Billing code 17107: Vascular lesion destructionMedicare rate & RVUs in Illinois
Reports destruction, commonly by laser, of cutaneous vascular proliferative lesions when the total treated area is 10 to 50 square centimeters.
Medicare pays $428.57–$466.54 for 17107 in the office in Illinois, from Rest Of Illinois to Chicago. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 17107 covers
This code covers destruction of cutaneous vascular proliferative lesions, commonly using a laser technique. Dermatologists and other physicians who treat vascular skin lesions may perform it in an office or facility setting. The code is selected by the total area treated: 10 through 50 square centimeters. Examples of lesions treated in this code family include port-wine stains and hemangiomas.
Document the lesion type, the treatment method, and measurements supporting the total treated surface area. Select the smaller-area or larger-area sibling when the total falls outside this range. The procedure has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. 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. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted. Modifier 50 is inappropriate.
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.
Where 17107 pays more and less in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
4 payment localities
$428.57 to $466.54
| Payment locality | Office | Facility |
|---|---|---|
| Chicago | $466.54 | $331.93 |
| East St. Louis | $437.85 | $314.63 |
| Rest Of Illinois | $428.57 | $306.29 |
| Suburban Chicago | $463.93 | $326.37 |
How the 17107 rate is calculated
Each of 17107’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 · 17107
RVUs × geographic indexes × conversion factor
Work4.67
4.67 RVUs× 1.000 GPCI
Practice expense8.10
8.10 RVUs× 1.000 GPCI
Malpractice0.49
0.49 RVUs× 1.000 GPCI
Adjusted RVUs
13.2600
Conversion factor
$33.4009
Medicare rate
$442.90
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 17107
17107 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 17107
Vascular lesion destruction
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.71/0.19 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 17107
Vascular lesion destruction
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
17107 without 51 · national office
$442.90
Vascular lesion destruction
17107-51 · Second procedure: 50%
$221.45
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
17107 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 17106Vascular lesion destruction
- Use 17106 when the total treated area is below 10 square centimeters; 17107 covers 10 through 50 square centimeters.
- 17108Vascular lesion destruction
- Use 17108 when the total treated area exceeds 50 square centimeters; 17107 covers 10 through 50 square centimeters.
- 17110Benign lesion destruction
- 17110 concerns destruction of other benign skin lesions, rather than cutaneous vascular proliferative lesions. Do not select it just because the procedure also destroys tissue.
- 17111Lesion destruction
- 17111 is for destruction of other benign skin lesions according to lesion count; 17107 is for vascular proliferative lesions selected by treated area.
17107 billing questions
How is 17107 distinguished from 17106 and 17108?
Choose by the total area treated: 17107 applies to 10 through 50 square centimeters. The adjacent codes cover smaller and larger areas, respectively.
Is the code based on lesion count or treated area?
It is selected by treated area, not by the number of vascular lesions. Record measurements that support the total area treated.
Can 17107 be billed with another procedure performed in the same session?
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.
Should modifier 50 be appended for lesions on both sides?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant, co-surgeon, or surgical team be reported?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery 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 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
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