CPT 17262
Global 010 ActiveDstrj mal les t/a/l 1.1-2.0
CPT 17262 Billing & Documentation Guide
CPT code 17262 (Dstrj mal les t/a/l 1.1-2.0) is classified under Anesthesia with a global period indicator of 010. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.59, a non-facility practice expense RVU of 3.45, and a malpractice RVU of 0.16, a total non-facility RVU of 5.2 and facility RVU of 2.79. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $179.03, though rates vary from $154.84 to $227.98 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 17262, 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 17262 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 6 units of 17262 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 17262
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.59 | 1.59 |
| Practice Expense RVU | 3.45 | 1.04 |
| Malpractice RVU | 0.16 | 0.16 |
| Total RVU | 5.2 | 2.79 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 17262
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 | $194.26 | $99.01 | $183.17 - $227.98 | 29 |
| Florida | $179.13 | $98.36 | $171.3 - $186.58 | 3 |
| Georgia | $169.52 | $92.72 | $162.27 - $176.76 | 2 |
| Illinois | $174.85 | $97.07 | $166.67 - $181.55 | 4 |
| Michigan | $168.83 | $93.25 | $164.35 - $173.32 | 2 |
| North Carolina | $164.03 | $88.93 | $164.03 - $164.03 | 1 |
| New York | $191.44 | $101.64 | $166.34 - $203.44 | 5 |
| Ohio | $163.7 | $90.21 | $163.7 - $163.7 | 1 |
| Pennsylvania | $172.17 | $93.32 | $163.94 - $180.4 | 2 |
| Texas | $171.81 | $92.56 | $162.93 - $179.87 | 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 17262
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 17262 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 17262
What does CPT code 17262 mean? +
CPT code 17262 represents: Dstrj mal les t/a/l 1.1-2.0. It's in the Anesthesia category with a global period of 010.
What is the Medicare reimbursement for CPT 17262? +
The 2026 Medicare national average non-facility payment for CPT 17262 is $179.03. Rates range from $154.84 to $227.98 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 17262? +
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 17262? +
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 3, 2026.
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