$176.30–$185.06
Use 17263 for a malignant lesion on the trunk, arm, or leg measuring 2.1–3.0 cm; use this code for 3.1–4.0 cm.
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CMS RVU26D · Effective 2026-10-01
17264 Skin lesion destruction Medicare reimbursement rates in Maine
Destruction of a malignant skin lesion measuring 3.1–4.0 cm on the trunk, an arm, or a leg, selected by site and lesion diameter. Compare 17264 office and facility rates across CMS payment localities in Maine.
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 17264 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$189.20–$198.56
2 of 2 localities have a supported rate.
Facility setting
$103.78–$106.54
2 of 2 localities have a supported rate.
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 17264: Malignant skin lesion destruction, 3.1–4.0 cm
Destruction of a malignant skin lesion measuring 3.1–4.0 cm on the trunk, an arm, or a leg, selected by site and lesion diameter.
This service treats a malignant skin lesion on the trunk, an arm, or a leg by destroying the lesion rather than removing it as an intact excision specimen. A dermatologist or other physician may perform the treatment in an office or facility using a destructive technique appropriate to the lesion. The measurement and location determine the code family level; this code is for a lesion measuring 3.1–4.0 cm in the specified anatomic group.
Report the documented malignant diagnosis, exact site, pretreatment lesion diameter, and treatment performed. Use the neighboring size level when the measurement falls outside this range, and use a different site group for lesions on the scalp, neck, hands, feet, genitalia, face, ears, eyelids, nose, lips, or mucous membranes. 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 other procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 17264
- 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 RVU1.94 · 32%
- Practice expense (office) RVU3.92 · 65%
- Malpractice RVU0.19 · 3%
7.4K
Medicare services in 2024 · #1632 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.
17264 compared with similar codes
Office rates for Maine, from the same CMS release.
$215.97–$226.33
Use 17266 for a lesion on the same anatomic group when its diameter is greater than 4.0 cm.
$224.40–$234.76
Use 17274 for a 3.1–4.0 cm lesion on the scalp, neck, hand, foot, or genitalia; this code is for the trunk, arms, or legs.
Compare 17264 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
$189.20
Facility
$103.78
Southern Maine →
Office / nonfacility
$198.56
Facility
$106.54
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17264 billing questions
How is this code distinguished from 17263 or 17266?
The anatomic group is the same, but this code is for a lesion measuring 3.1–4.0 cm. Code 17263 is for the next smaller size range, and 17266 is for a lesion larger than 4.0 cm.
Can this code be used for a lesion on the face or hand?
No. This code is limited to lesions on the trunk, arms, or legs; other anatomic groups have separate codes even when the lesion diameter is the same.
What documentation supports the size selection?
Record the malignant diagnosis, precise anatomic site, pretreatment lesion diameter, and the destructive treatment performed. The documented diameter must fall within the 3.1–4.0 cm range.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in this procedure's payment.
How does CMS treat other procedures performed in the same session?
The highest-valued procedure is paid in full, and other procedures performed in that session are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment is restricted, and 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 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.
1,62917261,,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
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