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

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, 2026One payment locality205.7K Medicare services in 2024

In Tennessee, Medicare pays $579.17 for 17313 in the office and $243.98 when it’s performed in a hospital or facility.

$579.17Office (non-facility)
$243.98Hospital or facility
−7.5%vs the national office rate ($626.27)

Check a contract rate as a % of Medicare · 17313 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 17313 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Tennessee
  2. What 17313 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 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.

How Tennessee compares for 17313

Across 109 of 109 payment localities, the office rate for 17313 runs from $557.40 in Arkansas to $826.94 in San Benito County, CA. Tennessee pays $579.17. The RVUs are the same everywhere; the geographic indexes change the dollars.

17313 in Tennessee vs other payment areas
  1. Tennessee · this page$579.17
  2. Los Angeles, CA · California$705.98+$126.81
  3. Washington, DC area · District of Columbia$714.14+$134.97
  4. Miami, FL · Florida$670.86+$91.69
  5. Chicago, IL · Illinois$652.60+$73.43
  6. Manhattan, NY · New York$717.49+$138.32
  7. Alaska · Alaska$736.62+$157.45

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

Every other payment area

17313 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$565.14$242.49
ArkansasArkansas$557.40$240.65
ArizonaArizona$610.46$253.15
Bakersfield, CACalifornia$663.83$259.68
Chico, CACalifornia$662.17$258.03
El Centro, CACalifornia$662.26$258.12
Fresno, CACalifornia$662.17$258.03
Hanford, CACalifornia$662.17$258.03

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

See 17313 in every payment locality

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.

The exact Tennessee inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,648

Code
17313
Physician work
5.42
Practice expense
12.80
Malpractice
0.53

GPCI2026.csv

95

Locality
Tennessee
Physician work
1.000
Practice expense
0.909
Malpractice
0.537
Office calculation for 17313 in Tennessee
ComponentRVULocality factorAdjusted
Physician work5.42× 1.0005.4200
Practice expense12.80× 0.90911.6352
Malpractice0.53× 0.5370.2846
Total RVUs17.3398
Conversion factor× 33.4009

Office rate, Tennessee$579.17

Office: (5.42 × 1 + 12.8 × 0.909 + 0.53 × 0.537) × $33.4009 = $579.17

Facility: (5.42 × 1 + 1.76 × 0.909 + 0.53 × 0.537) × $33.4009 = $243.98

Open 17313 in the RVU calculator

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

How 17313 has changed in Tennessee

17313 · Office / nonfacility

$579.17

Effective 2026-10-01

The base rate is $10.43 higher than on 2025-10-01, moving from $568.74 to $579.17 (1.8%).

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

    $568.74changed to$579.17

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.56 changed to 5.42
    • Practice expense RVU 13.06 changed to 12.80
    • Malpractice RVU 0.59 changed to 0.53
    • Practice expense GPCI 0.896 changed to 0.909
    • Malpractice GPCI 0.544 changed to 0.537

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $585.70changed to$568.74

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 13.08 changed to 13.06
    • Malpractice RVU 0.58 changed to 0.59

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $576.14changed to$585.70

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $590.61changed to$576.14

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 12.94 changed to 13.08
    • Practice expense GPCI 0.894 changed to 0.896
    • Malpractice GPCI 0.518 changed to 0.544
  5. January 1, 2023

    RVU23A

    $589.49changed to$590.61

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 12.56 changed to 12.94
    • Malpractice RVU 0.55 changed to 0.58
    • Practice expense GPCI 0.892 changed to 0.894
    • Malpractice GPCI 0.492 changed to 0.518

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $591.68changed to$589.49

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 12.49 changed to 12.56
    • Malpractice RVU 0.52 changed to 0.55

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $585.08changed to$591.68

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 11.58 changed to 12.49
    • Practice expense GPCI 0.897 changed to 0.892
    • Malpractice GPCI 0.509 changed to 0.492

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $585.12changed to$585.08

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 11.37 changed to 11.58
    • Malpractice RVU 0.82 changed to 0.52
    • Practice expense GPCI 0.901 changed to 0.897
    • Malpractice GPCI 0.526 changed to 0.509

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $579.48changed to$585.12

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 11.21 changed to 11.37
    • Malpractice RVU 0.83 changed to 0.82

    Held through RVU19B, RVU19C, RVU19D.

  10. April 1, 2018

    RVU18B

    No ratechanged to$579.48

    Held through RVU18C, RVU18D.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$579.17$243.98RVU26D
2026-07-01$579.17$243.98RVU26C
2026-04-01$579.17$243.98RVU26B
2026-01-01$579.17$243.98RVU26A
2025-10-01$568.74$287.90RVU25D
2025-07-01$568.74$287.90RVU25C
2025-04-01$568.74$287.90RVU25B
2025-01-01$568.74$287.90RVU25A
2024-10-01$585.70$294.01RVU24D
2024-07-01$585.70$294.01RVU24C
2024-04-01$585.70$294.01RVU24B
2024-03-09$585.70$294.01RVU24AR
2024-01-01$576.14$289.21RVU24A
2023-10-01$590.61$297.96RVU23D
2023-07-01$590.61$297.96RVU23C
2023-04-01$590.61$297.96RVU23B
2023-01-01$590.61$297.96RVU23A
2022-10-01$589.49$299.94RVU22D
2022-07-01$589.49$299.94RVU22C
2022-04-01$589.49$299.94RVU22B
2022-01-01$589.49$299.94RVU22A
2021-10-01$591.68$302.53RVU21D
2021-07-01$591.68$302.53RVU21C
2021-04-01$591.68$302.53RVU21B
2021-01-01$591.68$302.53RVU21A
2020-10-01$585.08$315.74RVU20D
2020-07-01$585.08$315.74RVU20C
2020-04-01$585.08$315.74RVU20B
2020-01-01$585.08$315.74RVU20A
2019-10-01$585.12$323.73RVU19D
2019-07-01$585.12$323.73RVU19C
2019-04-01$585.12$323.73RVU19B
2019-01-01$585.12$323.73RVU19A
2018-10-01$579.48$325.83RVU18D
2018-07-01$579.48$325.83RVU18C
2018-04-01$579.48$325.83RVU18B
2018-01-01Rate data unavailableRate data unavailableRVU18AR1
2017-10-01Rate data unavailableRate data unavailableRVU17D
2017-07-01Rate data unavailableRate data unavailableRVU17C
2017-04-01Rate data unavailableRate data unavailableRVU17B
2017-01-01Rate data unavailableRate data unavailableRVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 17313 for an earlier date of service

Where the Tennessee rate applies

Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.

  • Adams
  • Adamsville
  • Alamo
  • Alcoa
  • Alexandria
  • Algood
  • Allardt
  • Altamont

Browse all communities in Tennessee

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)
Geographic factors for TennesseeGPCI2026.csv, line 95 (RVU26D)

Open CMS sourceHow we calculate rates

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