$5.81
This code covers only the first premalignant lesion; 17003 is the add-on counted per lesion for the second through fourteenth.
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CMS RVU26D · Effective 2026-10-01
17000 Premalignant lesion destruction Medicare reimbursement rates in Oklahoma
Destruction of a single premalignant skin lesion, most often an actinic keratosis, by cryotherapy or another method; reported for the first lesion treated in a session. Compare 17000 office and facility rates across CMS payment localities in Oklahoma.
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 17000 in Oklahoma?
Oklahoma 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
$61.23
1 of 1 localities have a supported rate.
Payment area: Oklahoma
One mapped payment locality.
Facility setting
$44.53
1 of 1 localities have a supported rate.
Payment area: Oklahoma
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 17000: Destruction of first premalignant skin lesion
Destruction of a single premalignant skin lesion, most often an actinic keratosis, by cryotherapy or another method; reported for the first lesion treated in a session.
This service covers destroying one premalignant skin lesion, classically an actinic keratosis on sun-exposed skin such as the face, scalp, ears, or dorsal hands. Destruction methods include liquid nitrogen cryosurgery, curettage, electrosurgery, chemical application, and laser. Dermatologists, primary care physicians, physician assistants, and nurse practitioners perform it, usually in the office. Medicare recorded over six million office services in 2024.
Report one unit for the first lesion. Add 17003 for each additional lesion from the second through the fourteenth. When 15 or more lesions are treated, report 17004 alone instead. Documentation should state the lesion count, anatomic locations, diagnosis, and method. The procedure has a 10-day global period, so related postoperative visits during that period are included. Under the standard multiple procedure reduction, the highest-valued eligible procedure is paid in full and other eligible procedures at 50% when performed in the same session. Do not use modifier 50. Assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 17000
- 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 RVU0.59 · 30%
- Practice expense (office) RVU1.34 · 67%
- Malpractice RVU0.06 · 3%
6.3M
Medicare services in 2024 · #34 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.
17000 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
$149.24
Use 17004 as a single service when 15 or more lesions are treated; it is never combined with this code or 17003.
$101.48
17110 is for benign lesions like common warts or molluscum; premalignant lesions such as actinic keratoses use this code.
$89.55
Codes in the 17260–17286 range are for destroying malignant lesions, selected by site and diameter, rather than premalignant lesions counted individually.
Compare 17000 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
Oklahoma →
Office / nonfacility
$61.23
Facility
$44.53
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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 17000 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
1,619
- Code
- 17000
- Physician work
- 0.59
- Practice expense
- 1.34
- Malpractice
- 0.06
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.59 | × 1.000 | 0.5900 |
| Practice expense | 1.34 | × 0.893 | 1.1966 |
| Malpractice | 0.06 | × 0.777 | 0.0466 |
| Total RVUs | 1.8332 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Oklahoma$61.23
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.59 | 1 |
| Practice expense | 1.34 | 0.893 |
| Malpractice | 0.06 | 0.777 |
(0.59 × 1 + 1.34 × 0.893 + 0.06 × 0.777) × $33.4009 = $61.23
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.59 | 1 |
| Practice expense | 0.78 | 0.893 |
| Malpractice | 0.06 | 0.777 |
(0.59 × 1 + 0.78 × 0.893 + 0.06 × 0.777) × $33.4009 = $44.53
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.
17000 billing questions
How are 10 actinic keratoses coded?
Report this code with one unit for the first lesion and 17003 with nine units for lesions two through ten.
Can this code be reported with 17004?
No. When 15 or more premalignant lesions are destroyed, 17004 is reported by itself and replaces both this code and 17003.
Is an office visit billed on the same day separately payable?
Only when a significant, separately identifiable E/M service is documented beyond the evaluation inherent in treating the lesions; append modifier 25 to the E/M code.
Does the destruction method change the code?
No. Cryotherapy, curettage, electrosurgery, chemical, and laser destruction are reported with the same code; record the method used in the note.
Can a biopsy be billed with this code?
A medically necessary biopsy of a different lesion can be reported with 11102 or another applicable biopsy code, using a distinct-site modifier such as 59 or XS when required.
Are visits after the destruction billable?
Related postoperative visits during the 10-day global period are included. An E/M service for an unrelated problem during that period may be reported with modifier 24 when its requirements are met.
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.
1,61616030,,Dress/debrid p-thick burn l,A,,2.03,3.94,,1.22,,0.43,6.40,3.68,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,61716035,,Escharotomy 1st incision,A,,3.65,1.05,NA,1.05,,0.65,5.35,5.35,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,61816036,,Escharotomy ea addl incision,A,,1.46,0.38,NA,0.38,,0.36,2.20,2.20,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,61917000,,Destruct premalg lesion,A,,0.59,1.34,,0.78,,0.06,1.99,1.43,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,62017003,,Destruct premalg les 2-14,A,,0.04,0.15,,0.01,,0.00,0.19,0.05,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,62117004,,Destroy premal lesions 15/>,A,,1.34,3.39,,1.01,,0.13,4.86,2.48,0,010,0.10,0.80,0.10,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,62217106,,Dstr cut vsc prlf les<10sqcm,A,,3.60,6.22,,3.15,,0.42,10.24,7.17,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193