Billing code 17273: Lesion destructionMedicare rate & RVUs
Reports destruction of a malignant skin lesion measuring 2.1 to 3.0 cm on the scalp, neck, hands, feet, or genitalia.
Medicare pays $204.08 for 17273 nationally in the office and $114.57 in a hospital or facility. Local office rates run $182.66–$265.50.
Medicare rate · 17273
Lesion destruction
- Work RVUs
- 2.05
- Total RVUs
- 6.11
- Global days
- 010
National rate · 2026
$204.08
Office setting, before claim adjustments.
See every locality for 17273 →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.
On this page 10 sections
What 17273 covers
This code covers destruction of a malignant skin lesion measuring 2.1 to 3.0 cm on the scalp, neck, hands, feet, or genitalia. A dermatologist or other qualified clinician may use a destructive method such as electrosurgery, cryosurgery, laser treatment, or chemical treatment, commonly in an office setting. The code is selected by the lesion’s site and diameter, not by the treatment method. It is for destruction rather than excision of the lesion.
Document the malignant diagnosis, exact anatomic site, measured lesion diameter, and method used. Report the code for each qualifying lesion. CMS assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code’s descriptor and anatomy. Assistant-at-surgery services are not paid; 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.
Where 17273 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
$182.66 to $265.50
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $185.06 | $106.74 |
| Alaska* | $243.70 | $148.36 |
| Arizona | $199.12 | $112.38 |
| Arkansas | $182.66 | $105.77 |
| Atlanta | $207.69 | $116.74 |
| Austin | $210.93 | $116.23 |
| Bakersfield | $215.15 | $117.04 |
| Baltimore/Surr. Cntys | $216.17 | $120.12 |
| Beaumont | $192.00 | $110.54 |
| Brazoria | $202.00 | $113.29 |
| Chicago | $213.85 | $123.89 |
| Chico | $214.52 | $116.41 |
| Colorado | $211.69 | $116.45 |
| Connecticut | $216.78 | $120.37 |
| Dallas | $203.23 | $114.08 |
| Dc + Md/Va Suburbs | $231.48 | $126.03 |
| Delaware | $202.20 | $113.76 |
| Detroit | $204.15 | $117.77 |
| East St. Louis | $200.54 | $118.19 |
| El Centro | $214.55 | $116.45 |
| Fort Lauderdale | $211.15 | $120.48 |
| Fort Worth | $202.03 | $113.77 |
| Fresno | $214.52 | $116.41 |
| Galveston | $202.58 | $113.69 |
| Hanford-Corcoran | $214.52 | $116.41 |
| Hawaii, Guam | $218.93 | $117.15 |
| Houston | $206.24 | $117.35 |
| Idaho | $190.24 | $107.89 |
| Indiana | $191.23 | $108.25 |
| Iowa | $189.09 | $107.19 |
| Kansas | $188.39 | $107.47 |
| Kentucky | $189.20 | $109.62 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $228.24 | $122.34 |
| Madera | $214.52 | $116.41 |
| Manhattan | $233.26 | $129.25 |
| Merced | $214.52 | $116.41 |
| Metropolitan Boston | $231.16 | $124.28 |
| Metropolitan Kansas City | $196.06 | $112.01 |
| Metropolitan Philadelphia | $211.89 | $118.70 |
