| WY | $181.81 | 1 |
How the 17272 rate is calculated
Each of 17272’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 · 17272
RVUs × geographic indexes × conversion factor
Work1.77
1.77 RVUs× 1.000 GPCI
Practice expense3.54
3.54 RVUs× 1.000 GPCI
Malpractice0.18
0.18 RVUs× 1.000 GPCI
Adjusted RVUs
5.4900
Conversion factor
$33.4009
Medicare rate
$183.37
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Utah inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,636
- Code
- 17272
- Physician work
- 1.77
- Practice expense
- 3.54
- Malpractice
- 0.18
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.77 | × 1.000 | 1.7700 |
| Practice expense | 3.54 | × 0.940 | 3.3276 |
| Malpractice | 0.18 | × 0.898 | 0.1616 |
| Total RVUs | 5.2592 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Utah$175.66
Office: (1.77 × 1 + 3.54 × 0.94 + 0.18 × 0.898) × $33.4009 = $175.66
Facility: (1.77 × 1 + 1.09 × 0.94 + 0.18 × 0.898) × $33.4009 = $98.74
Payment rules and modifiers for 17272
17272 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 17272
Lesion destruction, scalp, neck, hands, feet, genitalia; 1.1–2 cm
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 17272
Lesion destruction, scalp, neck, hands, feet, genitalia; 1.1–2 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.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
17272 without 51 · national office
$183.37
Lesion destruction, scalp, neck, hands, feet, genitalia; 1.1–2 cm
17272-51 · Second procedure: 50%
$91.69
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%).
How 17272 has changed in Utah
17272 · Office / nonfacility
$175.66
Effective 2026-10-01
The base rate is $0.92 higher than on 2025-10-01, moving from $174.74 to $175.66 (0.5%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$174.74changed to$175.66
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.82 changed to 1.77
- Practice expense RVU 3.66 changed to 3.54
- Practice expense GPCI 0.933 changed to 0.940
- Malpractice GPCI 0.930 changed to 0.898
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$180.76changed to$174.74
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 3.68 changed to 3.66
- Malpractice RVU 0.19 changed to 0.18
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$177.81changed to$180.76
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$181.78changed to$177.81
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 3.65 changed to 3.68
- Practice expense GPCI 0.926 changed to 0.933
- Malpractice GPCI 0.865 changed to 0.930
January 1, 2023
RVU23A
$182.41changed to$181.78
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 3.59 changed to 3.65
- Practice expense GPCI 0.919 changed to 0.926
- Malpractice GPCI 0.799 changed to 0.865
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$181.76changed to$182.41
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 3.54 changed to 3.59
- Malpractice RVU 0.17 changed to 0.19
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$182.65changed to$181.76
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 3.32 changed to 3.54
- Malpractice RVU 0.18 changed to 0.17
- Practice expense GPCI 0.923 changed to 0.919
- Malpractice GPCI 0.982 changed to 0.799
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$185.08changed to$182.65
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 3.25 changed to 3.32
- Malpractice RVU 0.26 changed to 0.18
- Practice expense GPCI 0.927 changed to 0.923
- Malpractice GPCI 1.165 changed to 0.982
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$184.55changed to$185.08
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 3.24 changed to 3.25
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$182.44changed to$184.55
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 3.20 changed to 3.24
- Practice expense GPCI 0.925 changed to 0.927
- Malpractice GPCI 1.167 changed to 1.165
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$181.44changed to$182.44
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 3.18 changed to 3.20
- Malpractice RVU 0.27 changed to 0.26
- Practice expense GPCI 0.922 changed to 0.925
- Malpractice GPCI 1.169 changed to 1.167
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$180.84changed to$181.44
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.24 changed to 0.27
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$179.94changed to$180.84
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$177.43changed to$179.94
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 3.10 changed to 3.18
- Malpractice RVU 0.25 changed to 0.24
- Practice expense GPCI 0.919 changed to 0.922
- Malpractice GPCI 1.136 changed to 1.169
Held through RVU15B.
January 1, 2014
RVU14A
$181.06changed to$177.43
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 3.51 changed to 3.10
- Malpractice RVU 0.26 changed to 0.25
- Practice expense GPCI 0.916 changed to 0.919
- Malpractice GPCI 1.102 changed to 1.136
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $181.06
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $175.66 | $98.74 | RVU26D |
| 2026-07-01 | $175.66 | $98.74 | RVU26C |
| 2026-04-01 | $175.66 | $98.74 | RVU26B |
| 2026-01-01 | $175.66 | $98.74 | RVU26A |
| 2025-10-01 | $174.74 | $114.38 | RVU25D |
| 2025-07-01 | $174.74 | $114.38 | RVU25C |
| 2025-04-01 | $174.74 | $114.38 | RVU25B |
| 2025-01-01 | $174.74 | $114.38 | RVU25A |
| 2024-10-01 | $180.76 | $116.78 | RVU24D |
| 2024-07-01 | $180.76 | $116.78 | RVU24C |
| 2024-04-01 | $180.76 | $116.78 | RVU24B |
| 2024-03-09 | $180.76 | $116.78 | RVU24AR |
| 2024-01-01 | $177.81 | $114.87 | RVU24A |
| 2023-10-01 | $181.78 | $116.82 | RVU23D |
| 2023-07-01 | $181.78 | $116.82 | RVU23C |
| 2023-04-01 | $181.78 | $116.82 | RVU23B |
| 2023-01-01 | $181.78 | $116.82 | RVU23A |
| 2022-10-01 | $182.41 | $116.26 | RVU22D |
| 2022-07-01 | $182.41 | $116.26 | RVU22C |
| 2022-04-01 | $182.41 | $116.26 | RVU22B |
| 2022-01-01 | $182.41 | $116.26 | RVU22A |
| 2021-10-01 | $181.76 | $116.67 | RVU21D |
| 2021-07-01 | $181.76 | $116.67 | RVU21C |
| 2021-04-01 | $181.76 | $116.67 | RVU21B |
| 2021-01-01 | $181.76 | $116.67 | RVU21A |
| 2020-10-01 | $182.65 | $122.69 | RVU20D |
| 2020-07-01 | $182.65 | $122.69 | RVU20C |
| 2020-04-01 | $182.65 | $122.69 | RVU20B |
| 2020-01-01 | $182.65 | $122.69 | RVU20A |
| 2019-10-01 | $185.08 | $128.29 | RVU19D |
| 2019-07-01 | $185.08 | $128.29 | RVU19C |
| 2019-04-01 | $185.08 | $128.29 | RVU19B |
| 2019-01-01 | $185.08 | $128.29 | RVU19A |
| 2018-10-01 | $184.55 | $129.48 | RVU18D |
| 2018-07-01 | $184.55 | $129.48 | RVU18C |
| 2018-04-01 | $184.55 | $129.48 | RVU18B |
| 2018-01-01 | $184.55 | $129.48 | RVU18AR1 |
| 2017-10-01 | $182.44 | $128.99 | RVU17D |
| 2017-07-01 | $182.44 | $128.99 | RVU17C |
| 2017-04-01 | $182.44 | $128.99 | RVU17B |
| 2017-01-01 | $182.44 | $128.99 | RVU17A |
| 2016-10-01 | $181.44 | $128.95 | RVU16D |
| 2016-07-01 | $181.44 | $128.95 | RVU16C |
| 2016-04-01 | $181.44 | $128.95 | RVU16B |
| 2016-01-01 | $181.44 | $128.95 | RVU16A |
| 2015-10-01 | $180.84 | $128.16 | RVU15D |
| 2015-07-01 | $180.84 | $128.16 | RVU15C |
| 2015-04-01 | $179.94 | $127.52 | RVU15B |
| 2015-01-01 | $179.94 | $127.52 | RVU15A |
| 2014-10-01 | $177.43 | $126.40 | RVU14D |
| 2014-07-01 | $177.43 | $126.40 | RVU14C |
| 2014-04-01 | $177.43 | $126.40 | RVU14B |
| 2014-01-01 | $177.43 | $126.40 | RVU14A |
| 2013-10-01 | $181.06 | $125.59 | RVU13D |
| 2013-07-01 | $181.06 | $125.59 | RVU13C |
| 2013-04-01 | $181.06 | $125.59 | RVU13B |
| 2013-01-01 | $181.06 | $125.59 | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
17272 billing questions
How is 17272 distinguished from 17271 or 17273?
Use 17272 for a lesion measuring 1.1–2 cm at the specified scalp, neck, hand, foot, or genital site. Code 17271 is for the smaller size range, and 17273 is for the next larger range.
Can separate lesions be reported individually?
Yes. Select a code for each malignant lesion based on that lesion’s own size and site; do not add lesion diameters together. Same-session multiple-procedure payment rules may reduce payment for additional procedures.
Are related postoperative visits separately reported during the global period?
Related postoperative visits during the 10-day global period are included in the procedure.
Should modifier 50 be used for lesions on both sides?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
Can an assistant or co-surgeon be reported?
Medicare does not pay for an assistant at surgery for this code. Co-surgery 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
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