CPT 17000
Global 010 ActiveDestruct premalg lesion
CPT 17000 Billing & Documentation Guide
CPT code 17000 (Destruct premalg lesion) is classified under Anesthesia with a global period indicator of 010. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.59, a non-facility practice expense RVU of 1.34, and a malpractice RVU of 0.06, a total non-facility RVU of 1.99 and facility RVU of 1.43. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $68.54, though rates vary from $59.19 to $87.49 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 17000, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 17000 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
10-day global period (minor procedure: pre-op day + procedure + 10 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 17000 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 17000
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.59 | 0.59 |
| Practice Expense RVU | 1.34 | 0.78 |
| Malpractice RVU | 0.06 | 0.06 |
| Total RVU | 1.99 | 1.43 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 17000
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $74.46 | $52.33 | $70.17 - $87.49 | 29 |
| Florida | $68.52 | $49.75 | $65.51 - $71.37 | 3 |
| Georgia | $64.84 | $46.99 | $62.02 - $67.65 | 2 |
| Illinois | $66.85 | $48.78 | $63.7 - $69.42 | 4 |
| Michigan | $64.56 | $47 | $62.83 - $66.28 | 2 |
| North Carolina | $62.75 | $45.29 | $62.75 - $62.75 | 1 |
| New York | $73.3 | $52.43 | $63.63 - $77.91 | 5 |
| Ohio | $62.59 | $45.51 | $62.59 - $62.59 | 1 |
| Pennsylvania | $65.87 | $47.55 | $62.69 - $69.04 | 2 |
| Texas | $65.74 | $47.33 | $62.3 - $68.87 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 17000
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 17000 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01995 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0419T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 0420T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 17000
What does CPT code 17000 mean? +
CPT code 17000 represents: Destruct premalg lesion. It's in the Anesthesia category with a global period of 010.
What is the Medicare reimbursement for CPT 17000? +
The 2026 Medicare national average non-facility payment for CPT 17000 is $68.54. Rates range from $59.19 to $87.49 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 17000? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 17000? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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