CPT 17271
Global 010 ActiveDstr mal les s/n/h/f/g 0.6-1
CPT 17271 Billing & Documentation Guide
CPT code 17271 (Dstr mal les s/n/h/f/g 0.6-1) is classified under Anesthesia with a global period indicator of 010. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.5, a non-facility practice expense RVU of 3.21, and a malpractice RVU of 0.15, a total non-facility RVU of 4.86 and facility RVU of 2.67. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $167.31, though rates vary from $144.78 to $212.9 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 17271, 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 17271 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 4 units of 17271 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 17271
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.5 | 1.5 |
| Practice Expense RVU | 3.21 | 1.02 |
| Malpractice RVU | 0.15 | 0.15 |
| Total RVU | 4.86 | 2.67 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 17271
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 | $181.48 | $94.93 | $171.15 - $212.9 | 29 |
| Florida | $167.43 | $94.04 | $160.13 - $174.38 | 3 |
| Georgia | $158.45 | $88.67 | $151.71 - $165.2 | 2 |
| Illinois | $163.45 | $92.77 | $155.82 - $169.7 | 4 |
| Michigan | $157.83 | $89.14 | $153.65 - $162.01 | 2 |
| North Carolina | $153.34 | $85.09 | $153.34 - $153.34 | 1 |
| New York | $178.9 | $97.29 | $155.48 - $190.09 | 5 |
| Ohio | $153.04 | $86.26 | $153.04 - $153.04 | 1 |
| Pennsylvania | $160.93 | $89.28 | $153.26 - $168.59 | 2 |
| Texas | $160.58 | $88.57 | $152.32 - $168.08 | 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 17271
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 17271 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 17271
What does CPT code 17271 mean? +
CPT code 17271 represents: Dstr mal les s/n/h/f/g 0.6-1. It's in the Anesthesia category with a global period of 010.
What is the Medicare reimbursement for CPT 17271? +
The 2026 Medicare national average non-facility payment for CPT 17271 is $167.31. Rates range from $144.78 to $212.9 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 17271? +
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 17271? +
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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