CPT code 17284: Malignant lesion destruction, face and related sites, 3.1–4 cm2026 Medicare rate & RVUs in South 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 South Dakota, Medicare pays $264.56 for 17284 in the office and $158.02 when it’s performed in a hospital or facility.

$264.56Office (non-facility)
$158.02Hospital or facility
−2.7%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 South 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 South 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. South Dakota pays $264.56. The RVUs are the same everywhere; the geographic indexes change the dollars.

17284 in South Dakota vs other payment areas
  1. South Dakota · this page$264.56
  2. Los Angeles, CA · California$301.12+$36.56
  3. Washington, DC area · District of Columbia$306.64+$42.08
  4. Miami, FL · Florida$295.16+$30.60
  5. Chicago, IL · Illinois$287.67+$23.11
  6. Manhattan, NY · New York$310.39+$45.83
  7. Alaska · Alaska$329.22+$64.66

Other areas in South 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 South 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

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 17284 in South Dakota
ComponentRVULocality factorAdjusted
Physician work3.12× 1.0003.1200
Practice expense4.69× 1.0004.6900
Malpractice0.33× 0.3360.1109
Total RVUs7.9209
Conversion factor× 33.4009

Office rate, South Dakota$264.56

Office: (3.12 × 1 + 4.69 × 1 + 0.33 × 0.336) × $33.4009 = $264.56

Facility: (3.12 × 1 + 1.5 × 1 + 0.33 × 0.336) × $33.4009 = $158.02

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 South Dakota

17284 · Office / nonfacility

$264.56

Effective 2026-10-01

The base rate is $2.23 higher than on 2025-10-01, moving from $262.33 to $264.56 (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

    $262.33changed to$264.56

    • 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 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $269.96changed to$262.33

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $265.55changed to$269.96

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $273.26changed to$265.55

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.74 changed to 4.78
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $275.50changed to$273.26

    • 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 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $276.97changed to$275.50

    • 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

    $278.04changed to$276.97

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.39 changed to 4.63
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $277.32changed to$278.04

    • 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 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $277.16changed to$277.32

    • 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

    $274.97changed to$277.16

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.28 changed to 4.32
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $273.69changed to$274.97

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.26 changed to 4.28
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $273.89changed to$273.69

    • 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

    $272.52changed to$273.89

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $270.27changed to$272.52

    • 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 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $274.23changed to$270.27

    • 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 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $274.23

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$264.56$158.02RVU26D
2026-07-01$264.56$158.02RVU26C
2026-04-01$264.56$158.02RVU26B
2026-01-01$264.56$158.02RVU26A
2025-10-01$262.33$187.28RVU25D
2025-07-01$262.33$187.28RVU25C
2025-04-01$262.33$187.28RVU25B
2025-01-01$262.33$187.28RVU25A
2024-10-01$269.96$190.40RVU24D
2024-07-01$269.96$190.40RVU24C
2024-04-01$269.96$190.40RVU24B
2024-03-09$269.96$190.40RVU24AR
2024-01-01$265.55$187.29RVU24A
2023-10-01$273.26$192.27RVU23D
2023-07-01$273.26$192.27RVU23C
2023-04-01$273.26$192.27RVU23B
2023-01-01$273.26$192.27RVU23A
2022-10-01$275.50$192.79RVU22D
2022-07-01$275.50$192.79RVU22C
2022-04-01$275.50$192.79RVU22B
2022-01-01$275.50$192.79RVU22A
2021-10-01$276.97$194.27RVU21D
2021-07-01$276.97$194.27RVU21C
2021-04-01$276.97$194.27RVU21B
2021-01-01$276.97$194.27RVU21A
2020-10-01$278.04$202.25RVU20D
2020-07-01$278.04$202.25RVU20C
2020-04-01$278.04$202.25RVU20B
2020-01-01$278.04$202.25RVU20A
2019-10-01$277.32$205.24RVU19D
2019-07-01$277.32$205.24RVU19C
2019-04-01$277.32$205.24RVU19B
2019-01-01$277.32$205.24RVU19A
2018-10-01$277.16$207.32RVU18D
2018-07-01$277.16$207.32RVU18C
2018-04-01$277.16$207.32RVU18B
2018-01-01$277.16$207.32RVU18AR1
2017-10-01$274.97$207.14RVU17D
2017-07-01$274.97$207.14RVU17C
2017-04-01$274.97$207.14RVU17B
2017-01-01$274.97$207.14RVU17A
2016-10-01$273.69$206.02RVU16D
2016-07-01$273.69$206.02RVU16C
2016-04-01$273.69$206.02RVU16B
2016-01-01$273.69$206.02RVU16A
2015-10-01$273.89$206.69RVU15D
2015-07-01$273.89$206.69RVU15C
2015-04-01$272.52$205.66RVU15B
2015-01-01$272.52$205.66RVU15A
2014-10-01$270.27$204.36RVU14D
2014-07-01$270.27$204.36RVU14C
2014-04-01$270.27$204.36RVU14B
2014-01-01$270.27$204.36RVU14A
2013-10-01$274.23$202.78RVU13D
2013-07-01$274.23$202.78RVU13C
2013-04-01$274.23$202.78RVU13B
2013-01-01$274.23$202.78RVU13AR

Price 17284 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South 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 South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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