FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

17263 in Merced

Office / nonfacility

$198.38

Base rate per service

Facility setting

$104.29

Base rate per service

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.

Dermatology procedure

About 17263: Malignant skin lesion destruction, 2.1–3.0 cm

Reports definitive destruction of a 2.1–3.0 cm malignant skin lesion on the trunk, an arm, or a leg using an accepted destructive technique.

This code covers definitive destruction of a malignant skin lesion measuring 2.1–3.0 cm on the trunk, an arm, or a leg. Techniques include electrosurgery, cryosurgery, laser treatment, chemical treatment, and surgical curettement. Dermatologists commonly perform the service in an office; it may also be performed in an outpatient facility. The record should identify the malignant lesion, its anatomic site and measured size, and the destruction method.

Choose the size and site code that matches the treated lesion; the neighboring size bands and codes for other anatomic groups are distinct. Related postoperative visits during the 10-day global period are included. For multiple procedures in the same 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 lesion-based service. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery reporting are not permitted.

CMS billing rules for 17263

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 RVU1.79 · 32%
  • Practice expense (office) RVU3.67 · 65%
  • Malpractice RVU0.18 · 3%

51.1K

Medicare services in 2024 · #773 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.

17263 compared with similar codes

Office rates for Merced, from the same CMS release.

17262

Lesion destruction

Trunk, arms, or legs; 1.1–2.0 cm

$183.17

Use 17262 when the malignant lesion on the trunk, arms, or legs falls in the smaller 1.1–2.0 cm size band; 17263 is for 2.1–3.0 cm.

17264

Skin lesion destruction

Trunk, arms, or legs; 3.1–4.0 cm

$212.80

Use 17264 for the next larger size band, 3.1–4.0 cm, on the trunk, arms, or legs.

17273

Lesion destruction

Scalp, neck, hands, feet, genitalia

$214.52

Both codes cover malignant lesion destruction in the 2.1–3.0 cm band, but 17273 is for the scalp, neck, hands, feet, or genitalia.

11603

Lesion excision

Trunk or limb, 2.1–3 cm

$289.31

11603 describes excision of a 2.1–3.0 cm malignant lesion on the trunk, arms, or legs; 17263 is for destruction rather than removal by excision.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 17263 is $198.93—$0.55 higher than the $198.38 rate in Merced. Both use the same code, release and participation basis.

17263 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $198.38

  2. Bakersfield

    $198.93

    $0.55 higher than Merced

  3. Chico

    $198.38

    The same base rate than Merced

  4. El Centro

    $198.41

    $0.03 higher than Merced

  5. Fresno

    $198.38

    The same base rate than Merced

  6. Hanford-Corcoran

    $198.38

    The same base rate than Merced

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $211.24

    $12.86 higher than Merced

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 17263 ranges from $168.18 in Arkansas to $246.35 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Madera

    California · 17263

    Office

    $198.38

    Facility

    $104.29

    The same base rate than Merced for the office setting.

  • Modesto

    California · 17263

    Office

    $198.38

    Facility

    $104.29

    The same base rate than Merced for the office setting.

  • Napa

    California · 17263

    Office

    $228.17

    Facility

    $115.03

    $29.79 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 17263

    Office

    $210.10

    Facility

    $108.64

    $11.72 higher than Merced for the office setting.

  • Redding

    California · 17263

    Office

    $198.38

    Facility

    $104.29

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 17263

    Office

    $198.38

    Facility

    $104.29

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 17263

    Office

    $200.34

    Facility

    $106.26

    $1.96 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 17263

    Office

    $207.72

    Facility

    $107.89

    $9.34 higher than Merced for the office setting.

  • Salinas

    California · 17263

    Office

    $206.94

    Facility

    $107.45

    $8.56 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 17263

    Office

    $211.45

    Facility

    $108.78

    $13.07 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 17263

    Office

    $241.07

    Facility

    $120.03

    $42.69 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 17263

    Office

    $240.86

    Facility

    $119.83

    $42.48 higher than Merced for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 17263

    Office

    $246.35

    Facility

    $122.57

    $47.97 higher than Merced for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 17263

    Office

    $245.51

    Facility

    $121.73

    $47.13 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 17263

    Office

    $203.65

    Facility

    $105.87

    $5.27 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 17263

    Office

    $213.20

    Facility

    $108.91

    $14.82 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 17263

    Office

    $207.61

    Facility

    $107.52

    $9.23 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 17263

    Office

    $215.33

    Facility

    $109.92

    $16.95 higher than Merced for the office setting.

