Billing code 17106: Vascular lesion destructionMedicare rate & RVUs in Nevada

Destruction of a small cutaneous vascular proliferative lesion or treated field, selected when the treated surface area is less than 10 square centimeters.

CMS RVU26DEffective Oct 1, 20261 payment locality4.7K Medicare services in 2024

Medicare pays $339.89 for 17106 in the office in Nevada (Nevada**). Which amount applies depends on the service address.

$339.89Office (non-facility)
$237.25Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 17106 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Nevada
  2. What 17106 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 17106 covers

This service destroys a cutaneous vascular proliferative lesion or treated field measuring less than 10 square centimeters, commonly using a laser such as a pulsed-dye laser. Dermatologists and plastic surgeons perform it for lesions such as port-wine stains in office procedure rooms and, less often, outpatient facilities. The area threshold distinguishes this code from the larger-area members of the 17106–17108 series; selection is based on treated surface area rather than lesion count.

Select the code using the documented treated area. The record should identify the lesion and body site, the treatment method, and the area treated. Medicare assigns a 90-day global period, including 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 other procedures are paid at 50%. Modifier 50 is not appropriate. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.

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.

17106 in Nevada**

17106 office and facility rates by payment locality
Payment localityOfficeFacility
Nevada**$339.89$237.25

How the 17106 rate is calculated

Each of 17106’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 · 17106

RVUs × geographic indexes × conversion factor

Work3.60

3.60 RVUs× 1.000 GPCI

Practice expense6.22

6.22 RVUs× 1.000 GPCI

Malpractice0.42

0.42 RVUs× 1.000 GPCI

Adjusted RVUs

10.2400

Conversion factor

$33.4009

Medicare rate

$342.03

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 17106

17106 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 17106

Vascular lesion destruction

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.71/0.19Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 17106

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

17106 without 51 · national office

$342.03

Vascular lesion destruction

17106-51 · Second procedure: 50%

$171.02

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%).

When to use modifier 51

17106 compared with similar codes

Compare codes · National

5 codes, side by side

  • 17106

    Vascular lesion destruction3.6 wRVU

    $342.03

  • 17107

    Vascular lesion destruction4.67 wRVU

    $442.90+$100.87

  • 17108

    Vascular lesion destruction7.3 wRVU

    $632.28+$290.25

  • 17110

    Benign lesion destruction0.68 wRVU

    $111.22−$230.81

  • 17111

    Lesion destruction0.95 wRVU

    $129.93−$212.10

How to choose

17107Vascular lesion destruction
Use 17107 when the treated cutaneous vascular area is 10–50 square centimeters; 17106 is for less than 10.
17108Vascular lesion destruction
Use 17108 when the treated cutaneous vascular area is greater than 50 square centimeters, rather than the smaller area reported with 17106.
17110Benign lesion destruction
17110 is for destruction of benign lesions, with selection based on lesion count. 17106 concerns cutaneous vascular proliferative lesions and uses treated surface area.
17111Lesion destruction
17111 is for destruction of a higher count of benign lesions; it is not selected by the surface area of a vascular lesion field.

17106 billing questions

How is this code distinguished from 17107 and 17108?

Choose among these codes by the treated surface area: 17106 is for less than 10 square centimeters, 17107 for 10–50, and 17108 for more than 50. Document the measured area rather than relying on the number of lesions.

Can modifier 50 be used when lesions are on both sides of the body?

No. Modifier 50 is not appropriate for this descriptor.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can a separate benign lesion destruction code be reported at the same visit?

A separate code may be relevant when distinct benign lesions are also treated. Document the separate lesions and procedures; same-session multiple-procedure payment reduction may apply.

Does Medicare pay for an assistant or co-surgeon?

Medicare does not pay an assistant at surgery for this service. 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 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
RVUs for 17106PPRRVU2026_Oct_nonQPP.csv, line 1,622 (RVU26D)
Geographic factors for Nevada**GPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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