CPT 17250
Global 000 ActiveChem caut of granltj tissue
CPT 17250 Billing & Documentation Guide
CPT code 17250 (Chem caut of granltj tissue) is classified under Anesthesia with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.49, a non-facility practice expense RVU of 2.14, and a malpractice RVU of 0.07, a total non-facility RVU of 2.7 and facility RVU of 1.06. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $93.3, though rates vary from $78.97 to $122.49 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 17250, 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 17250 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 4 units of 17250 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 17250
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.49 | 0.49 |
| Practice Expense RVU | 2.14 | 0.5 |
| Malpractice RVU | 0.07 | 0.07 |
| Total RVU | 2.7 | 1.06 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 17250
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 | $102.8 | $37.98 | $96.24 - $122.49 | 29 |
| Florida | $92.63 | $37.67 | $88.21 - $96.69 | 3 |
| Georgia | $87.38 | $35.12 | $82.91 - $91.85 | 2 |
| Illinois | $89.96 | $37.03 | $85.28 - $94.03 | 4 |
| Michigan | $86.78 | $35.34 | $84.27 - $89.28 | 2 |
| North Carolina | $84.55 | $33.44 | $84.55 - $84.55 | 1 |
| New York | $100.06 | $38.95 | $85.91 - $106.74 | 5 |
| Ohio | $83.98 | $33.97 | $83.98 - $83.98 | 1 |
| Pennsylvania | $89.03 | $35.38 | $84.19 - $93.86 | 2 |
| Texas | $89 | $35.07 | $83.58 - $94.09 | 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 17250
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 17250 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 17250
What does CPT code 17250 mean? +
CPT code 17250 represents: Chem caut of granltj tissue. It's in the Anesthesia category with a global period of 000.
What is the Medicare reimbursement for CPT 17250? +
The 2026 Medicare national average non-facility payment for CPT 17250 is $93.3. Rates range from $78.97 to $122.49 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 17250? +
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 17250? +
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 June 1, 2026.
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