  • Stockton

    California · 17263

    Office

    $198.38

    Facility

    $104.29

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 17263

    Office

    $227.88

    Facility

    $114.74

    $29.50 higher than Merced for the office setting.

  • Visalia

    California · 17263

    Office

    $198.38

    Facility

    $104.29

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 17263

    Office

    $198.38

    Facility

    $104.29

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 17263

    Office

    $214.11

    Facility

    $112.99

    $15.73 higher than Merced for the office setting.

  • Miami

    Florida · 17263

    Office

    $202.60

    Facility

    $113.24

    $4.22 higher than Merced for the office setting.

  • Chicago

    Illinois · 17263

    Office

    $197.20

    Facility

    $110.93

    $1.18 lower than Merced for the office setting.

  • Manhattan

    New York · 17263

    Office

    $215.59

    Facility

    $115.84

    $17.21 higher than Merced for the office setting.

  • Alaska*

    Alaska · 17263

    Office

    $223.54

    Facility

    $132.12

    $25.16 higher than Merced for the office setting.

  • Alabama

    Alabama · 17263

    Office

    $170.45

    Facility

    $95.34

    $27.93 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 17263

    Office

    $168.18

    Facility

    $94.44

    $30.20 lower than Merced for the office setting.

  • Arizona

    Arizona · 17263

    Office

    $183.72

    Facility

    $100.54

    $14.66 lower than Merced for the office setting.

  • Colorado

    Colorado · 17263

    Office

    $195.63

    Facility

    $104.29

    $2.75 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 17263

    Office

    $200.28

    Facility

    $107.83

    $1.90 higher than Merced for the office setting.

  • Delaware

    Delaware · 17263

    Office

    $186.60

    Facility

    $101.79

    $11.78 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 17263

    Office

    $194.83

    Facility

    $107.88

    $3.55 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 17263

    Office

    $186.01

    Facility

    $103.95

    $12.37 lower than Merced for the office setting.

  • Atlanta

    Georgia · 17263

    Office

    $191.73

    Facility

    $104.52

    $6.65 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 17263

    Office

    $176.30

    Facility

    $99.73

    $22.08 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 17263

    Office

    $202.64

    Facility

    $105.04

    $4.26 higher than Merced for the office setting.

  • Iowa

    Iowa · 17263

    Office

    $174.34

    Facility

    $95.79

    $24.04 lower than Merced for the office setting.

  • Idaho

    Idaho · 17263

    Office

    $175.41

    Facility

    $96.43

    $22.97 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 17263

    Office

    $184.67

    Facility

    $105.70

    $13.71 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 17263

    Office

    $181.10

    Facility

    $102.73

    $17.28 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 17263

    Office

    $196.75

    Facility

    $108.59

    $1.63 lower than Merced for the office setting.

  • Indiana

    Indiana · 17263

    Office

    $176.34

    Facility

    $96.77

    $22.04 lower than Merced for the office setting.

  • Kansas

    Kansas · 17263

    Office

    $173.63

    Facility

    $96.03

    $24.75 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 17263

    Office

    $174.26

    Facility

    $97.95

    $24.12 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 17263

    Office

    $181.97

    Facility

    $101.19

    $16.41 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 17263

    Office

    $174.03

    Facility

    $98.06

    $24.35 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 17263

    Office

    $213.95

    Facility

    $111.46

    $15.57 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 17263

    Office

    $194.61

    Facility

    $104.22

    $3.77 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 17263

    Office

    $199.71

    Facility

    $107.60

    $1.33 higher than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 17263

    Office

    $189.96

    Facility

    $103.09

    $8.42 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 17263

    Office

    $176.30

    Facility

    $97.33

    $22.08 lower than Merced for the office setting.

  • Southern Maine

    Maine · 17263

    Office

    $185.06

    Facility

    $99.99

    $13.32 lower than Merced for the office setting.

  • Detroit

    Michigan · 17263

    Office

    $188.22

    Facility

    $105.38

    $10.16 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 17263

    Office

    $178.49

    Facility

    $100.12

    $19.89 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 17263

    Office

    $187.70

    Facility

    $99.37

    $10.68 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 17263

    Office

    $180.77

    Facility

    $100.16

    $17.61 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 17263

    Office

    $182.51

    Facility

    $100.79

    $15.87 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 17263

    Office

    $171.31

    Facility

    $97.31

    $27.07 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 17263

    Office

    $169.77

    Facility

    $95.86

    $28.61 lower than Merced for the office setting.

