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CPT code 17280: Lesion destruction, small facial or mucosal lesion2026 Medicare rate & RVUs in Detroit, MI

Destruction of a malignant lesion no larger than 0.5 cm on the face, ear, eyelid, nose, lip, or mucous membrane using a destructive technique.

CMS RVU26DEffective Oct 1, 2026One payment locality18K Medicare services in 2024

In Detroit, MI, Medicare pays $137.72 for 17280 in the office and $76.16 when it’s performed in a hospital or facility.

$137.72Office (non-facility)
$76.16Hospital or facility
−0.4%vs the national office rate ($138.28)

Check a contract rate as a % of Medicare · 17280 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 17280 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Detroit, MI
  2. What 17280 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 17280 covers

Code 17280 covers destruction of a malignant lesion measuring 0.5 cm or less on the face, ear, eyelid, nose, lip, or mucous membrane. The physician destroys the lesion rather than removing it by excision; techniques may include electrosurgery, cryotherapy, or laser treatment. Dermatologists and other physicians treating skin cancers commonly perform this service in an office or facility setting.

Select the code using the lesion’s anatomic site and greatest diameter before treatment, not the treatment field or resulting defect. Documentation should identify the site, measurement, malignant diagnosis, and technique. This minor procedure has a 10-day global period, which includes related postoperative visits during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; 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 Detroit, MI compares for 17280

Across 109 of 109 payment localities, the office rate for 17280 runs from $123.01 in Arkansas to $182.57 in San Benito County, CA. Detroit, MI pays $137.72. The RVUs are the same everywhere; the geographic indexes change the dollars.

17280 in Detroit, MI vs other payment areas
  1. Detroit, MI · this page$137.72
  2. Rest of Michigan · Michigan$130.57−$7.15
  3. Los Angeles, CA · California$155.86+$18.14
  4. Washington, DC area · District of Columbia$157.70+$19.98
  5. Miami, FL · Florida$148.28+$10.56
  6. Chicago, IL · Illinois$144.22+$6.50
  7. Manhattan, NY · New York$158.49+$20.77

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

Every other payment area

17280 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$162.50$94.56
AlabamaAlabama$124.72$68.90
ArkansasArkansas$123.01$68.21
ArizonaArizona$134.77$72.95
Bakersfield, CACalifornia$146.54$76.62
Chico, CACalifornia$146.17$76.25
El Centro, CACalifornia$146.19$76.27
Fresno, CACalifornia$146.17$76.25

17280 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.

$123.01

$164.37

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

View every state and territory as a table
17280 office rate range by state
State / territoryOffice rate rangeLocalities
AK$162.501
AL$124.721
AR$123.011
AZ$134.771
CA$146.17–$182.5729
CO$143.931
CT$147.191
DC$157.701
DE$136.941
FL$136.14–$148.283
GA$128.84–$140.722
GU$149.541
HI$149.541
IA$127.831
ID$128.611
IL$132.31–$144.224
IN$129.321
KS$127.221
KY$127.451
LA$127.24–$133.252
MA$143.11–$157.812
MD$139.48–$157.703
ME$129.20–$135.952
MI$130.57–$137.722
MN$138.201
MO$125.13–$133.753
MS$124.091
MT$138.271
NC$130.501
ND$135.901
NE$128.511
NH$141.651
NJ$148.95–$156.182
NM$131.241
NV$137.701
NY$132.36–$162.125
OH$130.091
OK$127.271
OR$136.71–$148.382
PA$130.31–$143.642
PR$139.261
RI$141.721
SC$130.491
SD$135.621
TN$127.821
TX$129.49–$143.388
UT$132.201
VA$135.49–$157.702
VI$139.261
VT$135.351
WA$142.85–$160.992
WI$131.541
WV$127.621
WY$137.241

See 17280 in every payment locality

How the 17280 rate is calculated

Each of 17280’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 · 17280

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.19

1.19 RVUs× 1.000 GPCI

Practice expense2.83

2.83 RVUs× 1.000 GPCI

Malpractice0.12

0.12 RVUs× 1.000 GPCI

Adjusted RVUs

4.1400

Conversion factor

$33.4009

Medicare rate

$138.28

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

The exact Detroit, MI inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,640

Code
17280
Physician work
1.19
Practice expense
2.83
Malpractice
0.12

GPCI2026.csv

64

Locality
Detroit, MI
Physician work
1.000
Practice expense
0.965
Malpractice
1.686
Office calculation for 17280 in Detroit, MI
ComponentRVULocality factorAdjusted
Physician work1.19× 1.0001.1900
Practice expense2.83× 0.9652.7309
Malpractice0.12× 1.6860.2023
Total RVUs4.1233
Conversion factor× 33.4009

