# CPT 17004: Destruction Premalignant Lesion 15/>

Medicare CPT 17004 pays $162.33 in a non-facility setting and $82.83 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $144.26 in Arkansas to $190.12 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/17004-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Dermatology, Internal Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $162.33 |
| National facility | $82.83 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $190.12 | $105.46 |
| District of Columbia | $185.39 | $91.75 |
| California | $182.70 | $88.63 |
| New Jersey | $179.26 | $89.75 |
| New York | $179.10 | $90.42 |
| Washington | $178.67 | $88.06 |
| Massachusetts | $176.91 | $87.60 |
| Hawaii | $176.01 | $85.63 |
| Connecticut | $172.85 | $87.24 |
| Colorado | $169.16 | $84.58 |
| Maryland | $168.06 | $85.19 |
| Oregon | $167.55 | $83.80 |
| Florida | $166.82 | $87.06 |
| Rhode Island | $166.45 | $84.33 |
| New Hampshire | $166.43 | $83.67 |
| Puerto Rico | $163.51 | $83.14 |
| Virgin Islands | $163.51 | $83.14 |
| Illinois | $162.62 | $85.81 |
| Minnesota | $162.56 | $80.76 |
| Montana | $162.32 | $82.83 |
| Nevada | $161.72 | $82.14 |
| Wyoming | $161.20 | $81.71 |
| Delaware | $160.75 | $82.21 |
| Pennsylvania | $160.71 | $82.85 |
| Texas | $160.51 | $82.25 |
| North Dakota | $159.75 | $80.26 |
| South Dakota | $159.45 | $79.95 |
| Virginia | $159.13 | $80.98 |
| Vermont | $159.05 | $80.35 |
| Arizona | $158.19 | $81.16 |
| Georgia | $158.04 | $82.20 |
| Michigan | $157.19 | $82.54 |
| Maine | $155.67 | $79.71 |
| Utah | $155.09 | $80.37 |
| Wisconsin | $154.57 | $78.41 |
| New Mexico | $153.80 | $80.91 |
| North Carolina | $153.17 | $79.01 |
| South Carolina | $153.07 | $79.62 |
| Missouri | $152.94 | $79.99 |
| Louisiana | $152.68 | $80.10 |
| Ohio | $152.51 | $79.93 |
| Indiana | $151.83 | $78.14 |
| Idaho | $150.98 | $77.85 |
| Nebraska | $150.91 | $77.54 |
| Iowa | $150.09 | $77.35 |
| Tennessee | $150.01 | $77.75 |
| Kentucky | $149.39 | $78.72 |
| West Virginia | $149.37 | $80.29 |
| Kansas | $149.30 | $77.44 |
| Oklahoma | $149.24 | $78.26 |
| Alabama | $146.29 | $76.73 |
| Mississippi | $145.46 | $77.01 |
| Arkansas | $144.26 | $75.97 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 17004 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules