$396.81–$572.04
Use 17107 when the treated cutaneous vascular area is 10–50 square centimeters; 17106 is for less than 10.
On this page
CMS RVU26D · Effective 2026-10-01
17106 Vascular lesion destruction Medicare reimbursement rates
Destruction of a small cutaneous vascular proliferative lesion or treated field, selected when the treated surface area is less than 10 square centimeters. Compare 17106 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 17106?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$305.93–$440.57
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $134.64 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 17106 pays more and less
109 payment localities
$305.93 to $440.57
Dermatology procedure
About 17106: Small-area cutaneous vascular lesion destruction
Destruction of a small cutaneous vascular proliferative lesion or treated field, selected when the treated surface area is less than 10 square centimeters.
This service destroys a cutaneous vascular proliferative lesion or treated field measuring less than 10 square centimeters, commonly using a laser such as a pulsed-dye laser. Dermatologists and plastic surgeons perform it for lesions such as port-wine stains in office procedure rooms and, less often, outpatient facilities. The area threshold distinguishes this code from the larger-area members of the 17106–17108 series; selection is based on treated surface area rather than lesion count.
Select the code using the documented treated area. The record should identify the lesion and body site, the treatment method, and the area treated. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%. Modifier 50 is not appropriate. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 17106
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.60 · 35%
- Practice expense (office) RVU6.22 · 61%
- Malpractice RVU0.42 · 4%
4.7K
Medicare services in 2024 · #1914 by national volume
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.
17106 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$567.05–$803.26
Use 17108 when the treated cutaneous vascular area is greater than 50 square centimeters, rather than the smaller area reported with 17106.
$97.94–$150.73
17110 is for destruction of benign lesions, with selection based on lesion count. 17106 concerns cutaneous vascular proliferative lesions and uses treated surface area.
$115.16–$174.40
17111 is for destruction of a higher count of benign lesions; it is not selected by the surface area of a vascular lesion field.
See how rates vary across the country
17106 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$305.93
$409.35
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $409.35 | 1 |
| AL | $309.97 | 1 |
| AR | $305.93 | 1 |
| AZ | $333.56 | 1 |
| CA | $357.50–$440.57 | 29 |
| CO | $353.69 | 1 |
| CT | $363.37 | 1 |
| DC | $387.08 | 1 |
| DE | $338.72 | 1 |
| FL | $339.94–$371.99 | 3 |
| GA | $322.28–$348.53 | 2 |
| GU | $364.58 | 1 |
| HI | $364.58 | 1 |
| IA | $315.91 | 1 |
| ID | $318.01 | 1 |
| IL | $331.85–$362.07 | 4 |
| IN | $319.65 | 1 |
| KS | $315.12 | 1 |
| KY | $317.77 | 1 |
| LA | $317.54–$331.68 | 2 |
| MA | $352.11–$385.72 | 2 |
| MD | $344.57–$387.08 | 3 |
| ME | $320.10–$334.98 | 2 |
| MI | $325.76–$344.38 | 2 |
| MN | $338.17 | 1 |
| MO | $312.99–$332.08 | 3 |
| MS | $309.49 | 1 |
| MT | $342.00 | 1 |
| NC | $323.04 | 1 |
| ND | $333.69 | 1 |
| NE | $317.30 | 1 |
| NH | $348.79 | 1 |
| NJ | $367.31–$383.80 | 2 |
| NM | $327.60 | 1 |
| NV | $339.89 | 1 |
| NY | $327.47–$401.01 | 5 |
| OH | $324.06 | 1 |
| OK | $316.67 | 1 |
| OR | $337.03–$363.42 | 2 |
| PA | $324.22–$355.41 | 2 |
| PR | $344.10 | 1 |
| RI | $349.65 | 1 |
| SC | $324.13 | 1 |
| SD | $332.71 | 1 |
| TN | $316.62 | 1 |
| TX | $322.33–$352.72 | 8 |
| UT | $328.13 | 1 |
| VA | $334.37–$387.08 | 2 |
| VI | $344.10 | 1 |
| VT | $333.02 | 1 |
| WA | $351.25–$392.63 | 2 |
| WI | $323.59 | 1 |
| WV | $320.86 | 1 |
| WY | $338.38 | 1 |
