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CPT code 17274: Lesion destruction, 3.1-4 cm, scalp/neck/hands/feet/genitalia2026 Medicare rate & RVUs in Indiana

Destruction of a 3.1-4.0 cm malignant skin lesion on the scalp, neck, hands, feet, or genitalia, selected by site and diameter.

CMS RVU26DEffective Oct 1, 2026One payment locality2.4K Medicare services in 2024

In Indiana, Medicare pays $224.28 for 17274 in the office and $131.39 when it’s performed in a hospital or facility.

$224.28Office (non-facility)
$131.39Hospital or facility
−6.2%vs the national office rate ($239.15)

Check a contract rate as a % of Medicare · 17274 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 17274 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Indiana
  2. What 17274 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 17274 covers

Code 17274 represents destruction of a malignant skin lesion measuring 3.1 through 4.0 cm at a site in the scalp, neck, hands, feet, or genitalia group. Dermatologists and other clinicians who treat skin cancers may perform the service in an office procedure room using a destructive technique such as curettage with electrosurgery, cryotherapy, laser, or chemical destruction. This code is used when the treatment plan is destruction rather than removal by excision.

Select the code by the documented lesion diameter and anatomic group, not by the method used. Documentation should identify the malignant diagnosis, treated site, lesion size, and technique; report separate lesions individually when appropriate. CMS assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are paid at 50%. Modifier 50 is inappropriate for this site-based descriptor. CMS does not pay an assistant at surgery, and co-surgeon and team-surgery billing 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 Indiana compares for 17274

Across 109 of 109 payment localities, the office rate for 17274 runs from $214.66 in Arkansas to $308.79 in San Benito County, CA. Indiana pays $224.28. The RVUs are the same everywhere; the geographic indexes change the dollars.

17274 in Indiana vs other payment areas
  1. Indiana · this page$224.28
  2. Los Angeles, CA · California$266.39+$42.11
  3. Washington, DC area · District of Columbia$270.53+$46.25
  4. Miami, FL · Florida$257.86+$33.58
  5. Chicago, IL · Illinois$251.29+$27.01
  6. Manhattan, NY · New York$273.02+$48.74
  7. Alaska · Alaska$287.74+$63.46

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

Every other payment area

17274 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$217.41$129.73
ArkansasArkansas$214.66$128.59
ArizonaArizona$233.45$136.36
Bakersfield, CACalifornia$251.43$141.61
Chico, CACalifornia$250.65$140.83
El Centro, CACalifornia$250.69$140.87
Fresno, CACalifornia$250.65$140.83
Hanford, CACalifornia$250.65$140.83

17274 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.

$214.66

$287.74

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

View every state and territory as a table
17274 office rate range by state
State / territoryOffice rate rangeLocalities
AK$287.741
AL$217.411
AR$214.661
AZ$233.451
CA$250.65–$308.7929
CO$247.631
CT$253.781
DC$270.531
DE$237.001
FL$236.97–$257.863
GA$225.10–$243.412
GU$255.491
HI$255.491
IA$221.791
ID$223.151
IL$231.24–$251.294
IN$224.281
KS$221.091
KY$222.351
LA$222.13–$231.732
MA$246.51–$269.872
MD$241.06–$270.533
ME$224.40–$234.762
MI$227.62–$239.812
MN$237.481
MO$218.93–$232.213
MS$216.821
MT$239.131
NC$226.421
ND$234.191
NE$222.791
NH$244.051
NJ$256.73–$268.322
NM$228.801
NV$237.901
NY$229.42–$279.205
OH$226.611
OK$221.781
OR$236.09–$254.482
PA$226.80–$248.252
PR$240.621
RI$244.661
SC$226.881
SD$233.611
TN$222.091
TX$225.51–$246.788
UT$229.601
VA$234.23–$270.532
VI$240.621
VT$233.581
WA$245.95–$274.822
WI$227.281
WV$223.761
WY$236.981

See 17274 in every payment locality

How the 17274 rate is calculated

Each of 17274’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 · 17274

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.57

2.57 RVUs× 1.000 GPCI

Practice expense4.34

4.34 RVUs× 1.000 GPCI

Malpractice0.25

0.25 RVUs× 1.000 GPCI

Adjusted RVUs

7.1600

Conversion factor

$33.4009

Medicare rate

$239.15

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

The exact Indiana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,638

Code
17274
Physician work
2.57
Practice expense
4.34
Malpractice
0.25

GPCI2026.csv

52

Locality
Indiana
Physician work
1.000
Practice expense
0.927
Malpractice
0.486
Office calculation for 17274 in Indiana
ComponentRVULocality factorAdjusted
Physician work2.57× 1.0002.5700
Practice expense4.34× 0.9274.0232
Malpractice0.25× 0.4860.1215
Total RVUs6.7147
Conversion factor× 33.4009

