$253.78
Both codes cover the scalp, neck, hands, feet, and genital area. Use 17274 for lesions measuring 3.1 through 4.0 cm; use 17276 when the lesion is over 4.0 cm.
On this page
CMS RVU26D · Effective 2026-10-01
17276 Skin lesion destruction Medicare reimbursement rates in Connecticut
Reports destructive treatment of a malignant skin lesion over 4.0 cm on the scalp, neck, hands, feet, or genital area. Compare 17276 office and facility rates across CMS payment localities in Connecticut.
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 17276 in Connecticut?
Connecticut has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$296.21
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
Facility setting
$176.06
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
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.
Dermatology procedure
About 17276: Destruction of large malignant skin lesion
Reports destructive treatment of a malignant skin lesion over 4.0 cm on the scalp, neck, hands, feet, or genital area.
Code 17276 represents destructive treatment of a malignant skin lesion in the scalp, neck, hands, feet, or genital area when the lesion is over 4.0 cm. Destruction may use an accepted technique such as electrosurgery, cryosurgery, laser, or chemical treatment; this code is not for surgical removal by excision. Dermatologists and other physicians treating skin cancer commonly perform the service in an office procedure room, with occasional facility use. Documentation should identify the malignant diagnosis, exact site, lesion diameter, and treatment performed.
Select the code by the anatomic group and documented lesion size. Code 17274 covers the same sites for lesions measuring 3.1 through 4.0 cm; codes for other site groups are not interchangeable. Medicare assigns a 10-day minor-procedure global period, so related postoperative visits during that period are included. When multiple procedures subject to the reduction are performed in one session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 17276
- 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 RVU3.17 · 38%
- Practice expense (office) RVU4.85 · 58%
- Malpractice RVU0.34 · 4%
1.1K
Medicare services in 2024 · #2900 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.
17276 compared with similar codes
Office rates for Connecticut, from the same CMS release.
$244.80
Both codes cover malignant lesions over 4.0 cm, but 17266 is for the trunk, arms, or legs. The specified sites for 17276 belong to a different anatomic group.
$372.88
17286 covers lesions over 4.0 cm on the face, ears, eyelids, nose, or lips. Use 17276 for the scalp, neck, hands, feet, or genital area.
Compare 17276 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.
1 of 1 payment localities
Connecticut →
Office / nonfacility
$296.21
Facility
$176.06
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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 17276 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
1,639
- Code
- 17276
- Physician work
- 3.17
- Practice expense
- 4.85
- Malpractice
- 0.34
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.17 | × 1.020 | 3.2334 |
| Practice expense | 4.85 | × 1.077 | 5.2234 |
| Malpractice | 0.34 | × 1.210 | 0.4114 |
| Total RVUs | 8.8682 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$296.21
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.17 | 1.02 |
| Practice expense | 4.85 | 1.077 |
| Malpractice | 0.34 | 1.21 |
(3.17 × 1.02 + 4.85 × 1.077 + 0.34 × 1.21) × $33.4009 = $296.21
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.17 | 1.02 |
| Practice expense | 1.51 | 1.077 |
| Malpractice | 0.34 | 1.21 |
(3.17 × 1.02 + 1.51 × 1.077 + 0.34 × 1.21) × $33.4009 = $176.06
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.
17276 billing questions
Which lesion size belongs to 17276?
Use 17276 for a malignant lesion over 4.0 cm at the scalp, neck, hands, feet, or genital area. A lesion measuring 3.1 through 4.0 cm at those sites falls in 17274.
Does the site affect code selection?
Yes. The size range alone is not enough: 17276 is for the scalp, neck, hands, feet, or genital area. A lesion over 4.0 cm in another anatomic group requires that group's code.
Is excision reported with 17276?
No. This code describes destruction of a malignant skin lesion, not its surgical removal by excision. The operative documentation should support the destructive treatment performed.
Are related postoperative visits included?
Yes. Medicare includes related postoperative visits during the 10-day global period in the procedure payment.
How does Medicare handle another procedure performed in the same session?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures subject to the reduction are paid at 50%. Modifier 50 is inappropriate for 17276.
Can an assistant or co-surgeon be billed?
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.
1,63617272,,Dstr mal les s/n/h/f/g 1.1-2,A,,1.77,3.54,,1.09,,0.18,5.49,3.04,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,63717273,,Dstr mal les s/n/h/f/g 2.1-3,A,,2.05,3.86,,1.18,,0.20,6.11,3.43,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,63817274,,Dstr mal les s/n/h/f/g 3.1-4,A,,2.57,4.34,,1.34,,0.25,7.16,4.16,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,63917276,,Dstr mal les s/n/h/f/g >4.0,A,,3.17,4.85,,1.51,,0.34,8.36,5.02,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,64017280,,Dstr mal ls f/e/e/n/l/m .5/<,A,,1.19,2.83,,0.92,,0.12,4.14,2.23,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,64117281,,Dstr mal ls f/e/e/n/l/m .6-1,A,,1.73,3.35,,1.08,,0.17,5.25,2.98,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,64217282,,Dstr mal ls f/e/e/n/l/m1.1-2,A,,2.04,3.76,,1.17,,0.20,6.00,3.41,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808