$94.91
This code treats granulation tissue with chemical cautery. Code 17260 is for destruction of a malignant skin lesion on the trunk, arms, or legs, with lesion size determining the level.
On this page
CMS RVU26D · Effective 2026-10-01
17250 Granulation cautery Medicare reimbursement rates in Vermont
Report chemical cauterization when a clinician treats excess granulation tissue, such as an umbilical granuloma or tissue around a stoma, with a chemical agent. Compare 17250 office and facility rates across CMS payment localities in Vermont.
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 17250 in Vermont?
Vermont 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
$88.31
1 of 1 localities have a supported rate.
Payment area: Vermont
One mapped payment locality.
Facility setting
$34.08
1 of 1 localities have a supported rate.
Payment area: Vermont
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.
Wound care
About 17250: Chemical cauterization of granulation tissue
Report chemical cauterization when a clinician treats excess granulation tissue, such as an umbilical granuloma or tissue around a stoma, with a chemical agent.
This service treats excess granulation tissue by applying a chemical cauterant, commonly silver nitrate, to the affected area. Typical examples include an umbilical granuloma or granulation tissue at a gastrostomy or other stoma site. A physician or other qualified clinician may perform it in an office, clinic, or wound-care setting. The target is granulation tissue, not a malignant skin lesion or an area requiring tissue removal by debridement.
Report the service for the chemical treatment itself, with documentation identifying the site and the granulation tissue treated. The code has a 0-day global period, so same-day preoperative and postoperative care is 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 50% 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 17250
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 RVU0.49 · 18%
- Practice expense (office) RVU2.14 · 79%
- Malpractice RVU0.07 · 3%
207.9K
Medicare services in 2024 · #381 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.
17250 compared with similar codes
Office rates for Vermont, from the same CMS release.
$143.84
This code treats granulation tissue. Code 17270 is for destruction of a malignant skin lesion in its specified anatomic group, including the scalp, neck, hands, feet, or genitalia.
$135.35
This code treats granulation tissue with a chemical agent. Code 17280 is for destruction of a malignant lesion in its specified facial and related anatomic group.
Compare 17250 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
Vermont →
Office / nonfacility
$88.31
Facility
$34.08
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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 17250 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
1,627
- Code
- 17250
- Physician work
- 0.49
- Practice expense
- 2.14
- Malpractice
- 0.07
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.49 | × 1.000 | 0.4900 |
| Practice expense | 2.14 | × 0.990 | 2.1186 |
| Malpractice | 0.07 | × 0.506 | 0.0354 |
| Total RVUs | 2.6440 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$88.31
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.49 | 1 |
| Practice expense | 2.14 | 0.99 |
| Malpractice | 0.07 | 0.506 |
(0.49 × 1 + 2.14 × 0.99 + 0.07 × 0.506) × $33.4009 = $88.31
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.49 | 1 |
| Practice expense | 0.5 | 0.99 |
| Malpractice | 0.07 | 0.506 |
(0.49 × 1 + 0.5 × 0.99 + 0.07 × 0.506) × $33.4009 = $34.08
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.
17250 billing questions
When should this code be chosen instead of a skin-lesion destruction code?
Use it for chemical treatment of granulation tissue, such as an umbilical granuloma or peristomal tissue. Codes such as 17260 describe destruction of malignant skin lesions, not granulation tissue.
Does the code include same-day care around the procedure?
Yes. Its 0-day global period includes same-day preoperative and postoperative care.
Can an office E/M service be reported on the same date?
A separately identifiable E/M service may be reported when the record supports evaluation and management beyond the cautery; modifier 25 belongs on the E/M code when appropriate.
Should modifier 50 be appended for treatment on both sides?
No. Bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction.
What documentation supports reporting this service?
Record the treated site, the presence of granulation tissue, and the chemical cauterization performed. The documentation should distinguish the service from lesion destruction or wound debridement.
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.
1,62417108,,Dstr cut vsc prlf les>50sqcm,A,,7.30,10.72,,5.37,,0.91,18.93,13.58,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,62517110,,Destruction b9 les up to 14,A,,0.68,2.58,,1.12,,0.07,3.33,1.87,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,62617111,,Destruction b9 lesions 15/>,A,,0.95,2.86,,1.18,,0.08,3.89,2.21,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,62717250,,Chem caut of granltj tissue,A,,0.49,2.14,,0.50,,0.07,2.70,1.06,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,62817260,,Dstrj mal les t/a/l 0.5 cm/<,A,,0.94,1.88,,0.75,,0.08,2.90,1.77,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,62917261,,Dstrj mal les t/a/l .6-1.0cm,A,,1.19,3.01,,0.92,,0.12,4.32,2.23,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,63017262,,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
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817