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.

CMS RVU26DEffective Oct 1, 2026109 payment localities13.3K Medicare services in 2024

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
  1. Medicare rate
  2. What 17273 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 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

$182.66$224.08$265.50
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

17273 office and facility rates by payment locality
Payment localityOfficeFacility
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

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
17273 office rate range by state
State / territoryOffice rate rangeLocalities
AK$243.701
AL$185.061
AR$182.661
AZ$199.121
CA$214.52–$265.5029
CO$211.691
CT$216.781
DC$231.481
DE$202.201
FL$201.77–$219.583
GA$191.44–$207.692
GU$218.931
HI$218.931
IA$189.091
ID$190.241
IL$196.62–$213.854
IN$191.231
KS$188.391
KY$189.201
LA$188.97–$197.382
MA$210.65–$231.162
MD$205.76–$231.483
ME$191.24–$200.452
MI$193.72–$204.152
MN$203.121
MO$186.11–$197.903
MS$184.421
MT$204.071
NC$193.031
ND$200.111
NE$190.001
NH$208.531
NJ$219.33–$229.482
NM$194.721
NV$203.091
NY$195.65–$238.555
OH$192.921
OK$188.791
OR$201.58–$217.782
PA$193.14–$211.892
PR$205.401
RI$208.911
SC$193.281
SD$199.641
TN$189.251
TX$192.00–$210.938
UT$195.661
VA$199.92–$231.482
VI$205.401
VT$199.491
WA$210.21–$235.552
WI$194.041
WV$190.071
WY$202.341

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

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
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.
Split (54/55/56)0.10/0.80/0.10Share 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.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

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%).

When to use modifier 51

17273 compared with similar codes

Compare codes · National

5 codes, side by side

  • 17273

    Lesion destruction2.05 wRVU

    $204.08

  • 17272

    Lesion destruction1.77 wRVU

    $183.37−$20.71

  • 17274

    Lesion destruction2.57 wRVU

    $239.15+$35.07

  • 17263

    Malignant lesion destruction1.79 wRVU

    $188.38−$15.70

  • 17283

    Lesion destruction2.62 wRVU

    $237.48+$33.40

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
RVUs for 17273PPRRVU2026_Oct_nonQPP.csv, line 1,637 (RVU26D)

Open CMS sourceHow we calculate rates

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