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

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 Queens, NY, Medicare pays $311.94 for 17284 in the office and $185.99 when it’s performed in a hospital or facility.

$311.94Office (non-facility)
$185.99Hospital or facility
+14.7%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 Queens, NY
  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 Queens, NY 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. Queens, NY pays $311.94. The RVUs are the same everywhere; the geographic indexes change the dollars.

17284 in Queens, NY vs other payment areas
  1. Queens, NY · this page$311.94
  2. Manhattan, NY · New York$310.39−$1.55
  3. NYC suburbs and Long Island, NY · New York$317.61+$5.67
  4. Poughkeepsie and northern NYC suburbs, NY · New York$293.77−$18.17
  5. Rest of New York · New York$260.78−$51.16
  6. Los Angeles, CA · California$301.12−$10.82
  7. Washington, DC area · District of Columbia$306.64−$5.30

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

Every other payment area

17284 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$295.16$184.24
Chicago, ILIllinois$287.67$180.59
AlaskaAlaska$329.22$215.75
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

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 Queens, NY 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

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 17284 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work3.12× 1.0643.3197
Practice expense4.69× 1.1825.5436
Malpractice0.33× 1.4420.4759
Total RVUs9.3391
Conversion factor× 33.4009

Office rate, Queens, NY$311.94

Office: (3.12 × 1.064 + 4.69 × 1.182 + 0.33 × 1.442) × $33.4009 = $311.94

Facility: (3.12 × 1.064 + 1.5 × 1.182 + 0.33 × 1.442) × $33.4009 = $185.99

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, Queens, NY
Same family
17283Lesion destruction, face or similar site, 2.1–3.0 cmSame anatomic group; for malignant lesions measuring 2.1–3.0 cm.$272.55
17286Lesion destruction, facial site, over 4 cmSame anatomic group; for malignant lesions measuring over 4.0 cm.$402.89
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.$274.72
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.$232.86

How 17284 has changed in Queens, NY

17284 · Office / nonfacility

$311.94

Effective 2026-10-01

The base rate is $0.86 higher than on 2025-10-01, moving from $311.08 to $311.94 (0.3%).

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

    $311.08changed to$311.94

    • 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 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $320.13changed to$311.08

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $314.91changed to$320.13

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $333.48changed to$314.91

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.74 changed to 4.78
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462

  5. January 1, 2023

    RVU23A

    $344.02changed to$333.48

    • 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 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $345.08changed to$344.02

    • 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

    $340.81changed to$345.08

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.39 changed to 4.63
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $342.55changed to$340.81

    • 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 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $342.93changed to$342.55

    • 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

    $340.65changed to$342.93

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.28 changed to 4.32
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $339.33changed to$340.65

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.26 changed to 4.28
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $337.77changed to$339.33

    • 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

    $336.09changed to$337.77

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $327.60changed to$336.09

    • 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 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $327.81changed to$327.60

    • 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 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $327.81

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$311.94$185.99RVU26D
2026-07-01$311.94$185.99RVU26C
2026-04-01$311.94$185.99RVU26B
2026-01-01$311.94$185.99RVU26A
2025-10-01$311.08$221.40RVU25D
2025-07-01$311.08$221.40RVU25C
2025-04-01$311.08$221.40RVU25B
2025-01-01$311.08$221.40RVU25A
2024-10-01$320.13$225.06RVU24D
2024-07-01$320.13$225.06RVU24C
2024-04-01$320.13$225.06RVU24B
2024-03-09$320.13$225.06RVU24AR
2024-01-01$314.91$221.39RVU24A
2023-10-01$333.48$235.32RVU23D
2023-07-01$333.48$235.32RVU23C
2023-04-01$333.48$235.32RVU23B
2023-01-01$333.48$235.32RVU23A
2022-10-01$344.02$242.45RVU22D
2022-07-01$344.02$242.45RVU22C
2022-04-01$344.02$242.45RVU22B
2022-01-01$344.02$242.45RVU22A
2021-10-01$345.08$243.53RVU21D
2021-07-01$345.08$243.53RVU21C
2021-04-01$345.08$243.53RVU21B
2021-01-01$345.08$243.53RVU21A
2020-10-01$340.81$248.80RVU20D
2020-07-01$340.81$248.80RVU20C
2020-04-01$340.81$248.80RVU20B
2020-01-01$340.81$248.80RVU20A
2019-10-01$342.55$256.05RVU19D
2019-07-01$342.55$256.05RVU19C
2019-04-01$342.55$256.05RVU19B
2019-01-01$342.55$256.05RVU19A
2018-10-01$342.93$259.13RVU18D
2018-07-01$342.93$259.13RVU18C
2018-04-01$342.93$259.13RVU18B
2018-01-01$342.93$259.13RVU18AR1
2017-10-01$340.65$259.25RVU17D
2017-07-01$340.65$259.25RVU17C
2017-04-01$340.65$259.25RVU17B
2017-01-01$340.65$259.25RVU17A
2016-10-01$339.33$258.20RVU16D
2016-07-01$339.33$258.20RVU16C
2016-04-01$339.33$258.20RVU16B
2016-01-01$339.33$258.20RVU16A
2015-10-01$337.77$257.21RVU15D
2015-07-01$337.77$257.21RVU15C
2015-04-01$336.09$255.93RVU15B
2015-01-01$336.09$255.93RVU15A
2014-10-01$327.60$248.70RVU14D
2014-07-01$327.60$248.70RVU14C
2014-04-01$327.60$248.70RVU14B
2014-01-01$327.60$248.70RVU14A
2013-10-01$327.81$242.43RVU13D
2013-07-01$327.81$242.43RVU13C
2013-04-01$327.81$242.43RVU13B
2013-01-01$327.81$242.43RVU13AR

Price 17284 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

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 Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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