Office rate, Indiana$224.28

Office: (2.57 × 1 + 4.34 × 0.927 + 0.25 × 0.486) × $33.4009 = $224.28

Facility: (2.57 × 1 + 1.34 × 0.927 + 0.25 × 0.486) × $33.4009 = $131.39

Open 17274 in the RVU calculator

Payment rules and modifiers for 17274

17274 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 17274

Lesion destruction, 3.1-4 cm, scalp/neck/hands/feet/genitalia

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 · 17274

Lesion destruction, 3.1-4 cm, scalp/neck/hands/feet/genitalia

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

17274 without 51 · national office

$239.15

Lesion destruction, 3.1-4 cm, scalp/neck/hands/feet/genitalia

17274-51 · Second procedure: 50%

$119.58

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 17274

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

Codes related to 17274
CodeHow it relatesOffice range, Indiana
Same family
17273Lesion destruction, scalp, neck, hands, feet, genitaliaSame anatomic group, for a malignant lesion measuring 2.1-3.0 cm.$191.23
17276Skin lesion destruction, specified sites, over 4 cmSame anatomic group, for a malignant lesion measuring more than 4.0 cm.$261.57
17264Skin lesion destruction, trunk, arms, or legs; 3.1–4.0 cmSame size range, but for the trunk, arms, or legs.$189.26
17284Malignant lesion destruction, face and related sites, 3.1–4 cmSame size range, but for the face, ears, eyelids, nose, lips, or mucous membrane.$254.78
Used instead
11624Skin excision, 3.1–4 cm excised diameterExcision of a similarly sized malignant lesion in the same anatomic group, when excision is performed.$316.12

How 17274 has changed in Indiana

17274 · Office / nonfacility

$224.28

Effective 2026-10-01

The base rate is $1.78 higher than on 2025-10-01, moving from $222.50 to $224.28 (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

    $222.50changed to$224.28

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.64 changed to 2.57
    • Practice expense RVU 4.45 changed to 4.34
    • Malpractice RVU 0.28 changed to 0.25
    • Practice expense GPCI 0.922 changed to 0.927
    • Malpractice GPCI 0.485 changed to 0.486

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $229.12changed to$222.50

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.46 changed to 4.45
    • Malpractice RVU 0.27 changed to 0.28

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $225.38changed to$229.12

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $230.57changed to$225.38

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.43 changed to 4.46
    • Practice expense GPCI 0.911 changed to 0.922
    • Malpractice GPCI 0.475 changed to 0.485

  5. January 1, 2023

    RVU23A

    $230.56changed to$230.57

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.34 changed to 4.43
    • Malpractice RVU 0.25 changed to 0.27
    • Practice expense GPCI 0.900 changed to 0.911
    • Malpractice GPCI 0.465 changed to 0.475

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $231.21changed to$230.56

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.30 changed to 4.34

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $232.90changed to$231.21

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.07 changed to 4.30
    • Malpractice RVU 0.26 changed to 0.25
    • Practice expense GPCI 0.910 changed to 0.900
    • Malpractice GPCI 0.422 changed to 0.465

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $232.48changed to$232.90

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.99 changed to 4.07
    • Malpractice RVU 0.38 changed to 0.26
    • Practice expense GPCI 0.919 changed to 0.910
    • Malpractice GPCI 0.379 changed to 0.422

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $231.76changed to$232.48

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.98 changed to 3.99
    • Malpractice RVU 0.37 changed to 0.38

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $232.29changed to$231.76

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.96 changed to 3.98
    • Malpractice RVU 0.38 changed to 0.37
    • Practice expense GPCI 0.920 changed to 0.919
    • Malpractice GPCI 0.498 changed to 0.379

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $232.51changed to$232.29

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.93 changed to 3.96
    • Practice expense GPCI 0.921 changed to 0.920
    • Malpractice GPCI 0.617 changed to 0.498

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $232.13changed to$232.51

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.92 changed to 3.93
    • Malpractice RVU 0.34 changed to 0.38

