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CPT code 17284: Malignant lesion destruction, face and related sites, 3.1–4 cm2026 Medicare rate & RVUs in Washington, DC area

Destruction of a 3.1–4.0 cm malignant lesion on the face, ears, eyelids, nose, lips, or mucous membrane, selected by site and diameter.

CMS RVU26DEffective Oct 1, 2026One payment locality2K Medicare services in 2024

In Washington, DC area, Medicare pays $306.64 for 17284 in the office and $181.13 when it’s performed in a hospital or facility.

$306.64Office (non-facility)
$181.13Hospital or facility
+12.8%vs the national office rate ($271.88)

Check a contract rate as a % of Medicare · 17284 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 17284 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 17284 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 17284 covers

CPT 17284 reports destruction of a malignant lesion on the face, ears, eyelids, nose, lips, or mucous membrane when its greatest diameter is 3.1 through 4.0 cm. Destruction may use methods such as electrosurgery, cryosurgery, laser, or chemical treatment. Dermatologists and other qualified clinicians commonly perform the procedure in an office setting, with less frequent facility use. This code describes destruction, rather than excision, of the lesion.

Select the code based on both the anatomic group and the lesion’s diameter. Documentation should identify the malignant diagnosis, precise site, measured diameter, and destruction method. The 10-day minor-procedure global period 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 are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; co-surgeon and team-surgery reporting 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 Washington, DC area compares for 17284

Across 109 of 109 payment localities, the office rate for 17284 runs from $244.45 in Arkansas to $347.47 in San Benito County, CA. Washington, DC area pays $306.64. The RVUs are the same everywhere; the geographic indexes change the dollars.

17284 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$306.64
  2. Los Angeles, CA · California$301.12−$5.52
  3. Miami, FL · Florida$295.16−$11.48
  4. Chicago, IL · Illinois$287.67−$18.97
  5. Manhattan, NY · New York$310.39+$3.75
  6. Alaska · Alaska$329.22+$22.58
  7. Alabama · Alabama$247.52−$59.12

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

17284 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$244.45$152.92
ArizonaArizona$265.44$162.19
Bakersfield, CACalifornia$284.59$167.81
Chico, CACalifornia$283.58$166.80
El Centro, CACalifornia$283.63$166.86
Fresno, CACalifornia$283.58$166.80
Hanford, CACalifornia$283.58$166.80
Madera, CACalifornia$283.58$166.80

17284 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.

$244.45

$329.22

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

View every state and territory as a table
17284 office rate range by state
State / territoryOffice rate rangeLocalities
AK$329.221
AL$247.521
AR$244.451
AZ$265.441
CA$283.58–$347.4729
CO$280.751
CT$288.341
DC$306.641
DE$269.411
FL$270.53–$295.163
GA$257.08–$276.922
GU$288.701
HI$288.701
IA$251.921
ID$253.541
IL$264.46–$287.674
IN$254.781
KS$251.381
KY$253.561
LA$253.41–$264.142
MA$279.62–$305.332
MD$273.90–$306.643
ME$255.18–$266.412
MI$259.68–$273.962
MN$268.671
MO$249.98–$264.393
MS$247.231
MT$271.861
NC$257.411
ND$265.341
NE$252.971
NH$276.931
NJ$291.53–$304.262
NM$261.101
NV$270.201
NY$260.78–$317.615
OH$258.341
OK$252.661
OR$267.98–$288.122
PA$258.43–$282.312
PR$273.441
RI$277.841
SC$258.321
SD$264.561
TN$252.521
TX$257.00–$279.928
UT$261.361
VA$265.98–$306.642
VI$273.441
VT$264.871
WA$278.91–$310.642
WI$257.681
WV$256.111
WY$269.021

See 17284 in every payment locality

How the 17284 rate is calculated

Each of 17284’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 · 17284

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.12

3.12 RVUs× 1.000 GPCI

Practice expense4.69

4.69 RVUs× 1.000 GPCI

Malpractice0.33

0.33 RVUs× 1.000 GPCI

Adjusted RVUs

8.1400

Conversion factor

$33.4009

Medicare rate

$271.88

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,644

Code
17284
Physician work
3.12
Practice expense
4.69
Malpractice
0.33

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 17284 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work3.12× 1.0543.2885
Practice expense4.69× 1.1785.5248
Malpractice0.33× 1.1130.3673
Total RVUs9.1806
Conversion factor× 33.4009

Office rate, Washington, DC area$306.64

Office: (3.12 × 1.054 + 4.69 × 1.178 + 0.33 × 1.113) × $33.4009 = $306.64

Facility: (3.12 × 1.054 + 1.5 × 1.178 + 0.33 × 1.113) × $33.4009 = $181.13

Open 17284 in the RVU calculator

Payment rules and modifiers for 17284

17284 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 17284

Malignant lesion destruction, face and related sites, 3.1–4 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 · 17284

Malignant lesion destruction, face and related sites, 3.1–4 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

17284 without 51 · national office

$271.88

Malignant lesion destruction, face and related sites, 3.1–4 cm

17284-51 · Second procedure: 50%

$135.94

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 17284

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

Codes related to 17284
CodeHow it relatesOffice range, Washington, DC area
Same family
17283Lesion destruction, face or similar site, 2.1–3.0 cmSame anatomic group; for malignant lesions measuring 2.1–3.0 cm.$268.36
17286Lesion destruction, facial site, over 4 cmSame anatomic group; for malignant lesions measuring over 4.0 cm.$395.61
17274Lesion destruction, 3.1-4 cm, scalp/neck/hands/feet/genitaliaSame 3.1–4.0 cm size level for the scalp, neck, hands, feet, or genitalia.$270.53
17264Skin lesion destruction, trunk, arms, or legs; 3.1–4.0 cmSame 3.1–4.0 cm size level for the trunk, arms, or legs.$229.60

How 17284 has changed in Washington, DC area

17284 · Office / nonfacility

$306.64

Effective 2026-10-01

The base rate is $0.08 higher than on 2025-10-01, moving from $306.56 to $306.64 (0.0%).