Office rate, Detroit, MI$137.72

Office: (1.19 × 1 + 2.83 × 0.965 + 0.12 × 1.686) × $33.4009 = $137.72

Facility: (1.19 × 1 + 0.92 × 0.965 + 0.12 × 1.686) × $33.4009 = $76.16

Open 17280 in the RVU calculator

Payment rules and modifiers for 17280

17280 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 17280

Lesion destruction, small facial or mucosal lesion

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 · 17280

Lesion destruction, small facial or mucosal lesion

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

17280 without 51 · national office

$138.28

Lesion destruction, small facial or mucosal lesion

17280-51 · Second procedure: 50%

$69.14

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 17280

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

Codes related to 17280
CodeHow it relatesOffice range, Detroit, MI
Same family
17281Lesion destruction, face and related sites, 0.6–1.0 cmSame facial and mucosal site group; the lesion measures 0.6 to 1.0 cm.$175.33
17282Lesion destruction, face and related sites, 1.1–2.0 cmSame facial and mucosal site group; the lesion measures 1.1 to 2.0 cm.$200.59
17270Lesion destruction, scalp, neck, hands, feet, genitaliaMalignant lesion destruction at the corresponding size level on a different site group.$146.52
17260Skin lesion destruction, trunk, arms, legs, 0.5 cm or lessMalignant lesion destruction for the trunk, arms, or legs rather than facial or mucosal sites.$96.50

How 17280 has changed in Detroit, MI

17280 · Office / nonfacility

$137.72

Effective 2026-10-01

The base rate is $1.26 lower than on 2025-10-01, moving from $138.98 to $137.72 (0.9%).

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

    $138.98changed to$137.72

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.22 changed to 1.19
    • Practice expense RVU 2.89 changed to 2.83
    • Malpractice RVU 0.13 changed to 0.12
    • Work GPCI 1.003 changed to 1.000
    • Practice expense GPCI 0.986 changed to 0.965
    • Malpractice GPCI 1.718 changed to 1.686

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $143.35changed to$138.98

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.90 changed to 2.89

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $141.01changed to$143.35

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $144.28changed to$141.01

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.86 changed to 2.90
    • Malpractice RVU 0.12 changed to 0.13
    • Work GPCI 1.000 changed to 1.003
    • Practice expense GPCI 0.992 changed to 0.986
    • Malpractice GPCI 1.670 changed to 1.718

  5. January 1, 2023

    RVU23A

    $145.35changed to$144.28

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.81 changed to 2.86
    • Malpractice RVU 0.11 changed to 0.12
    • Practice expense GPCI 0.997 changed to 0.992
    • Malpractice GPCI 1.622 changed to 1.670

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $146.64changed to$145.35

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.78 changed to 2.81
    • Malpractice RVU 0.13 changed to 0.11

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $144.14changed to$146.64

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.61 changed to 2.78
    • Malpractice RVU 0.11 changed to 0.13
    • Practice expense GPCI 0.993 changed to 0.997
    • Malpractice GPCI 1.657 changed to 1.622

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $146.54changed to$144.14

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.57 changed to 2.61
    • Malpractice RVU 0.18 changed to 0.11
    • Practice expense GPCI 0.989 changed to 0.993
    • Malpractice GPCI 1.691 changed to 1.657

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $148.51changed to$146.54

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.63 changed to 2.57

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $146.10changed to$148.51

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.60 changed to 2.63
    • Practice expense GPCI 0.992 changed to 0.989
    • Malpractice GPCI 1.510 changed to 1.691

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $144.06changed to$146.10

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.58 changed to 2.60
    • Practice expense GPCI 0.994 changed to 0.992
    • Malpractice GPCI 1.328 changed to 1.510

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $143.98changed to$144.06

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.59 changed to 2.58
    • Malpractice RVU 0.16 changed to 0.18

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $143.27changed to$143.98

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $144.79changed to$143.27

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.52 changed to 2.59
    • Malpractice RVU 0.17 changed to 0.16
    • Work GPCI 1.010 changed to 1.000
    • Practice expense GPCI 1.009 changed to 0.994
    • Malpractice GPCI 1.571 changed to 1.328

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $152.73changed to$144.79

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.85 changed to 2.52
    • Malpractice RVU 0.18 changed to 0.17
    • Work GPCI 1.022 changed to 1.010
    • Practice expense GPCI 1.023 changed to 1.009
    • Malpractice GPCI 1.814 changed to 1.571