Compare 17106 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $309.97 | Facility $220.24 |
| Alaska* | Office $409.35 | Facility $300.15 |
| Arizona | Office $333.56 | Facility $234.20 |
| Arkansas | Office $305.93 | Facility $217.85 |
| Atlanta | Office $348.53 | Facility $244.35 |
| Austin | Office $352.72 | Facility $244.23 |
| Bakersfield | Office $358.77 | Facility $246.38 |
| Baltimore/Surr. Cntys | Office $362.44 | Facility $252.41 |
| Beaumont | Office $322.33 | Facility $229.02 |
| Brazoria | Office $338.03 | Facility $236.41 |
| Chicago | Office $362.07 | Facility $259.02 |
| Chico | Office $357.50 | Facility $245.12 |
| Colorado | Office $353.69 | Facility $244.59 |
| Connecticut | Office $363.37 | Facility $252.94 |
| Dallas | Office $340.28 | Facility $238.15 |
| Dc + Md/Va Suburbs | Office $387.08 | Facility $266.29 |
| Delaware | Office $338.72 | Facility $237.41 |
| Detroit | Office $344.38 | Facility $245.43 |
| East St. Louis | Office $339.63 | Facility $245.29 |
| El Centro | Office $357.57 | Facility $245.19 |
| Fort Lauderdale | Office $356.06 | Facility $252.19 |
| Fort Worth | Office $338.39 | Facility $237.28 |
| Fresno | Office $357.50 | Facility $245.12 |
| Galveston | Office $339.12 | Facility $237.30 |
| Hanford-Corcoran | Office $357.50 | Facility $245.12 |
| Hawaii, Guam | Office $364.58 | Facility $247.99 |
| Houston | Office $346.81 | Facility $244.98 |
| Idaho | Office $318.01 | Facility $223.67 |
| Indiana | Office $319.65 | Facility $224.59 |
| Iowa | Office $315.91 | Facility $222.08 |
| Kansas | Office $315.12 | Facility $222.43 |
| Kentucky | Office $317.77 | Facility $226.61 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $380.26 | Facility $258.95 |
| Madera | Office $357.50 | Facility $245.12 |
| Manhattan | Office $391.60 | Facility $272.45 |
| Merced | Office $357.50 | Facility $245.12 |
| Metropolitan Boston | Office $385.72 | Facility $263.28 |
| Metropolitan Kansas City | Office $329.03 | Facility $232.74 |
| Metropolitan Philadelphia | Office $355.41 | Facility $248.67 |
| Metropolitan St. Louis | Office $332.08 | Facility $234.46 |
| Miami | Office $371.99 | Facility $265.25 |
| Minnesota | Office $338.17 | Facility $232.66 |
| Mississippi | Office $309.49 | Facility $221.20 |
| Modesto | Office $357.50 | Facility $245.12 |
| Montana** | Office $342.00 | Facility $239.46 |
| Napa | Office $408.76 | Facility $273.62 |
| Nebraska | Office $317.30 | Facility $222.66 |
| Nevada** | Office $339.89 | Facility $237.25 |
| New Hampshire | Office $348.79 | Facility $242.04 |
| New Mexico | Office $327.60 | Facility $233.57 |
| New Orleans | Office $331.68 | Facility $235.18 |
| North Carolina | Office $323.04 | Facility $227.37 |
| North Dakota** | Office $333.69 | Facility $231.15 |
| Northern Nj | Office $383.80 | Facility $264.85 |
| Nyc Suburbs/Long Island | Office $401.01 | Facility $279.09 |
| Ohio | Office $324.06 | Facility $230.44 |
| Oklahoma | Office $316.67 | Facility $225.10 |
| Oxnard-Thousand Oaks-Ventura | Office $377.91 | Facility $256.71 |
| Portland | Office $363.42 | Facility $249.50 |
| Poughkpsie/N Nyc Suburbs | Office $370.12 | Facility $257.84 |
| Puerto Rico | Office $344.10 | Facility $240.43 |
| Queens | Office $393.73 | Facility $272.53 |
| Redding | Office $357.50 | Facility $245.12 |
| Rest Of California | Office $357.50 | Facility $245.12 |
| Rest Of Florida | Office $339.94 | Facility $241.91 |
| Rest Of Georgia | Office $322.28 | Facility $230.81 |
| Rest Of Illinois | Office $331.85 | Facility $238.23 |
| Rest Of Louisiana | Office $317.54 | Facility $226.80 |
| Rest Of Maine | Office $320.10 | Facility $225.76 |
| Rest Of Maryland | Office $344.57 | Facility $240.80 |
| Rest Of Massachusetts | Office $352.11 | Facility $244.14 |
| Rest Of Michigan | Office $325.76 | Facility $232.14 |
| Rest Of Missouri | Office $312.99 | Facility $224.60 |
| Rest Of New Jersey | Office $367.31 | Facility $255.33 |
