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

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 Galveston, TX, Medicare pays $78.65 for 17315 in the office and $39.84 when it’s performed in a hospital or facility.

$78.65Office (non-facility)
$39.84Hospital 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 Galveston, TX
  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 Galveston, TX 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. Galveston, TX pays $78.65. The RVUs are the same everywhere; the geographic indexes change the dollars.

17315 in Galveston, TX vs other payment areas
  1. Galveston, TX · this page$78.65
  2. Austin, TX · Texas$81.76+$3.11
  3. Beaumont, TX · Texas$74.64−$4.01
  4. Brazoria, TX · Texas$78.44−$0.21
  5. Dallas, TX · Texas$78.89+$0.24
  6. Fort Worth, TX · Texas$78.44−$0.21
  7. Houston, TX · Texas$79.93+$1.28

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

Every other payment area

17315 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$76.46$39.38
Los Angeles, CACalifornia$88.40$42.17
Washington, DC areaDistrict of Columbia$89.58$43.54
Miami, FLFlorida$84.72$44.04
Chicago, ILIllinois$82.63$43.35
Manhattan, NYNew York$90.19$44.78
AlaskaAlaska$95.45$53.83
AlabamaAlabama$72.09$37.90

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

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 Galveston, TX 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

101

Locality
Galveston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
0.828
Office calculation for 17315 in Galveston, TX
ComponentRVULocality factorAdjusted
Physician work0.85× 1.0080.8568
Practice expense1.45× 0.9931.4398
Malpractice0.07× 0.8280.0580
Total RVUs2.3546
Conversion factor× 33.4009

Office rate, Galveston, TX$78.65

Office: (0.85 × 1.008 + 1.45 × 0.993 + 0.07 × 0.828) × $33.4009 = $78.65

Facility: (0.85 × 1.008 + 0.28 × 0.993 + 0.07 × 0.828) × $33.4009 = $39.84

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.

How 17315 has changed in Galveston, TX

17315 · Office / nonfacility

$78.65

Effective 2026-10-01

The base rate is $0.35 higher than on 2025-10-01, moving from $78.30 to $78.65 (0.4%).

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

    $78.30changed to$78.65

    • 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
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.000 changed to 0.993
    • Malpractice GPCI 0.855 changed to 0.828

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $79.86changed to$78.30

    • 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

    $78.56changed to$79.86

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $80.26changed to$78.56

    • 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
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.013 changed to 1.000
    • Malpractice GPCI 0.703 changed to 0.855
  5. January 1, 2023

    RVU23A

    $79.30changed to$80.26

    • 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
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.026 changed to 1.013
    • Malpractice GPCI 0.550 changed to 0.703

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $79.60changed to$79.30

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

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $80.81changed to$79.60

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.26 changed to 1.30
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.019 changed to 1.026
    • Malpractice GPCI 0.695 changed to 0.550

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $81.82changed to$80.81

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.13 changed to 0.09
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.011 changed to 1.019
    • Malpractice GPCI 0.839 changed to 0.695

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $82.46changed to$81.82

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

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $82.52changed to$82.46

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 1.012 changed to 1.011
    • Malpractice GPCI 0.897 changed to 0.839

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $81.89changed to$82.52

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.26 changed to 1.28
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.013 changed to 1.012
    • Malpractice GPCI 0.955 changed to 0.897

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $81.86changed to$81.89

    • 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.

  13. July 1, 2015

    RVU15C

    $81.45changed to$81.86

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $79.71changed to$81.45

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.23 changed to 1.27
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 1.005 changed to 1.013
    • Malpractice GPCI 0.970 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $78.96changed to$79.71

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.34 changed to 1.23
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 0.996 changed to 1.005
    • Malpractice GPCI 0.985 changed to 0.970

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $78.96

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$78.65$39.84RVU26D
2026-07-01$78.65$39.84RVU26C
2026-04-01$78.65$39.84RVU26B
2026-01-01$78.65$39.84RVU26A
2025-10-01$78.30$47.89RVU25D
2025-07-01$78.30$47.89RVU25C
2025-04-01$78.30$47.89RVU25B
2025-01-01$78.30$47.89RVU25A
2024-10-01$79.86$49.24RVU24D
2024-07-01$79.86$49.24RVU24C
2024-04-01$79.86$49.24RVU24B
2024-03-09$79.86$49.24RVU24AR
2024-01-01$78.56$48.43RVU24A
2023-10-01$80.26$50.39RVU23D
2023-07-01$80.26$50.39RVU23C
2023-04-01$80.26$50.39RVU23B
2023-01-01$80.26$50.39RVU23A
2022-10-01$79.30$50.54RVU22D
2022-07-01$79.30$50.54RVU22C
2022-04-01$79.30$50.54RVU22B
2022-01-01$79.30$50.54RVU22A
2021-10-01$79.60$50.96RVU21D
2021-07-01$79.60$50.96RVU21C
2021-04-01$79.60$50.96RVU21B
2021-01-01$79.60$50.96RVU21A
2020-10-01$80.81$53.23RVU20D
2020-07-01$80.81$53.23RVU20C
2020-04-01$80.81$53.23RVU20B
2020-01-01$80.81$53.23RVU20A
2019-10-01$81.82$54.86RVU19D
2019-07-01$81.82$54.86RVU19C
2019-04-01$81.82$54.86RVU19B
2019-01-01$81.82$54.86RVU19A
2018-10-01$82.46$55.16RVU18D
2018-07-01$82.46$55.16RVU18C
2018-04-01$82.46$55.16RVU18B
2018-01-01$82.46$55.16RVU18AR1
2017-10-01$82.52$55.65RVU17D
2017-07-01$82.52$55.65RVU17C
2017-04-01$82.52$55.65RVU17B
2017-01-01$82.52$55.65RVU17A
2016-10-01$81.89$55.41RVU16D
2016-07-01$81.89$55.41RVU16C
2016-04-01$81.89$55.41RVU16B
2016-01-01$81.89$55.41RVU16A
2015-10-01$81.86$54.92RVU15D
2015-07-01$81.86$54.92RVU15C
2015-04-01$81.45$54.65RVU15B
2015-01-01$81.45$54.65RVU15A
2014-10-01$79.71$53.79RVU14D
2014-07-01$79.71$53.79RVU14C
2014-04-01$79.71$53.79RVU14B
2014-01-01$79.71$53.79RVU14A
2013-10-01$78.96$52.87RVU13D
2013-07-01$78.96$52.87RVU13C
2013-04-01$78.96$52.87RVU13B
2013-01-01$78.96$52.87RVU13AR

Price 17315 for an earlier date of service

Where the Galveston, TX rate applies

Galveston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 16 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

  • Galveston
  • Bacliff
  • Bayou Vista
  • Bolivar Peninsula
  • Clear Lake Shores
  • Dickinson
  • 17315 in Friendswood · multiple payment areas
  • Hitchcock

Browse all communities in Texas

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 Galveston, TXGPCI2026.csv, line 101 (RVU26D)

Open CMS sourceHow we calculate rates

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