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $152.73

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$137.72$76.16RVU26D
2026-07-01$137.72$76.16RVU26C
2026-04-01$137.72$76.16RVU26B
2026-01-01$137.72$76.16RVU26A
2025-10-01$138.98$88.27RVU25D
2025-07-01$138.98$88.27RVU25C
2025-04-01$138.98$88.27RVU25B
2025-01-01$138.98$88.27RVU25A
2024-10-01$143.35$89.52RVU24D
2024-07-01$143.35$89.52RVU24C
2024-04-01$143.35$89.52RVU24B
2024-03-09$143.35$89.52RVU24AR
2024-01-01$141.01$88.06RVU24A
2023-10-01$144.28$89.15RVU23D
2023-07-01$144.28$89.15RVU23C
2023-04-01$144.28$89.15RVU23B
2023-01-01$144.28$89.15RVU23A
2022-10-01$145.35$88.76RVU22D
2022-07-01$145.35$88.76RVU22C
2022-04-01$145.35$88.76RVU22B
2022-01-01$145.35$88.76RVU22A
2021-10-01$146.64$90.28RVU21D
2021-07-01$146.64$90.28RVU21C
2021-04-01$146.64$90.28RVU21B
2021-01-01$146.64$90.28RVU21A
2020-10-01$144.14$91.82RVU20D
2020-07-01$144.14$91.82RVU20C
2020-04-01$144.14$91.82RVU20B
2020-01-01$144.14$91.82RVU20A
2019-10-01$146.54$97.00RVU19D
2019-07-01$146.54$97.00RVU19C
2019-04-01$146.54$97.00RVU19B
2019-01-01$146.54$97.00RVU19A
2018-10-01$148.51$97.96RVU18D
2018-07-01$148.51$97.96RVU18C
2018-04-01$148.51$97.96RVU18B
2018-01-01$148.51$97.96RVU18AR1
2017-10-01$146.10$96.97RVU17D
2017-07-01$146.10$96.97RVU17C
2017-04-01$146.10$96.97RVU17B
2017-01-01$146.10$96.97RVU17A
2016-10-01$144.06$94.95RVU16D
2016-07-01$144.06$94.95RVU16C
2016-04-01$144.06$94.95RVU16B
2016-01-01$144.06$94.95RVU16A
2015-10-01$143.98$94.69RVU15D
2015-07-01$143.98$94.69RVU15C
2015-04-01$143.27$94.22RVU15B
2015-01-01$143.27$94.22RVU15A
2014-10-01$144.79$96.36RVU14D
2014-07-01$144.79$96.36RVU14C
2014-04-01$144.79$96.36RVU14B
2014-01-01$144.79$96.36RVU14A
2013-10-01$152.73$99.47RVU13D
2013-07-01$152.73$99.47RVU13C
2013-04-01$152.73$99.47RVU13B
2013-01-01$152.73$99.47RVU13AR

Price 17280 for an earlier date of service

Where the Detroit, MI rate applies

Detroit, MI is a Medicare payment area, not a city. Our Census mapping connects it to 98 cities and communities in Michigan. Some span more than one payment area; confirm with the service ZIP.

  • Detroit
  • Allen Park
  • Ann Arbor
  • Armada
  • Auburn Hills
  • Barton Hills
  • Belleville
  • Berkley

Browse all communities in Michigan

17280 billing questions

When should 17280 be chosen instead of 17281?

Use 17280 for a qualifying facial or mucosal malignant lesion measuring 0.5 cm or less. Code 17281 covers the same site group when the lesion measures 0.6 to 1.0 cm.

How does 17280 differ from 17270?

The site determines the code. Code 17280 is for the face, ears, eyelids, nose, lips, or mucous membrane; 17270 is for the scalp, neck, hands, feet, or genitalia at the corresponding size level.

Does 17280 describe excision of a skin cancer?

No. It describes destruction of the malignant lesion. Choose an excision service when the lesion is removed by excision rather than destroyed.

What measurement should the record support?

Document the lesion’s greatest diameter before treatment and its precise site. The 0.5 cm threshold is based on the lesion, not the treatment area or post-treatment defect.

Can 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.

Are related postoperative visits separately reported during the global period?

Related postoperative visits during the 10-day global period are included. If multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and the others at 50%.

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 17280PPRRVU2026_Oct_nonQPP.csv, line 1,640 (RVU26D)
Geographic factors for Detroit, MIGPCI2026.csv, line 64 (RVU26D)

Open CMS sourceHow we calculate rates

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