$128.37
Choose 17340 for cryotherapy directed at acne; choose 17360 when the clinician performs chemical exfoliation for acne.
On this page
CMS RVU26D · Effective 2026-10-01
17340 Acne cryotherapy Medicare reimbursement rates in Hawaii
Cryotherapy for acne lesions is reported when a clinician applies a controlled cold treatment as an acne-directed dermatologic procedure. Compare 17340 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 17340 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
$55.27
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$43.11
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 17340: Acne lesion cryotherapy
Cryotherapy for acne lesions is reported when a clinician applies a controlled cold treatment as an acne-directed dermatologic procedure.
A dermatologist or other qualified clinician applies a controlled cold treatment, commonly using liquid nitrogen, to acne-affected skin. The service is typically performed in an outpatient dermatology setting to treat acne lesions; it is distinct from freezing benign lesions for a different diagnosis.
Report the service when the treatment is specifically directed at acne. Documentation should identify the acne indication, treated site or sites, and procedure performed. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant at surgery is not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 17340
- 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 RVU0.75 · 47%
- Practice expense (office) RVU0.76 · 48%
- Malpractice RVU0.07 · 4%
1.5K
Medicare services in 2024 · #2645 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.
17340 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$123.18
Code 10040 describes acne surgery such as extraction or opening of acne lesions, rather than cold treatment.
$122.05
Code 17110 is for destruction of qualifying benign lesions, not cryotherapy performed to treat acne.
Compare 17340 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
$55.27
Facility
$43.11
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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 17340 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
1,651
- Code
- 17340
- Physician work
- 0.75
- Practice expense
- 0.76
- Malpractice
- 0.07
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.75 | × 1.000 | 0.7500 |
| Practice expense | 0.76 | × 1.137 | 0.8641 |
| Malpractice | 0.07 | × 0.579 | 0.0405 |
| Total RVUs | 1.6546 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$55.27
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.75 | 1 |
| Practice expense | 0.76 | 1.137 |
| Malpractice | 0.07 | 0.579 |
(0.75 × 1 + 0.76 × 1.137 + 0.07 × 0.579) × $33.4009 = $55.27
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.75 | 1 |
| Practice expense | 0.44 | 1.137 |
| Malpractice | 0.07 | 0.579 |
(0.75 × 1 + 0.44 × 1.137 + 0.07 × 0.579) × $33.4009 = $43.11
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.
17340 billing questions
How does this differ from chemical exfoliation for acne?
This code represents cold treatment directed at acne. Report chemical exfoliation for acne with 17360 when that is the procedure performed.
Should modifier 50 be appended for acne on both sides of the face?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
Are related visits included after the procedure?
Yes. Related postoperative visits during the 10-day global period are included.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures in that session are subject to the standard 50% multiple-procedure reduction.
Can an assistant, co-surgeon, or surgical team be reported?
An assistant at surgery is not paid. Co-surgeons and team surgery are not permitted.
What should the record show?
Document that the treatment was for acne, the treated site or sites, and the cryotherapy performed.
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.
1,64817313,,Mohs 1 stage t/a/l,A,,5.42,12.80,,1.76,,0.53,18.75,7.71,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,64917314,,Mohs addl stage t/a/l,A,,2.98,8.27,,0.91,,0.29,11.54,4.18,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,65017315,,Mohs surg addl block,A,,0.85,1.45,,0.28,,0.07,2.37,1.20,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,65117340,,Cryotherapy for acne,A,,0.75,0.76,,0.44,,0.07,1.58,1.26,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,65217360,,Chemical exfoliation acne,A,,1.42,2.06,,0.76,,0.14,3.62,2.32,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,65317380,,Electrolysis epilation ea 30,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,65417999,,Unlistd px skn muc memb subq,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,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