| Metropolitan St. Louis | $197.90 | $112.69 |
| Miami | $219.58 | $126.40 |
| Minnesota | $203.12 | $111.01 |
| Mississippi | $184.42 | $107.34 |
| Modesto | $214.52 | $116.41 |
| Montana** | $204.07 | $114.55 |
| Napa | $246.11 | $128.13 |
| Nebraska | $190.00 | $107.38 |
| Nevada** | $203.09 | $113.49 |
| New Hampshire | $208.53 | $115.35 |
| New Mexico | $194.72 | $112.64 |
| New Orleans | $197.38 | $113.15 |
| North Carolina | $193.03 | $109.51 |
| North Dakota** | $200.11 | $110.60 |
| Northern Nj | $229.48 | $125.64 |
| Nyc Suburbs/Long Island | $238.55 | $132.12 |
| Ohio | $192.92 | $111.19 |
| Oklahoma | $188.79 | $108.86 |
| Oxnard-Thousand Oaks-Ventura | $226.94 | $121.14 |
| Portland | $217.78 | $118.33 |
| Poughkpsie/N Nyc Suburbs | $220.81 | $122.79 |
| Puerto Rico | $205.40 | $114.90 |
| Queens | $234.88 | $129.07 |
| Redding | $214.52 | $116.41 |
| Rest Of California | $214.52 | $116.41 |
| Rest Of Florida | $201.77 | $116.19 |
| Rest Of Georgia | $191.44 | $111.59 |
| Rest Of Illinois | $196.62 | $114.90 |
| Rest Of Louisiana | $188.97 | $109.75 |
| Rest Of Maine | $191.24 | $108.89 |
| Rest Of Maryland | $205.76 | $115.17 |
| Rest Of Massachusetts | $210.65 | $116.39 |
| Rest Of Michigan | $193.72 | $112.00 |
| Rest Of Missouri | $186.11 | $108.95 |
| Rest Of New Jersey | $219.33 | $121.58 |
| Rest Of New York | $195.65 | $110.61 |
| Rest Of Oregon | $201.58 | $112.42 |
| Rest Of Pennsylvania | $193.14 | $110.97 |
| Rest Of Texas | $196.86 | $111.91 |
| Rest Of Washington | $210.21 | $115.95 |
| Rhode Island | $208.91 | $116.45 |
| Riverside-San Bernardino-Ontario | $216.71 | $118.60 |
| Sacramento-Roseville-Folsom | $224.46 | $120.35 |
| Salinas | $223.60 | $119.85 |
| San Diego-Chula Vista-Carlsbad | $228.34 | $121.28 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $259.83 | $133.62 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $259.60 | $133.39 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $265.50 | $136.42 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $264.57 | $135.49 |
| San Luis Obispo-Paso Robles | $220.06 | $118.11 |
| Santa Cruz-Watsonville | $230.14 | $121.38 |
| Santa Maria-Santa Barbara | $224.30 | $119.93 |
| Santa Rosa-Petaluma | $232.43 | $122.51 |
| Seattle (King Cnty) | $235.55 | $125.71 |
| South Carolina | $193.28 | $110.57 |
| South Dakota** | $199.64 | $110.13 |
| Southern Maine | $200.45 | $111.75 |
| Stockton | $214.52 | $116.41 |
| Suburban Chicago | $213.20 | $121.27 |
| Tennessee | $189.25 | $107.89 |
| Utah | $195.66 | $111.52 |
| Vallejo | $245.78 | $127.80 |
| Vermont | $199.49 | $110.87 |
| Virgin Islands | $205.40 | $114.90 |
| Virginia | $199.92 | $111.93 |
| Visalia | $214.52 | $116.41 |
| West Virginia | $190.07 | $112.28 |
| Wisconsin | $194.04 | $108.29 |
| Wyoming** | $202.34 | $112.83 |
| Yuba City | $214.52 | $116.41 |
17273 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.
