$111.10
Choose 17360 for chemical exfoliation directed at acne. Choose 10040 when the documented service is acne surgery, such as comedone extraction.
On this page
CMS RVU26D · Effective 2026-10-01
17360 Acne exfoliation Medicare reimbursement rates in Vermont
Report chemical exfoliation when a clinician applies an exfoliating treatment to manage acne, rather than extracting comedones or freezing acne lesions. Compare 17360 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 17360 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
$117.91
1 of 1 localities have a supported rate.
Payment area: Vermont
One mapped payment locality.
Facility setting
$74.93
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.
Dermatology procedure
About 17360: Chemical exfoliation for acne
Report chemical exfoliation when a clinician applies an exfoliating treatment to manage acne, rather than extracting comedones or freezing acne lesions.
This office-based dermatology service uses a chemical exfoliating treatment to address acne. Dermatologists and other qualified clinicians may perform it as part of an acne treatment plan. The record should identify the acne being treated, the treatment performed, and the area treated; describe the service as acne-directed rather than routine skin care.
Report the service for the chemical treatment performed, with documentation supporting the acne indication and procedure. Related postoperative visits during the 10-day global period are included. If 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. Do not use modifier 50 for bilateral treatment. Medicare does not pay an assistant at surgery for this service, and co-surgeon and team-surgery reporting are not permitted.
CMS billing rules for 17360
- 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 RVU1.42 · 39%
- Practice expense (office) RVU2.06 · 57%
- Malpractice RVU0.14 · 4%
1.9K
Medicare services in 2024 · #2503 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.
17360 compared with similar codes
Office rates for Vermont, from the same CMS release.
$51.36
The method distinguishes these acne-treatment codes: 17360 is chemical exfoliation, while 17340 is cryotherapy.
Compare 17360 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
$117.91
Facility
$74.93
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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 17360 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
1,652
- Code
- 17360
- Physician work
- 1.42
- Practice expense
- 2.06
- Malpractice
- 0.14
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.42 | × 1.000 | 1.4200 |
| Practice expense | 2.06 | × 0.990 | 2.0394 |
| Malpractice | 0.14 | × 0.506 | 0.0708 |
| Total RVUs | 3.5302 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$117.91
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.42 | 1 |
| Practice expense | 2.06 | 0.99 |
| Malpractice | 0.14 | 0.506 |
(1.42 × 1 + 2.06 × 0.99 + 0.14 × 0.506) × $33.4009 = $117.91
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.42 | 1 |
| Practice expense | 0.76 | 0.99 |
| Malpractice | 0.14 | 0.506 |
(1.42 × 1 + 0.76 × 0.99 + 0.14 × 0.506) × $33.4009 = $74.93
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.
17360 billing questions
How is this different from acne surgery code 10040?
Code 17360 represents chemical exfoliation for acne. Code 10040 describes a different acne procedure involving acne surgery, such as comedone extraction.
How is this different from cryotherapy code 17340?
Use 17360 for chemical exfoliation and 17340 when acne is treated with cryotherapy. The treatment method documented determines which code fits.
Are related postoperative visits separately reportable?
Related postoperative visits during the 10-day global period are included in the procedure payment.
Can modifier 50 be used when both sides of the face are treated?
No. Modifier 50 is not appropriate for this service, including when treatment involves both sides.
How are other procedures performed in the same session paid?
The highest-valued procedure is paid in full; other procedures in the same session are subject to the standard multiple-procedure reduction. An assistant at surgery is not paid, and co-surgeons and team surgery are not permitted.
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.
1,64917314,,Mohs addl stage t/a/l,A,,2.98,8.27,,0.91,,0.29,11.54,4.18,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,65017315,,Mohs surg addl block,A,,0.85,1.45,,0.28,,0.07,2.37,1.20,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,65117340,,Cryotherapy for acne,A,,0.75,0.76,,0.44,,0.07,1.58,1.26,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,65217360,,Chemical exfoliation acne,A,,1.42,2.06,,0.76,,0.14,3.62,2.32,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,65317380,,Electrolysis epilation ea 30,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,65417999,,Unlistd px skn muc memb subq,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
1,65519000,,Puncture aspir cyst breast,A,,0.82,1.95,,0.16,,0.11,2.88,1.09,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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