  • Montana**

    Montana · 17263

    Office

    $188.37

    Facility

    $102.53

    $10.01 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 17263

    Office

    $178.00

    Facility

    $97.91

    $20.38 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 17263

    Office

    $184.81

    Facility

    $98.97

    $13.57 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 17263

    Office

    $175.20

    Facility

    $95.97

    $23.18 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 17263

    Office

    $192.66

    Facility

    $103.30

    $5.72 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 17263

    Office

    $212.17

    Facility

    $112.59

    $13.79 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 17263

    Office

    $202.63

    Facility

    $108.90

    $4.25 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 17263

    Office

    $179.42

    Facility

    $100.70

    $18.96 lower than Merced for the office setting.

  • Nevada**

    Nevada · 17263

    Office

    $187.50

    Facility

    $101.57

    $10.88 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 17263

    Office

    $220.53

    Facility

    $118.46

    $22.15 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 17263

    Office

    $203.98

    Facility

    $109.98

    $5.60 higher than Merced for the office setting.

  • Queens

    New York · 17263

    Office

    $217.17

    Facility

    $115.71

    $18.79 higher than Merced for the office setting.

  • Rest Of New York

    New York · 17263

    Office

    $180.47

    Facility

    $98.92

    $17.91 lower than Merced for the office setting.

  • Ohio

    Ohio · 17263

    Office

    $177.76

    Facility

    $99.39

    $20.62 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 17263

    Office

    $173.92

    Facility

    $97.27

    $24.46 lower than Merced for the office setting.

  • Portland

    Oregon · 17263

    Office

    $201.41

    Facility

    $106.04

    $3.03 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 17263

    Office

    $186.11

    Facility

    $100.61

    $12.27 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 17263

    Office

    $195.64

    Facility

    $106.28

    $2.74 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 17263

    Office

    $178.00

    Facility

    $99.20

    $20.38 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 17263

    Office

    $189.64

    Facility

    $102.85

    $8.74 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 17263

    Office

    $192.91

    Facility

    $104.24

    $5.47 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 17263

    Office

    $178.16

    Facility

    $98.85

    $20.22 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 17263

    Office

    $184.39

    Facility

    $98.55

    $13.99 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 17263

    Office

    $174.44

    Facility

    $96.41

    $23.94 lower than Merced for the office setting.

  • Austin

    Texas · 17263

    Office

    $194.92

    Facility

    $104.11

    $3.46 lower than Merced for the office setting.

  • Beaumont

    Texas · 17263

    Office

    $176.92

    Facility

    $98.81

    $21.46 lower than Merced for the office setting.

  • Brazoria

    Texas · 17263

    Office

    $186.43

    Facility

    $101.37

    $11.95 lower than Merced for the office setting.

  • Dallas

    Texas · 17263

    Office

    $187.58

    Facility

    $102.08

    $10.80 lower than Merced for the office setting.

  • Fort Worth

    Texas · 17263

    Office

    $186.43

    Facility

    $101.79

    $11.95 lower than Merced for the office setting.

  • Galveston

    Texas · 17263

    Office

    $186.97

    Facility

    $101.73

    $11.41 lower than Merced for the office setting.

  • Houston

    Texas · 17263

    Office

    $190.26

    Facility

    $105.02

    $8.12 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 17263

    Office

    $181.55

    Facility

    $100.08

    $16.83 lower than Merced for the office setting.

  • Utah

    Utah · 17263

    Office

    $180.41

    Facility

    $99.72

    $17.97 lower than Merced for the office setting.

  • Virginia

    Virginia · 17263

    Office

    $184.53

    Facility

    $100.15

    $13.85 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 17263

    Office

    $189.64

    Facility

    $102.85

    $8.74 lower than Merced for the office setting.

  • Vermont

    Vermont · 17263

    Office

    $184.19

    Facility

    $99.20

    $14.19 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 17263

    Office

    $194.22

    Facility

    $103.83

    $4.16 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 17263

    Office

    $218.10

    Facility

    $112.77

    $19.72 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 17263

    Office

    $179.07

    Facility

    $96.84

    $19.31 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 17263

    Office

    $174.91

    Facility

    $100.32

    $23.47 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 17263

    Office

    $186.82

    Facility

    $100.98

    $11.56 lower than Merced for the office setting.