| Rest Of New York | Office $327.47 | Facility $230.06 |
| Rest Of Oregon | Office $337.03 | Facility $234.90 |
| Rest Of Pennsylvania | Office $324.22 | Facility $230.09 |
| Rest Of Texas | Office $330.07 | Facility $232.76 |
| Rest Of Washington | Office $351.25 | Facility $243.27 |
| Rhode Island | Office $349.65 | Facility $243.73 |
| Riverside-San Bernardino-Ontario | Office $362.07 | Facility $249.69 |
| Sacramento-Roseville-Folsom | Office $373.71 | Facility $254.45 |
| Salinas | Office $372.28 | Facility $253.43 |
| San Diego-Chula Vista-Carlsbad | Office $379.93 | Facility $257.29 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $431.04 | Facility $286.46 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $430.56 | Facility $285.98 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $440.57 | Facility $292.71 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $438.62 | Facility $290.76 |
| San Luis Obispo-Paso Robles | Office $366.44 | Facility $249.64 |
| Santa Cruz-Watsonville | Office $382.71 | Facility $258.12 |
| Santa Maria-Santa Barbara | Office $373.37 | Facility $253.81 |
| Santa Rosa-Petaluma | Office $386.49 | Facility $260.57 |
| Seattle (King Cnty) | Office $392.63 | Facility $266.81 |
| South Carolina | Office $324.13 | Facility $229.38 |
| South Dakota** | Office $332.71 | Facility $230.17 |
| Southern Maine | Office $334.98 | Facility $233.36 |
| Stockton | Office $357.50 | Facility $245.12 |
| Suburban Chicago | Office $359.31 | Facility $254.00 |
| Tennessee | Office $316.62 | Facility $223.41 |
| Utah | Office $328.13 | Facility $231.74 |
| Vallejo | Office $408.08 | Facility $272.93 |
| Vermont | Office $333.02 | Facility $231.50 |
| Virgin Islands | Office $344.10 | Facility $240.43 |
| Virginia | Office $334.37 | Facility $233.57 |
| Visalia | Office $357.50 | Facility $245.12 |
| West Virginia | Office $320.86 | Facility $231.75 |
| Wisconsin | Office $323.59 | Facility $225.36 |
| Wyoming** | Office $338.38 | Facility $235.84 |
| Yuba City | Office $357.50 | Facility $245.12 |
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17106 billing questions
How is this code distinguished from 17107 and 17108?
Choose among these codes by the treated surface area: 17106 is for less than 10 square centimeters, 17107 for 10–50, and 17108 for more than 50. Document the measured area rather than relying on the number of lesions.
Can modifier 50 be used when lesions are on both sides of the body?
No. Modifier 50 is not appropriate for this descriptor.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can a separate benign lesion destruction code be reported at the same visit?
A separate code may be relevant when distinct benign lesions are also treated. Document the separate lesions and procedures; same-session multiple-procedure payment reduction may apply.
Does Medicare pay for an assistant or co-surgeon?
Medicare does not pay an assistant at surgery for this service. Co-surgeon and team-surgery billing are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
1,61917000,,Destruct premalg lesion,A,,0.59,1.34,,0.78,,0.06,1.99,1.43,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,62017003,,Destruct premalg les 2-14,A,,0.04,0.15,,0.01,,0.00,0.19,0.05,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,62117004,,Destroy premal lesions 15/>,A,,1.34,3.39,,1.01,,0.13,4.86,2.48,0,010,0.10,0.80,0.10,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,62217106,,Dstr cut vsc prlf les<10sqcm,A,,3.60,6.22,,3.15,,0.42,10.24,7.17,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,62317107,,Dstr cut vsc prlf les10-50sq,A,,4.67,8.10,,4.09,,0.49,13.26,9.25,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,62417108,,Dstr cut vsc prlf les>50sqcm,A,,7.30,10.72,,5.37,,0.91,18.93,13.58,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,62517110,,Destruction b9 les up to 14,A,,0.68,2.58,,1.12,,0.07,3.33,1.87,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00