Billing code 17108: Vascular lesion destructionMedicare rate & RVUs in Ohio
Destruction of cutaneous vascular proliferative lesions is reported when the total treated area exceeds 50 square centimeters, such as during laser treatment.
Medicare pays $601.37 for 17108 in the office in Ohio (Ohio). 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 17108 covers
This code covers destruction of cutaneous vascular proliferative lesions over a total treated area greater than 50 square centimeters. Laser treatment is a common method; dermatologists and plastic surgeons may use it for conditions such as port-wine stains in an office or procedural setting. The service is selected by the extent of the area treated, not by the number of lesions.
Document the vascular lesion diagnosis, treatment method, anatomic sites, and total area treated so the selected size level is supported. This major surgery code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When other 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. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; 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.
17108 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | $601.37 | $438.22 |
How the 17108 rate is calculated
Each of 17108’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 · 17108
RVUs × geographic indexes × conversion factor
Work7.30
7.30 RVUs× 1.000 GPCI
Practice expense10.72
10.72 RVUs× 1.000 GPCI
Malpractice0.91
0.91 RVUs× 1.000 GPCI
Adjusted RVUs
18.9300
Conversion factor
$33.4009
Medicare rate
$632.28
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 17108
17108 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 17108
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) | 0 | Not paid without supporting documentation. |
| 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 · 17108
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
17108 without 51 · national office
$632.28
Vascular lesion destruction
17108-51 · Second procedure: 50%
$316.14
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%).
17108 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 17106Vascular lesion destruction
- Use 17106 for cutaneous vascular proliferative lesions treated over an area under 10 square centimeters; 17108 requires an area over 50 square centimeters.
- 17107Vascular lesion destruction
- Use 17107 for a total treated area from 10 through 50 square centimeters. Choose 17108 when the area exceeds 50 square centimeters.
- 17110Benign lesion destruction
- 17110 concerns destruction of benign lesions, not cutaneous vascular proliferative lesions. Choose based on the lesion type being treated, not simply the destruction method.
- 17111Lesion destruction
- 17111 is for destruction of 15 or more benign lesions; 17108 is selected by the treated area of vascular proliferative lesions.
17108 billing questions
How is this code distinguished from 17107?
Use 17108 when the total treated area exceeds 50 square centimeters. Code 17107 is for an area from 10 through 50 square centimeters.
Is the code based on lesion count?
No. Select the level by the total area treated, rather than counting individual vascular lesions.
Can modifier 50 be used for treatment on both sides?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
When is an assistant at surgery payable?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
What documentation supports the size level?
Record the treated sites and the total area treated, along with the lesion diagnosis and destruction method. The documentation should support an area greater than 50 square centimeters.
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
Fee sheets
Put 17108 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →