Billing code 17262: Lesion destructionMedicare rate & RVUs in Nevada

Destruction of a malignant skin lesion measuring 1.1–2.0 cm on the trunk, arm, or leg, reported when a destructive treatment is performed.

CMS RVU26DEffective Oct 1, 20261 payment locality309.9K Medicare services in 2024

Medicare pays $172.91 for 17262 in the office in Nevada (Nevada**). Which amount applies depends on the service address.

$172.91Office (non-facility)
$92.33Hospital 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 17262 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Nevada
  2. What 17262 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 17262 covers

The clinician treats a malignant skin lesion with a destructive technique, such as electrodesiccation and curettage, cryotherapy, or laser treatment, rather than removing it by excision. This size tier covers lesions measuring 1.1 through 2.0 cm on the trunk, arms, or legs. Dermatologists commonly perform the service in an office; it may also be furnished in an outpatient facility.

Choose the code for the lesion’s anatomic group and measured diameter, and document the diagnosis, exact site, size, and treatment method. A 10-day global period includes related postoperative visits during that period. For multiple procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery; 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.

17262 in Nevada**

17262 office and facility rates by payment locality
Payment localityOfficeFacility
Nevada**$172.91$92.33

How the 17262 rate is calculated

Each of 17262’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 · 17262

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 1.59Practice expense 3.45Malpractice 0.16

5.2000 adjusted RVUs×$33.4009 conversion factor=$173.68

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 17262

17262 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 17262

Lesion destruction

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 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)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 17262

Lesion destruction

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

17262 without 51 · national office

$173.68

Lesion destruction

17262-51 · Second procedure: 50%

$86.84

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

17262 compared with similar codes

Compare codes

17262 vs 17261 vs 17263 vs 17272 vs 11602: national Medicare rates

Swap in your local Medicare rate.

  • 17262
    Lesion destruction · 1.59 wRVU
    $173.68
  • 17261
    Malignant lesion destruction · 1.19 wRVU
    $144.29−$29.39
  • 17263
    Malignant lesion destruction · 1.79 wRVU
    $188.38+$14.70
  • 17272
    Lesion destruction · 1.77 wRVU
    $183.37+$9.69
  • 11602
    Malignant lesion excision · 2.21 wRVU
    $240.49+$66.81

How to choose

17261Malignant lesion destruction
Both cover destructive treatment on the trunk, arms, or legs; 17261 is for the smaller size tier, while 17262 covers 1.1–2.0 cm.
17263Malignant lesion destruction
Both cover the same sites and treatment approach; 17263 is for lesions larger than the 1.1–2.0 cm range.
17272Lesion destruction
This code covers the 1.1–2.0 cm tier on the trunk, arms, or legs; 17272 is for that size tier in a different anatomic group.
11602Malignant lesion excision
Use 17262 when the malignant lesion is destroyed; 11602 is for excision of a lesion in the corresponding size and site group.

17262 billing questions

When should 17262 be selected instead of 17261 or 17263?

Use 17262 for a lesion measuring 1.1–2.0 cm on the trunk, arm, or leg. Code 17261 is the smaller size tier, and 17263 is the next larger tier.

Does the lesion’s location affect code selection?

Yes. Code 17262 is for the trunk, arms, or legs. Lesions on the scalp, neck, hands, feet, or genitalia fall in a different anatomic group.

Can this code be used when the lesion is excised?

No. Code 17262 describes destructive treatment; use the applicable excision code when the lesion is cut out.

What documentation supports the size tier?

Record the lesion’s diagnosis, anatomic site, measured diameter, and destructive method. The documented diameter should support the 1.1–2.0 cm tier.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. The code has a 10-day global period for related postoperative visits.

Can modifier 50 or an assistant-at-surgery claim be reported?

Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and 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 17262PPRRVU2026_Oct_nonQPP.csv, line 1,630 (RVU26D)
Geographic factors for Nevada**GPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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