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

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 Houston, TX, Medicare pays $631.38 for 17313 in the office and $265.21 when it’s performed in a hospital or facility.

$631.38Office (non-facility)
$265.21Hospital or facility
+0.8%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 Houston, TX
  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 Houston, TX 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. Houston, TX pays $631.38. The RVUs are the same everywhere; the geographic indexes change the dollars.

17313 in Houston, TX vs other payment areas
  1. Houston, TX · this page$631.38
  2. Austin, TX · Texas$649.41+$18.03
  3. Beaumont, TX · Texas$586.53−$44.85
  4. Brazoria, TX · Texas$619.97−$11.41
  5. Dallas, TX · Texas$623.67−$7.71
  6. Fort Worth, TX · Texas$619.63−$11.75
  7. Galveston, TX · Texas$621.68−$9.70

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

Every other payment area

17313 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$602.75$252.81
Los Angeles, CACalifornia$705.98$269.75
Washington, DC areaDistrict of Columbia$714.14$279.76
Miami, FLFlorida$670.86$287.00
Chicago, ILIllinois$652.60$282.01
Manhattan, NYNew York$717.49$289.00
AlaskaAlaska$736.62$343.91
AlabamaAlabama$565.14$242.49

17313 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.

$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 Houston, TX 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

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 17313 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work5.42× 1.0085.4634
Practice expense12.80× 0.99312.7104
Malpractice0.53× 1.3760.7293
Total RVUs18.9030
Conversion factor× 33.4009

Office rate, Houston, TX$631.38

Office: (5.42 × 1.008 + 12.8 × 0.993 + 0.53 × 1.376) × $33.4009 = $631.38

Facility: (5.42 × 1.008 + 1.76 × 0.993 + 0.53 × 1.376) × $33.4009 = $265.21

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

Codes related to 17313

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 17313
CodeHow it relatesOffice range, Houston, TX
Add-on codes
17314Mohs stage, additional stage, trunk or limbAdditional Mohs stages for a lesion on the trunk, arms, or legs are reported with this first-stage service.$387.95
17315Mohs block, beyond first five blocksAdditional tissue blocks beyond the included amount may be reported with this service.$79.93
Same family
17311Mohs surgery, first stage, head/neck/hands/feet/genitaliaFirst-stage Mohs code for specified sites including the head, neck, hands, feet, and genitalia.$672.93
17312Mohs surgery, additional stage, specified sitesAdditional-stage Mohs code for the anatomic sites assigned to 17311.$405.83

How 17313 has changed in Houston, TX

17313 · Office / nonfacility

$631.38

Effective 2026-10-01

The base rate is $1.59 lower than on 2025-10-01, moving from $632.97 to $631.38 (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

    $632.97changed to$631.38

    • 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
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.003 changed to 0.993
    • Malpractice GPCI 1.409 changed to 1.376

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $651.58changed to$632.97

    • 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

    $640.94changed to$651.58

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $660.94changed to$640.94

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 12.94 changed to 13.08
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.016 changed to 1.003
    • Malpractice GPCI 1.154 changed to 1.409

  5. January 1, 2023

    RVU23A

    $662.96changed to$660.94

    • 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
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.029 changed to 1.016
    • Malpractice GPCI 0.900 changed to 1.154

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $665.00changed to$662.96

    • 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

    $649.38changed to$665.00

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 11.58 changed to 12.49
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.020 changed to 1.029
    • Malpractice GPCI 0.918 changed to 0.900

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $646.73changed to$649.38

    • 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
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.012 changed to 1.020
    • Malpractice GPCI 0.936 changed to 0.918

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $640.53changed to$646.73

    • 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. January 1, 2018

    RVU18AR1

    $636.20changed to$640.53

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 11.17 changed to 11.21
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.946 changed to 0.936

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $631.39changed to$636.20

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 11.10 changed to 11.17
    • Malpractice RVU 0.84 changed to 0.83
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.006 changed to 1.009
    • Malpractice GPCI 0.955 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $631.28changed to$631.39

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 11.11 changed to 11.10
    • Malpractice RVU 0.76 changed to 0.84

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $628.14changed to$631.28

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $616.34changed to$628.14

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 10.82 changed to 11.11
    • Malpractice RVU 0.75 changed to 0.76
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 1.004 changed to 1.006
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $606.73changed to$616.34

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 11.48 changed to 10.82
    • Malpractice RVU 0.78 changed to 0.75
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 1.002 changed to 1.004
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $606.73

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$631.38$265.21RVU26D
2026-07-01$631.38$265.21RVU26C
2026-04-01$631.38$265.21RVU26B
2026-01-01$631.38$265.21RVU26A
2025-10-01$632.97$318.59RVU25D
2025-07-01$632.97$318.59RVU25C
2025-04-01$632.97$318.59RVU25B
2025-01-01$632.97$318.59RVU25A
2024-10-01$651.58$325.05RVU24D
2024-07-01$651.58$325.05RVU24C
2024-04-01$651.58$325.05RVU24B
2024-03-09$651.58$325.05RVU24AR
2024-01-01$640.94$319.75RVU24A
2023-10-01$660.94$328.36RVU23D
2023-07-01$660.94$328.36RVU23C
2023-04-01$660.94$328.36RVU23B
2023-01-01$660.94$328.36RVU23A
2022-10-01$662.96$328.94RVU22D
2022-07-01$662.96$328.94RVU22C
2022-04-01$662.96$328.94RVU22B
2022-01-01$662.96$328.94RVU22A
2021-10-01$665.00$331.44RVU21D
2021-07-01$665.00$331.44RVU21C
2021-04-01$665.00$331.44RVU21B
2021-01-01$665.00$331.44RVU21A
2020-10-01$649.38$343.11RVU20D
2020-07-01$649.38$343.11RVU20C
2020-04-01$649.38$343.11RVU20B
2020-01-01$649.38$343.11RVU20A
2019-10-01$646.73$353.13RVU19D
2019-07-01$646.73$353.13RVU19C
2019-04-01$646.73$353.13RVU19B
2019-01-01$646.73$353.13RVU19A
2018-10-01$640.53$355.63RVU18D
2018-07-01$640.53$355.63RVU18C
2018-04-01$640.53$355.63RVU18B
2018-01-01$640.53$355.63RVU18AR1
2017-10-01$636.20$355.56RVU17D
2017-07-01$636.20$355.56RVU17C
2017-04-01$636.20$355.56RVU17B
2017-01-01$636.20$355.56RVU17A
2016-10-01$631.39$353.32RVU16D
2016-07-01$631.39$353.32RVU16C
2016-04-01$631.39$353.32RVU16B
2016-01-01$631.39$353.32RVU16A
2015-10-01$631.28$351.49RVU15D
2015-07-01$631.28$351.49RVU15C
2015-04-01$628.14$349.74RVU15B
2015-01-01$628.14$349.74RVU15A
2014-10-01$616.34$346.24RVU14D
2014-07-01$616.34$346.24RVU14C
2014-04-01$616.34$346.24RVU14B
2014-01-01$616.34$346.24RVU14A
2013-10-01$606.73$340.48RVU13D
2013-07-01$606.73$340.48RVU13C
2013-04-01$606.73$340.48RVU13B
2013-01-01$606.73$340.48RVU13AR

Price 17313 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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 Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

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