CPT code 17313: Mohs surgery, first stage, trunk or extremity2026 Medicare rate & RVUs

Mohs surgery for a first tissue stage on the trunk, arms, or legs, including mapped specimen processing and microscopic margin assessment by the surgeon.

CMS RVU26DEffective Oct 1, 2026109 payment localities205.7K Medicare services in 2024

Medicare pays $626.27 for 17313 nationally in the office and $257.52 in a hospital or facility. Local office rates run $557.40–$826.94.

Medicare rate · 17313

Mohs surgery, first stage, trunk or extremity

Office or facility?

Work RVUs
5.42
Total RVUs
18.75
Global days
000

National rate · 2026

$626.27

Office setting, before claim adjustments.

See every locality for 17313 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 17313 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 17313 covers

A Mohs surgeon removes a skin cancer in mapped tissue layers, processes and examines the tissue microscopically, and uses the findings to guide further removal while preserving uninvolved tissue. This code represents the first stage for a lesion on the trunk, an arm, or a leg. It is commonly used for cutaneous basal cell or squamous cell carcinomas treated in a dermatology office or hospital outpatient setting.

Report one first-stage service for the treated site, with the number of tissue blocks documented; the first stage includes up to five blocks. Record the anatomic site, mapping, blocks examined, and histologic findings. Additional stages are reported with 17314, and additional blocks beyond the included amount with 17315. Same-day preoperative and postoperative care is included in the 0-day global period. When other 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-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.

Where 17313 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$557.40 to $826.94

$557.40$692.17$826.94
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

17313 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$565.14$242.49
Alaska$736.62$343.91
Arizona$610.46$253.15
Arkansas$557.40$240.65
Atlanta, GA$637.21$262.56
Austin, TX$649.41$259.27
Bakersfield, CA$663.83$259.68
Baltimore area, MD$664.57$268.90
Beaumont, TX$586.53$250.97
Brazoria, TX$619.97$254.55

17313 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.

$557.40

$744.56

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

View every state and territory as a table
17313 office rate range by state
State / territoryOffice rate rangeLocalities
AK$736.621
AL$565.141
AR$557.401
AZ$610.461
CA$662.17–$826.9429
CO$651.921
CT$666.521
DC$714.141
DE$620.251
FL$616.36–$670.863
GA$583.49–$637.212
GU$677.391
HI$677.391
IA$579.251
ID$582.741
IL$599.04–$652.744
IN$585.961
KS$576.441
KY$577.311
LA$576.36–$603.452
MA$648.23–$714.682
MD$631.76–$714.143
ME$585.37–$615.892
MI$591.36–$623.452
MN$626.201
MO$566.81–$605.783
MS$562.221
MT$626.231
NC$591.231
ND$615.751
NE$582.341
NH$641.581
NJ$674.56–$707.282
NM$594.341
NV$623.741
NY$599.63–$733.835
OH$589.211
OK$576.571
OR$619.30–$672.092
PA$590.24–$650.472
PR$630.701
RI$641.901
SC$591.121
SD$614.511
TN$579.171
TX$586.53–$649.418
UT$598.811
VA$613.79–$714.142
VI$630.701
VT$613.251
WA$647.05–$729.132
WI$596.061
WV$577.891
WY$621.661

How the 17313 rate is calculated

Each of 17313’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 · 17313

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.42

5.42 RVUs× 1.000 GPCI

Practice expense12.80

12.80 RVUs× 1.000 GPCI

Malpractice0.53

0.53 RVUs× 1.000 GPCI

Adjusted RVUs

18.7500

Conversion factor

$33.4009

Medicare rate

$626.27

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

Payment rules and modifiers for 17313

The CMS indicators that decide how 17313 is paid alongside other services.

CMS payment indicators · 17313

Mohs surgery, first stage, trunk or extremity

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is 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.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

17313 without 51 · national office

$626.27

Mohs surgery, first stage, trunk or extremity

17313-51 · Second procedure: 50%

$313.14

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

17313 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 17313

    Mohs surgery, first stage, trunk or extremity5.42 wRVU

    $626.27

  • 17311

    Mohs surgery, first stage, head/neck/hands/feet/genitalia6.05 wRVU

    $667.02+$40.75

  • 17314

    Mohs stage, additional stage, trunk or limb2.98 wRVU

    $385.45−$240.82

  • 17315

    Mohs block, beyond first five blocks0.85 wRVU

    $79.16−$547.11

  • 17312

    Mohs surgery, additional stage, specified sites3.22 wRVU

    $402.81−$223.46

How to choose

17311Mohs surgeryFirst stage, head/neck/hands/feet/genitalia
Use 17311 for the first Mohs stage at the head, neck, hands, feet, or genitalia. Code 17313 is for the trunk, arms, or legs.
17314Mohs stageAdditional stage, trunk or limb
17314 reports an additional Mohs stage on the trunk, arms, or legs; 17313 reports the first stage at those sites.
17315Mohs blockBeyond first five blocks
17315 reports additional tissue blocks beyond the included amount, rather than a separate stage.
17312Mohs surgeryAdditional stage, specified sites
17312 reports an additional Mohs stage at sites assigned to 17311, not the trunk, arms, or legs.

17313 billing questions

How is 17313 distinguished from 17311?

Choose 17313 for the first Mohs stage on the trunk, arms, or legs. Code 17311 is for the first stage at specified sites including the head, neck, hands, feet, or genitalia.

How many tissue blocks are included?

The first stage includes up to five tissue blocks. Report additional blocks with 17315, and document the block count.

How are later Mohs stages reported?

For a lesion on the trunk, arm, or leg, report additional stages with 17314. Document each stage and its tissue findings.

Can modifier 50 be used for bilateral lesions?

No. Modifier 50 is inappropriate for this service; the CMS bilateral adjustment does not apply.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.

What same-day care is included?

The 0-day global period includes the related preoperative and postoperative care provided on the procedure date.

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 17313PPRRVU2026_Oct_nonQPP.csv, line 1,648 (RVU26D)

Open CMS sourceHow we calculate rates

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