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

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, 2026One payment locality18.8K Medicare services in 2024

In Puerto Rico, Medicare pays $79.66 for 17315 in the office and $40.15 when it’s performed in a hospital or facility.

$79.66Office (non-facility)
$40.15Hospital or facility
+0.6%vs the national office rate ($79.16)

Check a contract rate as a % of Medicare · 17315 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 17315 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 17315 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 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.

How Puerto Rico compares for 17315

Across 109 of 109 payment localities, the office rate for 17315 runs from $71.20 in Arkansas to $102.60 in San Benito County, CA. Puerto Rico pays $79.66. The RVUs are the same everywhere; the geographic indexes change the dollars.

17315 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$79.66
  2. Los Angeles, CA · California$88.40+$8.74
  3. Washington, DC area · District of Columbia$89.58+$9.92
  4. Miami, FL · Florida$84.72+$5.06
  5. Chicago, IL · Illinois$82.63+$2.97
  6. Manhattan, NY · New York$90.19+$10.53
  7. Alaska · Alaska$95.45+$15.79

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

Every other payment area

17315 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$72.09$37.90
ArkansasArkansas$71.20$37.63
ArizonaArizona$77.32$39.45
Bakersfield, CACalifornia$83.43$40.60
Chico, CACalifornia$83.21$40.38
El Centro, CACalifornia$83.22$40.39
Fresno, CACalifornia$83.21$40.38
Hanford, CACalifornia$83.21$40.38

17315 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.

$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

See 17315 in every payment locality

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.

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,650

Code
17315
Physician work
0.85
Practice expense
1.45
Malpractice
0.07

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 17315 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work0.85× 1.0000.8500
Practice expense1.45× 1.0111.4659
Malpractice0.07× 0.9850.0690
Total RVUs2.3849
Conversion factor× 33.4009

Office rate, Puerto Rico$79.66

Office: (0.85 × 1 + 1.45 × 1.011 + 0.07 × 0.985) × $33.4009 = $79.66

Facility: (0.85 × 1 + 0.28 × 1.011 + 0.07 × 0.985) × $33.4009 = $40.15

Open 17315 in the RVU calculator

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.

Codes related to 17315

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

Codes related to 17315
CodeHow it relatesOffice range, Puerto Rico
Primary code
17311Mohs surgery, first stage, head/neck/hands/feet/genitaliaPrimary Mohs stage code for specified head, neck, hand, foot, genital, or complex sites.$671.62
17312Mohs surgery, additional stage, specified sitesAdditional-stage code for specified head, neck, hand, foot, genital, or complex sites.$405.78
17313Mohs surgery, first stage, trunk or extremityPrimary Mohs stage code for trunk, arms, or legs.$630.70
17314Mohs stage, additional stage, trunk or limbAdditional-stage code for trunk, arms, or legs.$388.34

How 17315 has changed in Puerto Rico

17315 · Office / nonfacility

$79.66

Effective 2026-10-01

The base rate is $1.10 higher than on 2025-10-01, moving from $78.56 to $79.66 (1.4%).

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

    $78.56changed to$79.66

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.87 changed to 0.85
    • Practice expense RVU 1.47 changed to 1.45
    • Malpractice RVU 0.08 changed to 0.07
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $80.17changed to$78.56

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.44 changed to 1.47
    • Malpractice RVU 0.09 changed to 0.08

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $78.86changed to$80.17

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $80.30changed to$78.86

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.39 changed to 1.44
    • Malpractice RVU 0.10 changed to 0.09
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $79.97changed to$80.30

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $78.88changed to$79.97

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.31 changed to 1.39
    • Malpractice RVU 0.09 changed to 0.10
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $79.18changed to$78.88

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.30 changed to 1.31

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $80.44changed to$79.18

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.26 changed to 1.30
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $81.72changed to$80.44

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.13 changed to 0.09
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $82.35changed to$81.72

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.28 changed to 1.26

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $73.54changed to$82.35

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $64.32changed to$73.54

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.26 changed to 1.28
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $64.59changed to$64.32

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.27 changed to 1.26
    • Malpractice RVU 0.11 changed to 0.13

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $64.27changed to$64.59

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $62.72changed to$64.27

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.23 changed to 1.27
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $61.44changed to$62.72

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.34 changed to 1.23
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $61.44

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$79.66$40.15RVU26D
2026-07-01$79.66$40.15RVU26C
2026-04-01$79.66$40.15RVU26B
2026-01-01$79.66$40.15RVU26A
2025-10-01$78.56$47.95RVU25D
2025-07-01$78.56$47.95RVU25C
2025-04-01$78.56$47.95RVU25B
2025-01-01$78.56$47.95RVU25A
2024-10-01$80.17$49.33RVU24D
2024-07-01$80.17$49.33RVU24C
2024-04-01$80.17$49.33RVU24B
2024-03-09$80.17$49.33RVU24AR
2024-01-01$78.86$48.53RVU24A
2023-10-01$80.30$50.58RVU23D
2023-07-01$79.97$50.49RVU23C
2023-04-01$79.97$50.49RVU23B
2023-01-01$79.97$50.49RVU23A
2022-10-01$78.88$50.62RVU22D
2022-07-01$78.88$50.62RVU22C
2022-04-01$78.88$50.62RVU22B
2022-01-01$78.88$50.62RVU22A
2021-10-01$79.18$51.04RVU21D
2021-07-01$79.18$51.04RVU21C
2021-04-01$79.18$51.04RVU21B
2021-01-01$79.18$51.04RVU21A
2020-10-01$80.44$53.16RVU20D
2020-07-01$80.44$53.16RVU20C
2020-04-01$80.44$53.16RVU20B
2020-01-01$80.44$53.16RVU20A
2019-10-01$81.72$54.86RVU19D
2019-07-01$81.72$54.86RVU19C
2019-04-01$81.72$54.86RVU19B
2019-01-01$81.72$54.86RVU19A
2018-10-01$82.35$55.17RVU18D
2018-07-01$82.35$55.17RVU18C
2018-04-01$82.35$55.17RVU18B
2018-01-01$82.35$55.17RVU18AR1
2017-10-01$73.54$50.81RVU17D
2017-07-01$73.54$50.81RVU17C
2017-04-01$73.54$50.81RVU17B
2017-01-01$73.54$50.81RVU17A
2016-10-01$64.32$45.89RVU16D
2016-07-01$64.32$45.89RVU16C
2016-04-01$64.32$45.89RVU16B
2016-01-01$64.32$45.89RVU16A
2015-10-01$64.59$45.85RVU15D
2015-07-01$64.59$45.85RVU15C
2015-04-01$64.27$45.62RVU15B
2015-01-01$64.27$45.62RVU15A
2014-10-01$62.72$44.88RVU14D
2014-07-01$62.72$44.88RVU14C
2014-04-01$62.72$44.88RVU14B
2014-01-01$62.72$44.88RVU14A
2013-10-01$61.44$43.68RVU13D
2013-07-01$61.44$43.68RVU13C
2013-04-01$61.44$43.68RVU13B
2013-01-01$61.44$43.68RVU13AR

Price 17315 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

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)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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