$186.65
Both codes cover malignant lesions on the trunk, arms, or legs; choose 17264 for a lesion measuring 3.1 to 4.0 cm and 17266 when it is larger than 4.0 cm.
On this page
CMS RVU26D · Effective 2026-10-01
17266 Lesion destruction Medicare reimbursement rates in Oklahoma
Reports destruction of a malignant skin lesion larger than 4.0 cm on the trunk, arm, or leg, selected by site and lesion size. Compare 17266 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 17266 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
$213.24
1 of 1 localities have a supported rate.
Payment area: Oklahoma
One mapped payment locality.
Facility setting
$121.38
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 17266: Large malignant lesion destruction, trunk or extremity
Reports destruction of a malignant skin lesion larger than 4.0 cm on the trunk, arm, or leg, selected by site and lesion size.
This code covers destruction of a malignant skin lesion larger than 4.0 cm on the trunk, an arm, or a leg. Dermatologists and other clinicians who treat skin cancers may use destructive techniques such as electrosurgery, cryosurgery, laser treatment, or curettage with electrosurgical destruction. It is selected for the treated lesion’s anatomic site and size, not simply for the diagnosis or method used.
Document the lesion’s location, measured size, malignant diagnosis, and the destruction performed. Report the code for each treated lesion that meets its site and size criteria. The service has a 10-day global period, so related postoperative visits during that 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. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 17266
- 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 RVU2.33 · 34%
- Practice expense (office) RVU4.34 · 63%
- Malpractice RVU0.23 · 3%
2.2K
Medicare services in 2024 · #2388 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.
17266 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
$259.37
This code is for lesions over 4.0 cm on the scalp, neck, hands, feet, or genitalia. Use 17266 for the trunk, arms, or legs.
$328.21
This code is for lesions over 4.0 cm on the face, ears, eyelids, nose, lips, or mucous membrane. Use 17266 for the trunk, arms, or legs.
Compare 17266 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
$213.24
Facility
$121.38
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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 17266 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
1,633
- Code
- 17266
- Physician work
- 2.33
- Practice expense
- 4.34
- Malpractice
- 0.23
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.33 | × 1.000 | 2.3300 |
| Practice expense | 4.34 | × 0.893 | 3.8756 |
| Malpractice | 0.23 | × 0.777 | 0.1787 |
| Total RVUs | 6.3843 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Oklahoma$213.24
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.33 | 1 |
| Practice expense | 4.34 | 0.893 |
| Malpractice | 0.23 | 0.777 |
(2.33 × 1 + 4.34 × 0.893 + 0.23 × 0.777) × $33.4009 = $213.24
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.33 | 1 |
| Practice expense | 1.26 | 0.893 |
| Malpractice | 0.23 | 0.777 |
(2.33 × 1 + 1.26 × 0.893 + 0.23 × 0.777) × $33.4009 = $121.38
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.
17266 billing questions
When should I choose this code instead of 17264?
Use 17266 for a malignant lesion on the trunk, arm, or leg that measures more than 4.0 cm. Code 17264 is for the same site group when the lesion measures 3.1 to 4.0 cm.
Does the code depend on the destruction method?
Selection depends on the malignant lesion’s site and size. Document the technique performed, such as cryosurgery or electrosurgical destruction, along with the lesion details.
Can I append modifier 50 for lesions on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code. Report qualifying lesions according to the applicable site and size criteria.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in the procedure.
How does Medicare handle multiple procedures in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. This code also cannot be reported with an assistant at surgery, co-surgeons, or team surgery under the stated CMS rules.
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.
1,63017262,,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
1,63617272,,Dstr mal les s/n/h/f/g 1.1-2,A,,1.77,3.54,,1.09,,0.18,5.49,3.04,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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