$208.91
Use 17273 for a malignant lesion in the same anatomic group measuring 2.1-3.0 cm; 17274 is for 3.1-4.0 cm.
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CMS RVU26D · Effective 2026-10-01
17274 Lesion destruction Medicare reimbursement rates in Rhode Island
Destruction of a 3.1-4.0 cm malignant skin lesion on the scalp, neck, hands, feet, or genitalia, selected by site and diameter. Compare 17274 office and facility rates across CMS payment localities in Rhode Island.
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 17274 in Rhode Island?
Rhode Island 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
$244.66
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$141.15
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 17274: Malignant skin lesion destruction, 3.1-4 cm
Destruction of a 3.1-4.0 cm malignant skin lesion on the scalp, neck, hands, feet, or genitalia, selected by site and diameter.
Code 17274 represents destruction of a malignant skin lesion measuring 3.1 through 4.0 cm at a site in the scalp, neck, hands, feet, or genitalia group. Dermatologists and other clinicians who treat skin cancers may perform the service in an office procedure room using a destructive technique such as curettage with electrosurgery, cryotherapy, laser, or chemical destruction. This code is used when the treatment plan is destruction rather than removal by excision.
Select the code by the documented lesion diameter and anatomic group, not by the method used. Documentation should identify the malignant diagnosis, treated site, lesion size, and technique; report separate lesions individually when appropriate. CMS assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are paid at 50%. Modifier 50 is inappropriate for this site-based descriptor. CMS does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 17274
- 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 RVU2.57 · 36%
- Practice expense (office) RVU4.34 · 61%
- Malpractice RVU0.25 · 3%
2.4K
Medicare services in 2024 · #2338 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.
17274 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$285.36
Use 17276 for a lesion in the same anatomic group measuring more than 4.0 cm.
$206.94
This code covers a 3.1-4.0 cm malignant lesion on the trunk, arms, or legs, rather than the scalp, neck, hands, feet, or genitalia.
$346.64
Use 11624 when a 3.1-4.0 cm malignant lesion in the same anatomic group is excised; 17274 describes destruction.
Compare 17274 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
Rhode Island →
Office / nonfacility
$244.66
Facility
$141.15
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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 17274 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
1,638
- Code
- 17274
- Physician work
- 2.57
- Practice expense
- 4.34
- Malpractice
- 0.25
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.57 | × 1.019 | 2.6188 |
| Practice expense | 4.34 | × 1.033 | 4.4832 |
| Malpractice | 0.25 | × 0.892 | 0.2230 |
| Total RVUs | 7.3250 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$244.66
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.57 | 1.019 |
| Practice expense | 4.34 | 1.033 |
| Malpractice | 0.25 | 0.892 |
(2.57 × 1.019 + 4.34 × 1.033 + 0.25 × 0.892) × $33.4009 = $244.66
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.57 | 1.019 |
| Practice expense | 1.34 | 1.033 |
| Malpractice | 0.25 | 0.892 |
(2.57 × 1.019 + 1.34 × 1.033 + 0.25 × 0.892) × $33.4009 = $141.15
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.
17274 billing questions
How is 17274 distinguished from the other destruction codes?
The lesion must measure 3.1 through 4.0 cm and be on the scalp, neck, hands, feet, or genitalia. Codes for other anatomic groups or size ranges differ.
Is the code selected by the destruction method?
No. Select it by lesion diameter and anatomic group; the code covers destruction by any method.
Can a related postoperative visit be billed separately?
Related postoperative visits during the 10-day global period are included.
Should modifier 50 be used for lesions on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this site-based descriptor.
How are other procedures performed in the same session paid?
The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple procedure reduction.
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.
1,63517271,,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
1,63717273,,Dstr mal les s/n/h/f/g 2.1-3,A,,2.05,3.86,,1.18,,0.20,6.11,3.43,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,63817274,,Dstr mal les s/n/h/f/g 3.1-4,A,,2.57,4.34,,1.34,,0.25,7.16,4.16,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,63917276,,Dstr mal les s/n/h/f/g >4.0,A,,3.17,4.85,,1.51,,0.34,8.36,5.02,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,64017280,,Dstr mal ls f/e/e/n/l/m .5/<,A,,1.19,2.83,,0.92,,0.12,4.14,2.23,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,64117281,,Dstr mal ls f/e/e/n/l/m .6-1,A,,1.73,3.35,,1.08,,0.17,5.25,2.98,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537