Billing code 17312: Mohs surgeryMedicare rate & RVUs in Delaware

Reports an additional Mohs surgery stage for a lesion on the head, neck, hands, feet, or genitalia when microscopic examination shows tumor remains.

CMS RVU26DEffective Oct 1, 20261 payment locality505.2K Medicare services in 2024

Medicare pays $398.83 for 17312 in the office in Delaware (Delaware). Which amount applies depends on the service address.

$398.83Office (non-facility)
$151.99Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 17312 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Delaware
  2. What 17312 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 17312 covers

A Mohs surgeon, commonly a dermatologist, removes and maps another thin layer of tissue after the initial stage. The tissue is processed and examined microscopically so the surgeon can identify whether tumor remains at the margins and whether another stage is needed. Code 17312 is for an additional stage at the head, neck, hands, feet, or genitalia; the first stage is reported separately with the appropriate primary Mohs code. Mohs is commonly performed in an office surgical setting.

Report 17312 for each additional stage after the first, rather than for each tissue block within a stage. The operative record should identify the lesion and site, the stage sequence, tissue mapping and microscopic findings, and the reason another layer was taken. A stage may include up to five tissue blocks; additional blocks are addressed with 17315. As an add-on code, 17312 is billed only with a primary procedure and is paid within that procedure's global period.

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.

17312 in Delaware

17312 office and facility rates by payment locality
Payment localityOfficeFacility
Delaware$398.83$151.99

How the 17312 rate is calculated

Each of 17312’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 · 17312

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 3.22Practice expense 8.51Malpractice 0.33

12.0600 adjusted RVUs×$33.4009 conversion factor=$402.81

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 17312

The CMS indicators that decide how 17312 is paid alongside other services.

CMS payment indicators · 17312

Mohs surgery

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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.

17312 compared with similar codes

Compare codes

17312 vs 17311 vs 17314 vs 17315: national Medicare rates

Swap in your local Medicare rate.

  • 17312
    Mohs surgery · 3.22 wRVU
    $402.81
  • 17311
    Mohs surgery · 6.05 wRVU
    $667.02+$264.21
  • 17314
    Mohs stage · 2.98 wRVU
    $385.45−$17.36
  • 17315
    Mohs block · 0.85 wRVU
    $79.16−$323.65

How to choose

17311Mohs surgery
17311 reports the first Mohs stage for the head, neck, hands, feet, or genitalia; 17312 reports each subsequent stage at those sites.
17314Mohs stage
Both report an additional Mohs stage, but 17314 is for the trunk, arms, or legs; 17312 is for the head, neck, hands, feet, or genitalia.
17315Mohs block
17312 counts an additional stage. Code 17315 counts additional tissue blocks beyond five within a stage.

17312 billing questions

When should 17312 be used instead of 17311?

Use 17311 for the first Mohs stage on the head, neck, hands, feet, or genitalia. Report 17312 for each additional stage at one of those sites.

Is 17312 billed per tissue block?

No. It represents an additional stage, which can include up to five tissue blocks. Code 17315 addresses additional blocks beyond that amount.

Can 17312 be reported by itself?

No. It is an add-on code and must be billed with the primary Mohs procedure for the lesion.

Which additional-stage code applies to a lesion on the trunk or an extremity?

Use 17314 for an additional stage on the trunk, arms, or legs. Code 17312 is for additional stages on the head, neck, hands, feet, or genitalia.

What documentation supports an additional-stage unit?

The operative record should show the lesion site, the additional stage performed, the tissue map and microscopic findings, and the reason the surgeon continued.

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 17312PPRRVU2026_Oct_nonQPP.csv, line 1,647 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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