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

    $306.56changed to$306.64

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.20 changed to 3.12
    • Practice expense RVU 4.78 changed to 4.69
    • Malpractice RVU 0.34 changed to 0.33
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $315.47changed to$306.56

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $310.33changed to$315.47

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $323.69changed to$310.33

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.74 changed to 4.78
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $329.95changed to$323.69

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.65 changed to 4.74
    • Malpractice RVU 0.32 changed to 0.34
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $331.37changed to$329.95

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.63 changed to 4.65
    • Malpractice RVU 0.31 changed to 0.32

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $328.88changed to$331.37

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.39 changed to 4.63
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $328.57changed to$328.88

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.32 changed to 4.39
    • Malpractice RVU 0.45 changed to 0.31
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $328.66changed to$328.57

    • Conversion factor 35.9996 changed to 36.0391
    • Malpractice RVU 0.46 changed to 0.45

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $326.43changed to$328.66

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.28 changed to 4.32
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $325.29changed to$326.43

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.26 changed to 4.28
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $324.65changed to$325.29

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.25 changed to 4.26
    • Malpractice RVU 0.43 changed to 0.46

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $323.04changed to$324.65

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $318.05changed to$323.04

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.17 changed to 4.25
    • Malpractice RVU 0.42 changed to 0.43
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $321.47changed to$318.05

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.67 changed to 4.17
    • Malpractice RVU 0.44 changed to 0.42
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $321.47

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$306.64$181.13RVU26D
2026-07-01$306.64$181.13RVU26C
2026-04-01$306.64$181.13RVU26B
2026-01-01$306.64$181.13RVU26A
2025-10-01$306.56$217.10RVU25D
2025-07-01$306.56$217.10RVU25C
2025-04-01$306.56$217.10RVU25B
2025-01-01$306.56$217.10RVU25A
2024-10-01$315.47$220.64RVU24D
2024-07-01$315.47$220.64RVU24C
2024-04-01$315.47$220.64RVU24B
2024-03-09$315.47$220.64RVU24AR
2024-01-01$310.33$217.04RVU24A
2023-10-01$323.69$225.37RVU23D
2023-07-01$323.69$225.37RVU23C
2023-04-01$323.69$225.37RVU23B
2023-01-01$323.69$225.37RVU23A
2022-10-01$329.95$227.72RVU22D
2022-07-01$329.95$227.72RVU22C
2022-04-01$329.95$227.72RVU22B
2022-01-01$329.95$227.72RVU22A
2021-10-01$331.37$229.15RVU21D
2021-07-01$331.37$229.15RVU21C
2021-04-01$331.37$229.15RVU21B
2021-01-01$331.37$229.15RVU21A
2020-10-01$328.88$236.34RVU20D
2020-07-01$328.88$236.34RVU20C
2020-04-01$328.88$236.34RVU20B
2020-01-01$328.88$236.34RVU20A
2019-10-01$328.57$241.72RVU19D
2019-07-01$328.57$241.72RVU19C
2019-04-01$328.57$241.72RVU19B
2019-01-01$328.57$241.72RVU19A
2018-10-01$328.66$244.51RVU18D
2018-07-01$328.66$244.51RVU18C
2018-04-01$328.66$244.51RVU18B
2018-01-01$328.66$244.51RVU18AR1
2017-10-01$326.43$244.70RVU17D
2017-07-01$326.43$244.70RVU17C
2017-04-01$326.43$244.70RVU17B
2017-01-01$326.43$244.70RVU17A
2016-10-01$325.29$243.75RVU16D
2016-07-01$325.29$243.75RVU16C
2016-04-01$325.29$243.75RVU16B
2016-01-01$325.29$243.75RVU16A
2015-10-01$324.65$243.68RVU15D
2015-07-01$324.65$243.68RVU15C
2015-04-01$323.04$242.47RVU15B
2015-01-01$323.04$242.47RVU15A
2014-10-01$318.05$238.82RVU14D
2014-07-01$318.05$238.82RVU14C
2014-04-01$318.05$238.82RVU14B
2014-01-01$318.05$238.82RVU14A
2013-10-01$321.47$235.88RVU13D
2013-07-01$321.47$235.88RVU13C
2013-04-01$321.47$235.88RVU13B
2013-01-01$321.47$235.88RVU13AR

Price 17284 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

17284 billing questions

How does 17284 differ from 17283 and 17286?

All three are for malignant lesions in the same anatomic group. Use 17283 for a 2.1–3.0 cm lesion, 17284 for 3.1–4.0 cm, and 17286 for a lesion over 4.0 cm.

What documentation supports selecting 17284?

Document the malignant diagnosis, exact site, and lesion diameter in the 3.1–4.0 cm range, along with the destruction method.

Does the 10-day global period include related follow-up visits?

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

Should modifier 50 be appended for a lesion on a paired facial structure?

No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

How are other procedures performed in the same session paid?

The highest-valued procedure is paid in full; other procedures are subject to the standard multiple-procedure reduction.

Can an assistant or co-surgeon be reported for this procedure?

Medicare does not pay an assistant at surgery for this code. 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 17284PPRRVU2026_Oct_nonQPP.csv, line 1,644 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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