$182.66
$243.70
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $243.70 | 1 |
| AL | $185.06 | 1 |
| AR | $182.66 | 1 |
| AZ | $199.12 | 1 |
| CA | $214.52–$265.50 | 29 |
| CO | $211.69 | 1 |
| CT | $216.78 | 1 |
| DC | $231.48 | 1 |
| DE | $202.20 | 1 |
| FL | $201.77–$219.58 | 3 |
| GA | $191.44–$207.69 | 2 |
| GU | $218.93 | 1 |
| HI | $218.93 | 1 |
| IA | $189.09 | 1 |
| ID | $190.24 | 1 |
| IL | $196.62–$213.85 | 4 |
| IN | $191.23 | 1 |
| KS | $188.39 | 1 |
| KY | $189.20 | 1 |
| LA | $188.97–$197.38 | 2 |
| MA | $210.65–$231.16 | 2 |
| MD | $205.76–$231.48 | 3 |
| ME | $191.24–$200.45 | 2 |
| MI | $193.72–$204.15 | 2 |
| MN | $203.12 | 1 |
| MO | $186.11–$197.90 | 3 |
| MS | $184.42 | 1 |
| MT | $204.07 | 1 |
| NC | $193.03 | 1 |
| ND | $200.11 | 1 |
| NE | $190.00 | 1 |
| NH | $208.53 | 1 |
| NJ | $219.33–$229.48 | 2 |
| NM | $194.72 | 1 |
| NV | $203.09 | 1 |
| NY | $195.65–$238.55 | 5 |
| OH | $192.92 | 1 |
| OK | $188.79 | 1 |
| OR | $201.58–$217.78 | 2 |
| PA | $193.14–$211.89 | 2 |
| PR | $205.40 | 1 |
| RI | $208.91 | 1 |
| SC | $193.28 | 1 |
| SD | $199.64 | 1 |
| TN | $189.25 | 1 |
| TX | $192.00–$210.93 | 8 |
| UT | $195.66 | 1 |
| VA | $199.92–$231.48 | 2 |
| VI | $205.40 | 1 |
| VT | $199.49 | 1 |
| WA | $210.21–$235.55 | 2 |
| WI | $194.04 | 1 |
| WV | $190.07 | 1 |
| WY | $202.34 | 1 |
How the 17273 rate is calculated
Each of 17273’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 · 17273
RVUs × geographic indexes × conversion factor
Work2.05
2.05 RVUs× 1.000 GPCI
Practice expense3.86
3.86 RVUs× 1.000 GPCI
Malpractice0.20
0.20 RVUs× 1.000 GPCI
Adjusted RVUs
6.1100
Conversion factor
$33.4009
Medicare rate
$204.08
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 17273
17273 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 17273
Lesion destruction
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 17273
Lesion destruction
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
17273 without 51 · national office
$204.08
Lesion destruction
17273-51 · Second procedure: 50%
$102.04
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%).
17273 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 17272Lesion destruction
- Both cover destruction at the same anatomic sites; choose 17272 when the lesion measures 1.1 to 2.0 cm rather than 2.1 to 3.0 cm.
- 17274Lesion destruction
- Both cover destruction at the same anatomic sites; choose 17274 when the lesion measures 3.1 to 4.0 cm.
- 17263Malignant lesion destruction
- This code covers a lesion of the same size range on the trunk, arms, or legs. Code 17273 is for the scalp, neck, hands, feet, or genitalia.
- 17283Lesion destruction
- This code covers a lesion of the same size range on the face, ears, eyelids, nose, lips, or mucous membranes; 17273 covers a different site group.
17273 billing questions
How is 17273 distinguished from 17272 or 17274?
Use 17273 for a lesion measuring 2.1 to 3.0 cm at the specified sites. The adjacent codes represent smaller and larger size ranges.
Which anatomic sites qualify?
The site group is scalp, neck, hands, feet, or genitalia. Lesions on other anatomic groups use the code family assigned to those sites.
Does the destruction method change code selection?
No. The method may be electrosurgery, cryosurgery, laser, or chemical treatment; selection depends on site and lesion diameter.
What should the record support?
Document the malignant diagnosis, site, lesion diameter, and destructive method. The measurement should support the 2.1-to-3.0-cm range.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in the procedure payment.
Can modifier 50 or an assistant surgeon be reported?
Modifier 50 is inappropriate for this code’s descriptor and anatomy. CMS does not pay assistant-at-surgery services for this procedure.
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
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