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

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 North Dakota, Medicare pays $265.34 for 17284 in the office and $158.79 when it’s performed in a hospital or facility.

$265.34Office (non-facility)
$158.79Hospital or facility
−2.4%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 North Dakota
  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 North Dakota 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. North Dakota pays $265.34. The RVUs are the same everywhere; the geographic indexes change the dollars.

17284 in North Dakota vs other payment areas
  1. North Dakota · this page$265.34
  2. Los Angeles, CA · California$301.12+$35.78
  3. Washington, DC area · District of Columbia$306.64+$41.30
  4. Miami, FL · Florida$295.16+$29.82
  5. Chicago, IL · Illinois$287.67+$22.33
  6. Manhattan, NY · New York$310.39+$45.05
  7. Alaska · Alaska$329.22+$63.88

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

Every other payment area

17284 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$247.52$154.29
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

17284 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.

$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 North Dakota 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

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Office calculation for 17284 in North Dakota
ComponentRVULocality factorAdjusted
Physician work3.12× 1.0003.1200
Practice expense4.69× 1.0004.6900
Malpractice0.33× 0.4060.1340
Total RVUs7.9440
Conversion factor× 33.4009

Office rate, North Dakota$265.34

Office: (3.12 × 1 + 4.69 × 1 + 0.33 × 0.406) × $33.4009 = $265.34

Facility: (3.12 × 1 + 1.5 × 1 + 0.33 × 0.406) × $33.4009 = $158.79

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

How 17284 has changed in North Dakota

17284 · Office / nonfacility

$265.34

Effective 2026-10-01

The base rate is $1.53 higher than on 2025-10-01, moving from $263.81 to $265.34 (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

    $263.81changed to$265.34

    • 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
    • Malpractice GPCI 0.517 changed to 0.406

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $271.49changed to$263.81

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $267.05changed to$271.49

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $274.53changed to$267.05

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.74 changed to 4.78
    • Malpractice GPCI 0.474 changed to 0.517
  5. January 1, 2023

    RVU23A

    $276.43changed to$274.53

    • 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
    • Malpractice GPCI 0.431 changed to 0.474

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $277.88changed to$276.43

    • 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

    $279.35changed to$277.88

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.39 changed to 4.63
    • Malpractice GPCI 0.485 changed to 0.431

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $279.77changed to$279.35

    • 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
    • Malpractice GPCI 0.540 changed to 0.485

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $279.66changed to$279.77

    • 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

    $277.48changed to$279.66

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.28 changed to 4.32
    • Malpractice GPCI 0.547 changed to 0.540

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $276.22changed to$277.48

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.26 changed to 4.28
    • Malpractice GPCI 0.554 changed to 0.547

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $276.26changed to$276.22

    • 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

    $274.89changed to$276.26

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $272.08changed to$274.89

    • 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
    • Malpractice GPCI 0.536 changed to 0.554

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $275.50changed to$272.08

    • 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
    • Malpractice GPCI 0.517 changed to 0.536

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $275.50

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$265.34$158.79RVU26D
2026-07-01$265.34$158.79RVU26C
2026-04-01$265.34$158.79RVU26B
2026-01-01$265.34$158.79RVU26A
2025-10-01$263.81$188.77RVU25D
2025-07-01$263.81$188.77RVU25C
2025-04-01$263.81$188.77RVU25B
2025-01-01$263.81$188.77RVU25A
2024-10-01$271.49$191.93RVU24D
2024-07-01$271.49$191.93RVU24C
2024-04-01$271.49$191.93RVU24B
2024-03-09$271.49$191.93RVU24AR
2024-01-01$267.05$188.80RVU24A
2023-10-01$274.53$193.54RVU23D
2023-07-01$274.53$193.54RVU23C
2023-04-01$274.53$193.54RVU23B
2023-01-01$274.53$193.54RVU23A
2022-10-01$276.43$193.72RVU22D
2022-07-01$276.43$193.72RVU22C
2022-04-01$276.43$193.72RVU22B
2022-01-01$276.43$193.72RVU22A
2021-10-01$277.88$195.18RVU21D
2021-07-01$277.88$195.18RVU21C
2021-04-01$277.88$195.18RVU21B
2021-01-01$277.88$195.18RVU21A
2020-10-01$279.35$203.56RVU20D
2020-07-01$279.35$203.56RVU20C
2020-04-01$279.35$203.56RVU20B
2020-01-01$279.35$203.56RVU20A
2019-10-01$279.77$207.69RVU19D
2019-07-01$279.77$207.69RVU19C
2019-04-01$279.77$207.69RVU19B
2019-01-01$279.77$207.69RVU19A
2018-10-01$279.66$209.82RVU18D
2018-07-01$279.66$209.82RVU18C
2018-04-01$279.66$209.82RVU18B
2018-01-01$279.66$209.82RVU18AR1
2017-10-01$277.48$209.65RVU17D
2017-07-01$277.48$209.65RVU17C
2017-04-01$277.48$209.65RVU17B
2017-01-01$277.48$209.65RVU17A
2016-10-01$276.22$208.55RVU16D
2016-07-01$276.22$208.55RVU16C
2016-04-01$276.22$208.55RVU16B
2016-01-01$276.22$208.55RVU16A
2015-10-01$276.26$209.07RVU15D
2015-07-01$276.26$209.07RVU15C
2015-04-01$274.89$208.03RVU15B
2015-01-01$274.89$208.03RVU15A
2014-10-01$272.08$206.16RVU14D
2014-07-01$272.08$206.16RVU14C
2014-04-01$272.08$206.16RVU14B
2014-01-01$272.08$206.16RVU14A
2013-10-01$275.50$204.05RVU13D
2013-07-01$275.50$204.05RVU13C
2013-04-01$275.50$204.05RVU13B
2013-01-01$275.50$204.05RVU13AR

Price 17284 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

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 North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 17284 pays in North Dakota?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 17284 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist