CPT code 17315: Mohs block, beyond first five blocks2026 Medicare rate & RVUs

Reports each Mohs tissue block beyond the first five in a stage when additional mapped specimens are needed for microscopic margin assessment.

CMS RVU26DEffective Oct 1, 2026109 payment localities18.8K Medicare services in 2024

Medicare pays $79.16 for 17315 nationally in the office and $40.08 in a hospital or facility. Local office rates run $71.20–$102.60.

Medicare rate · 17315

Mohs block, beyond first five blocks

Office or facility?

Work RVUs
0.85
Total RVUs
2.37
Global days
ZZZ

National rate · 2026

$79.16

Office setting, before claim adjustments.

See every locality for 17315 →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 17315 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 17315 covers

During Mohs micrographic surgery, the operating physician removes and maps tumor-bearing skin, then examines prepared tissue microscopically to assess margins. Code 17315 captures tissue blocks beyond the five-block allowance for a stage. It is reported when a stage requires more than five mapped specimens for microscopic margin assessment, commonly during staged excision of a cutaneous cancer. Mohs surgeons most often perform this work in office-based dermatologic surgery.

Report 17315 for each excess block with the appropriate Mohs stage code: 17311 or 17312 for head, neck, hands, feet, genitalia, or specified complex sites; 17313 or 17314 for trunk, arms, or legs. The operative and pathology records should support the site, stages, mapping, and block count. An additional block is distinct from an additional stage, which is reported with the applicable stage code. CMS classifies 17315 as an add-on: bill it only with a primary procedure, and payment falls within that procedure’s global period.

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 17315 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

$71.20 to $102.60

$71.20$86.90$102.60
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

17315 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$72.09$37.90
Alaska$95.45$53.83
Arizona$77.32$39.45
Arkansas$71.20$37.63
Atlanta, GA$80.49$40.79
Austin, TX$81.76$40.41
Bakersfield, CA$83.43$40.60
Baltimore area, MD$83.70$41.77
Beaumont, TX$74.64$39.07
Brazoria, TX$78.44$39.71

17315 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.

$71.20

$95.45

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

View every state and territory as a table
17315 office rate range by state
State / territoryOffice rate rangeLocalities
AK$95.451
AL$72.091
AR$71.201
AZ$77.321
CA$83.21–$102.6029
CO$82.091
CT$83.951
DC$89.581
DE$78.481
FL$78.21–$84.723
GA$74.38–$80.492
GU$84.811
HI$84.811
IA$73.631
ID$74.051
IL$76.26–$82.634
IN$74.421
KS$73.351
KY$73.591
LA$73.49–$76.622
MA$81.71–$89.462
MD$79.83–$89.583
ME$74.40–$77.862
MI$75.25–$79.072
MN$78.921
MO$72.42–$76.843
MS$71.821
MT$79.161
NC$75.071
ND$77.771
NE$73.981
NH$80.851
NJ$84.98–$88.862
NM$75.611
NV$78.821
NY$76.04–$92.135
OH$74.971
OK$73.461
OR$78.27–$84.392
PA$75.06–$82.112
PR$79.661
RI$81.051
SC$75.131
SD$77.611
TN$73.671
TX$74.64–$81.768
UT$76.021
VA$77.65–$89.582
VI$79.661
VT$77.521
WA$81.54–$91.152
WI$75.511
WV$73.821
WY$78.551

How the 17315 rate is calculated

Each of 17315’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 · 17315

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.85

0.85 RVUs× 1.000 GPCI

Practice expense1.45

1.45 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

2.3700

Conversion factor

$33.4009

Medicare rate

$79.16

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

Payment rules and modifiers for 17315

The CMS indicators that decide how 17315 is paid alongside other services.

CMS payment indicators · 17315

Mohs block, beyond first five blocks

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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.

17315 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 17315

    Mohs block, beyond first five blocks0.85 wRVU

    $79.16

  • 17312

    Mohs surgery, additional stage, specified sites3.22 wRVU

    $402.81+$323.65

  • 17314

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

    $385.45+$306.29

  • 17311

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

    $667.02+$587.86

How to choose

17312Mohs surgeryAdditional stage, specified sites
17312 reports an additional Mohs stage at specified head, neck, hand, foot, genital, or complex sites. 17315 reports excess tissue blocks within a stage.
17314Mohs stageAdditional stage, trunk or limb
17314 reports an additional Mohs stage on the trunk, arms, or legs. 17315 is for tissue blocks beyond five in a stage, not another stage.
17311Mohs surgeryFirst stage, head/neck/hands/feet/genitalia
17311 reports the first Mohs stage at specified head, neck, hand, foot, genital, or complex sites; 17315 reports excess blocks in a stage.

17315 billing questions

Does 17315 represent another Mohs stage?

No. It reports each tissue block beyond the first five in a stage; an additional stage is reported with 17312 or 17314, as appropriate.

How many units should be reported?

Report one unit for each tissue block beyond five in a stage. Count the blocks for each stage separately.

Can 17315 be billed by itself?

No. It is an add-on code and must be reported with the applicable primary Mohs procedure.

Which Mohs stage code accompanies 17315?

Use 17311 or 17312 for the applicable head, neck, hands, feet, genitalia, or specified complex sites, and 17313 or 17314 for trunk, arms, or legs.

What documentation supports 17315?

The operative and pathology records should identify the Mohs site and stages, describe the tissue mapping, and support the number of blocks, including those beyond five in a stage.

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 17315PPRRVU2026_Oct_nonQPP.csv, line 1,650 (RVU26D)

Open CMS sourceHow we calculate rates

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