$156.38
Both cover destructive treatment on the trunk, arms, or legs; 17261 is for the smaller size tier, while 17262 covers 1.1–2.0 cm.
On this page
CMS RVU26D · Effective 2026-10-01
17262 Lesion destruction Medicare reimbursement rates in Hawaii
Destruction of a malignant skin lesion measuring 1.1–2.0 cm on the trunk, arm, or leg, reported when a destructive treatment is performed. Compare 17262 office and facility rates across CMS payment localities in Hawaii.
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 17262 in Hawaii?
Hawaii 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
$187.22
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$95.70
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 17262: Malignant lesion destruction, 1.1–2.0 cm
Destruction of a malignant skin lesion measuring 1.1–2.0 cm on the trunk, arm, or leg, reported when a destructive treatment is performed.
The clinician treats a malignant skin lesion with a destructive technique, such as electrodesiccation and curettage, cryotherapy, or laser treatment, rather than removing it by excision. This size tier covers lesions measuring 1.1 through 2.0 cm on the trunk, arms, or legs. Dermatologists commonly perform the service in an office; it may also be furnished in an outpatient facility.
Choose the code for the lesion’s anatomic group and measured diameter, and document the diagnosis, exact site, size, and treatment method. A 10-day global period includes related postoperative visits during that period. For multiple procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 17262
- 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 RVU1.59 · 31%
- Practice expense (office) RVU3.45 · 66%
- Malpractice RVU0.16 · 3%
309.9K
Medicare services in 2024 · #303 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.
17262 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$202.64
Both cover the same sites and treatment approach; 17263 is for lesions larger than the 1.1–2.0 cm range.
$197.04
This code covers the 1.1–2.0 cm tier on the trunk, arms, or legs; 17272 is for that size tier in a different anatomic group.
$259.03
Use 17262 when the malignant lesion is destroyed; 11602 is for excision of a lesion in the corresponding size and site group.
Compare 17262 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
Hawaii, Guam →
Office / nonfacility
$187.22
Facility
$95.70
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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 17262 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
1,630
- Code
- 17262
- Physician work
- 1.59
- Practice expense
- 3.45
- Malpractice
- 0.16
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.59 | × 1.000 | 1.5900 |
| Practice expense | 3.45 | × 1.137 | 3.9227 |
| Malpractice | 0.16 | × 0.579 | 0.0926 |
| Total RVUs | 5.6053 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$187.22
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.59 | 1 |
| Practice expense | 3.45 | 1.137 |
| Malpractice | 0.16 | 0.579 |
(1.59 × 1 + 3.45 × 1.137 + 0.16 × 0.579) × $33.4009 = $187.22
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.59 | 1 |
| Practice expense | 1.04 | 1.137 |
| Malpractice | 0.16 | 0.579 |
(1.59 × 1 + 1.04 × 1.137 + 0.16 × 0.579) × $33.4009 = $95.70
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.
17262 billing questions
When should 17262 be selected instead of 17261 or 17263?
Use 17262 for a lesion measuring 1.1–2.0 cm on the trunk, arm, or leg. Code 17261 is the smaller size tier, and 17263 is the next larger tier.
Does the lesion’s location affect code selection?
Yes. Code 17262 is for the trunk, arms, or legs. Lesions on the scalp, neck, hands, feet, or genitalia fall in a different anatomic group.
Can this code be used when the lesion is excised?
No. Code 17262 describes destructive treatment; use the applicable excision code when the lesion is cut out.
What documentation supports the size tier?
Record the lesion’s diagnosis, anatomic site, measured diameter, and destructive method. The documented diameter should support the 1.1–2.0 cm tier.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. The code has a 10-day global period for related postoperative visits.
Can modifier 50 or an assistant-at-surgery claim be reported?
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.
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.
1,62717250,,Chem caut of granltj tissue,A,,0.49,2.14,,0.50,,0.07,2.70,1.06,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,62817260,,Dstrj mal les t/a/l 0.5 cm/<,A,,0.94,1.88,,0.75,,0.08,2.90,1.77,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,62917261,,Dstrj mal les t/a/l .6-1.0cm,A,,1.19,3.01,,0.92,,0.12,4.32,2.23,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,63017262,,Dstrj mal les t/a/l 1.1-2.0,A,,1.59,3.45,,1.04,,0.16,5.20,2.79,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,63117263,,Dstrj mal les t/a/l 2.1-3.0,A,,1.79,3.67,,1.10,,0.18,5.64,3.07,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,63217264,,Dstrj mal les t/a/l 3.1-4.0,A,,1.94,3.92,,1.14,,0.19,6.05,3.27,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,63317266,,Dstrj mal les t/a/l >4.0 cm,A,,2.33,4.34,,1.26,,0.23,6.90,3.82,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014