$151.93
Use 17271 for a 0.6–1 cm lesion on the scalp, neck, hands, feet, or genitalia. Use 17272 when the lesion measures 1.1–2 cm.
On this page
CMS RVU26D · Effective 2026-10-01
17272 Lesion destruction Medicare reimbursement rates in Indiana
Destruction of a 1.1–2 cm malignant skin lesion on the scalp, neck, hands, feet, or genitalia, reported according to lesion size and site. Compare 17272 office and facility rates across CMS payment localities in Indiana.
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 17272 in Indiana?
Indiana 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
$171.65
1 of 1 localities have a supported rate.
Payment area: Indiana
One mapped payment locality.
Facility setting
$95.79
1 of 1 localities have a supported rate.
Payment area: Indiana
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 17272: Malignant lesion destruction, 1.1–2 cm
Destruction of a 1.1–2 cm malignant skin lesion on the scalp, neck, hands, feet, or genitalia, reported according to lesion size and site.
This code covers destruction of a malignant skin lesion in the 1.1–2 cm size range on the scalp, neck, hands, feet, or genitalia. Destruction may use an appropriate technique such as cryosurgery, electrosurgery, laser, or curettage. Dermatologists commonly perform the procedure in an office; surgeons and other qualified clinicians may perform it in office or facility settings. Examples include treating a confirmed basal cell carcinoma on the scalp or a squamous cell carcinoma on a hand when destruction is selected rather than excision.
Select the code for each lesion using its documented diameter and anatomic site; do not combine the diameters of separate lesions. Documentation should identify the malignant lesion, its location and size, and the destruction performed. The procedure has a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code. Medicare does not pay for an assistant at surgery, and co-surgery and team surgery are not permitted.
CMS billing rules for 17272
- 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 RVU1.77 · 32%
- Practice expense (office) RVU3.54 · 64%
- Malpractice RVU0.18 · 3%
74.6K
Medicare services in 2024 · #649 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.
17272 compared with similar codes
Office rates for Indiana, from the same CMS release.
$191.23
Use 17273 for a 2.1–3 cm lesion at the same anatomic sites. The lesion size, not the destruction technique, separates it from 17272.
$162.53
The size range is the same, but 17262 applies to the trunk, arms, or legs rather than the scalp, neck, hands, feet, or genitalia.
$187.80
Use 17282 for a 1.1–2 cm lesion on the face, ears, eyelids, nose, lips, or mucous membranes; 17272 covers its own specified anatomic group.
Compare 17272 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
Indiana →
Office / nonfacility
$171.65
Facility
$95.79
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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 17272 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
1,636
- Code
- 17272
- Physician work
- 1.77
- Practice expense
- 3.54
- Malpractice
- 0.18
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.77 | × 1.000 | 1.7700 |
| Practice expense | 3.54 | × 0.927 | 3.2816 |
| Malpractice | 0.18 | × 0.486 | 0.0875 |
| Total RVUs | 5.1391 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Indiana$171.65
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.77 | 1 |
| Practice expense | 3.54 | 0.927 |
| Malpractice | 0.18 | 0.486 |
(1.77 × 1 + 3.54 × 0.927 + 0.18 × 0.486) × $33.4009 = $171.65
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.77 | 1 |
| Practice expense | 1.09 | 0.927 |
| Malpractice | 0.18 | 0.486 |
(1.77 × 1 + 1.09 × 0.927 + 0.18 × 0.486) × $33.4009 = $95.79
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.
17272 billing questions
How is 17272 distinguished from 17271 or 17273?
Use 17272 for a lesion measuring 1.1–2 cm at the specified scalp, neck, hand, foot, or genital site. Code 17271 is for the smaller size range, and 17273 is for the next larger range.
Can separate lesions be reported individually?
Yes. Select a code for each malignant lesion based on that lesion’s own size and site; do not add lesion diameters together. Same-session multiple-procedure payment rules may reduce payment for additional procedures.
Are related postoperative visits separately reported during the global period?
Related postoperative visits during the 10-day global period are included in the procedure.
Should modifier 50 be used for lesions on both sides?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
Can an assistant or co-surgeon be reported?
Medicare does not pay for an assistant at surgery for this code. Co-surgery 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 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.
1,63317266,,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
1,63417270,,Dstr mal les s/n/h/f/g .5 /<,A,,1.34,2.93,,0.96,,0.13,4.40,2.43,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,63517271,,Dstr mal les s/n/h/f/g 0.6-1,A,,1.50,3.21,,1.02,,0.15,4.86,2.67,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,63617272,,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
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915