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $230.98changed to$232.13

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $229.11changed to$230.98

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.84 changed to 3.92
    • Malpractice RVU 0.35 changed to 0.34
    • Practice expense GPCI 0.922 changed to 0.921
    • Malpractice GPCI 0.615 changed to 0.617

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $233.51changed to$229.11

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.33 changed to 3.84
    • Malpractice RVU 0.37 changed to 0.35
    • Practice expense GPCI 0.923 changed to 0.922
    • Malpractice GPCI 0.613 changed to 0.615

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $233.51

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$224.28$131.39RVU26D
2026-07-01$224.28$131.39RVU26C
2026-04-01$224.28$131.39RVU26B
2026-01-01$224.28$131.39RVU26A
2025-10-01$222.50$153.91RVU25D
2025-07-01$222.50$153.91RVU25C
2025-04-01$222.50$153.91RVU25B
2025-01-01$222.50$153.91RVU25A
2024-10-01$229.12$156.38RVU24D
2024-07-01$229.12$156.38RVU24C
2024-04-01$229.12$156.38RVU24B
2024-03-09$229.12$156.38RVU24AR
2024-01-01$225.38$153.83RVU24A
2023-10-01$230.57$157.40RVU23D
2023-07-01$230.57$157.40RVU23C
2023-04-01$230.57$157.40RVU23B
2023-01-01$230.57$157.40RVU23A
2022-10-01$230.56$156.74RVU22D
2022-07-01$230.56$156.74RVU22C
2022-04-01$230.56$156.74RVU22B
2022-01-01$230.56$156.74RVU22A
2021-10-01$231.21$157.73RVU21D
2021-07-01$231.21$157.73RVU21C
2021-04-01$231.21$157.73RVU21B
2021-01-01$231.21$157.73RVU21A
2020-10-01$232.90$164.26RVU20D
2020-07-01$232.90$164.26RVU20C
2020-04-01$232.90$164.26RVU20B
2020-01-01$232.90$164.26RVU20A
2019-10-01$232.48$167.24RVU19D
2019-07-01$232.48$167.24RVU19C
2019-04-01$232.48$167.24RVU19B
2019-01-01$232.48$167.24RVU19A
2018-10-01$231.76$168.57RVU18D
2018-07-01$231.76$168.57RVU18C
2018-04-01$231.76$168.57RVU18B
2018-01-01$231.76$168.57RVU18AR1
2017-10-01$232.29$169.88RVU17D
2017-07-01$232.29$169.88RVU17C
2017-04-01$232.29$169.88RVU17B
2017-01-01$232.29$169.88RVU17A
2016-10-01$232.51$170.52RVU16D
2016-07-01$232.51$170.52RVU16C
2016-04-01$232.51$170.52RVU16B
2016-01-01$232.51$170.52RVU16A
2015-10-01$232.13$170.25RVU15D
2015-07-01$232.13$170.25RVU15C
2015-04-01$230.98$169.40RVU15B
2015-01-01$230.98$169.40RVU15A
2014-10-01$229.11$168.34RVU14D
2014-07-01$229.11$168.34RVU14C
2014-04-01$229.11$168.34RVU14B
2014-01-01$229.11$168.34RVU14A
2013-10-01$233.51$167.88RVU13D
2013-07-01$233.51$167.88RVU13C
2013-04-01$233.51$167.88RVU13B
2013-01-01$233.51$167.88RVU13AR

Price 17274 for an earlier date of service

Where the Indiana rate applies

Indiana is a Medicare payment area, not a city. Our Census mapping connects it to 974 cities and communities in Indiana. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Abington
  • Adams
  • Adams Lake
  • Advance
  • Akron
  • Alamo
  • Albany

Browse all communities in Indiana

17274 billing questions

How is 17274 distinguished from the other destruction codes?

The lesion must measure 3.1 through 4.0 cm and be on the scalp, neck, hands, feet, or genitalia. Codes for other anatomic groups or size ranges differ.

Is the code selected by the destruction method?

No. Select it by lesion diameter and anatomic group; the code covers destruction by any method.

Can a related postoperative visit be billed separately?

Related postoperative visits during the 10-day global period are included.

Should modifier 50 be used for lesions on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this site-based descriptor.

How are other procedures performed in the same session paid?

The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple procedure reduction.

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 17274PPRRVU2026_Oct_nonQPP.csv, line 1,638 (RVU26D)
Geographic factors for IndianaGPCI2026.csv, line 52 (RVU26D)

Open CMS sourceHow we calculate rates

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