CPT 17111
Global 010 ActiveDestruction b9 lesions 15/>
CPT 17111 Billing & Documentation Guide
CPT code 17111 (Destruction b9 lesions 15/>) is classified under Anesthesia with a global period indicator of 010. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.95, a non-facility practice expense RVU of 2.86, and a malpractice RVU of 0.08, a total non-facility RVU of 3.89 and facility RVU of 2.21. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $134.36, though rates vary from $115.16 to $174.4 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 17111, 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 17111 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 17111 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 17111
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.95 | 0.95 |
| Practice Expense RVU | 2.86 | 1.18 |
| Malpractice RVU | 0.08 | 0.08 |
| Total RVU | 3.89 | 2.21 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 17111
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 | $147.35 | $80.95 | $138.4 - $174.4 | 29 |
| Florida | $132.78 | $76.48 | $127.07 - $137.93 | 3 |
| Georgia | $126.11 | $72.57 | $120.13 - $132.09 | 2 |
| Illinois | $129.25 | $75.03 | $123.12 - $134.79 | 4 |
| Michigan | $125.19 | $72.5 | $121.96 - $128.42 | 2 |
| North Carolina | $122.56 | $70.21 | $122.56 - $122.56 | 1 |
| New York | $143.44 | $80.84 | $124.36 - $152.3 | 5 |
| Ohio | $121.64 | $70.41 | $121.64 - $121.64 | 1 |
| Pennsylvania | $128.44 | $73.48 | $121.95 - $134.93 | 2 |
| Texas | $128.43 | $73.19 | $121.14 - $135.23 | 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 17111
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 17111 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 |
| 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 |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0905T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 17111
What does CPT code 17111 mean? +
CPT code 17111 represents: Destruction b9 lesions 15/>. It's in the Anesthesia category with a global period of 010.
What is the Medicare reimbursement for CPT 17111? +
The 2026 Medicare national average non-facility payment for CPT 17111 is $134.36. Rates range from $115.16 to $174.4 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 17111? +
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 17111? +
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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