See how rates vary across the country

17263 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$168.18

$223.54

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$223.541
AL$170.451
AR$168.181
AZ$183.721
CA$198.38–$246.3529
CO$195.631
CT$200.281
DC$214.111
DE$186.601
FL$186.01–$202.603
GA$176.30–$191.732
GU$202.641
HI$202.641
IA$174.341
ID$175.411
IL$181.10–$197.204
IN$176.341
KS$173.631
KY$174.261
LA$174.03–$181.972
MA$194.61–$213.952
MD$189.96–$214.113
ME$176.30–$185.062
MI$178.49–$188.222
MN$187.701
MO$171.31–$182.513
MS$169.771
MT$188.371
NC$178.001
ND$184.811
NE$175.201
NH$192.661
NJ$202.63–$212.172
NM$179.421
NV$187.501
NY$180.47–$220.535
OH$177.761
OK$173.921
OR$186.11–$201.412
PA$178.00–$195.642
PR$189.641
RI$192.911
SC$178.161
SD$184.391
TN$174.441
TX$176.92–$194.928
UT$180.411
VA$184.53–$214.112
VI$189.641
VT$184.191
WA$194.22–$218.102
WI$179.071
WV$174.911
WY$186.821

Explore 17263 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Why are the office and facility amounts different?

For 17263 in Merced, the physician’s office rate is $198.38 and the facility-setting rate is $104.29: a difference of $94.09.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 17263 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$218.22

$198.38 × 110% = $218.22

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 17263 in Merced.

PPRRVU2026_Oct_nonQPP.csv

1,631

Code
17263
Physician work
1.79
Practice expense
3.67
Malpractice
0.18

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 17263 in Merced
ComponentRVULocality factorAdjusted
Physician work1.79× 1.0171.8204
Practice expense3.67× 1.0964.0223
Malpractice0.18× 0.5360.0965
Total RVUs5.9392
Conversion factor× 33.4009

Office / nonfacility rate, Merced$198.38

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 17263 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.791.017
Practice expense3.671.096
Malpractice0.180.536

(1.79 × 1.017 + 3.67 × 1.096 + 0.18 × 0.536) × $33.4009 = $198.38

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.791.017
Practice expense1.11.096
Malpractice0.180.536

(1.79 × 1.017 + 1.1 × 1.096 + 0.18 × 0.536) × $33.4009 = $104.29

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

17263 · Office / nonfacility

$198.38

Effective 2026-10-01

The base rate is $1.13 higher than on 2025-10-01, moving from $197.25 to $198.38 (0.6%).

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

    $197.25changed to$198.38

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.84 changed to 1.79
    • Practice expense RVU 3.78 changed to 3.67
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $197.25

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$198.38$104.29RVU26D
2026-07-01$198.38$104.29RVU26C
2026-04-01$198.38$104.29RVU26B
2026-01-01$198.38$104.29RVU26A
2025-10-01$197.25$122.65RVU25D
2025-07-01$197.25$122.65RVU25C
2025-04-01$197.25$122.65RVU25B
2025-01-01$197.25$122.65RVU25A

17263 billing questions

How does this code differ from 17262 and 17264?

Those codes cover smaller and larger size bands, respectively, for malignant lesions on the trunk, arms, or legs. Use 17263 for a lesion measuring 2.1–3.0 cm.

Which sites belong under this code?

It covers the trunk, arms, and legs. Malignant lesions on the scalp, neck, hands, feet, genitalia, or face belong to different site-specific code groups.

Can modifier 50 be used for lesions on both sides?

No. Modifier 50 is inappropriate for this code; select and report the applicable lesion code based on the treated lesion's site and size.

Are postoperative visits separately reportable?

Related postoperative visits during the 10-day global period are included in the procedure.

How does destruction differ from excision?

Destruction eliminates the lesion using a destructive technique; excision removes tissue. For a 2.1–3.0 cm malignant lesion on the trunk, arms, or legs, 11603 is the corresponding excision code.

What should the procedure note document?

Document the malignant lesion, its location, measured size, and the technique used to destroy it. The size and anatomic group support selection of this code over neighboring codes.

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.

RVUs for 17263PPRRVU2026_Oct_nonQPP.csv, line 1,631 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet