CPT 17273
Global 010 ActiveDstr mal les s/n/h/f/g 2.1-3
CPT 17273 Billing & Documentation Guide
CPT code 17273 (Dstr mal les s/n/h/f/g 2.1-3) is classified under Anesthesia with a global period indicator of 010. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.05, a non-facility practice expense RVU of 3.86, and a malpractice RVU of 0.2, a total non-facility RVU of 6.11 and facility RVU of 3.43. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $210.14, though rates vary from $182.66 to $265.5 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 17273, 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 17273 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 17273 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 17273
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.05 | 2.05 |
| Practice Expense RVU | 3.86 | 1.18 |
| Malpractice RVU | 0.2 | 0.2 |
| Total RVU | 6.11 | 3.43 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 17273
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 | $227.1 | $121.18 | $214.52 - $265.5 | 29 |
| Florida | $210.83 | $121.02 | $201.77 - $219.58 | 3 |
| Georgia | $199.57 | $114.16 | $191.44 - $207.69 | 2 |
| Illinois | $206.05 | $119.56 | $196.62 - $213.85 | 4 |
| Michigan | $198.94 | $114.88 | $193.72 - $204.15 | 2 |
| North Carolina | $193.03 | $109.51 | $193.03 - $193.03 | 1 |
| New York | $224.63 | $124.77 | $195.65 - $238.55 | 5 |
| Ohio | $192.92 | $111.19 | $192.92 - $192.92 | 1 |
| Pennsylvania | $202.52 | $114.84 | $193.14 - $211.89 | 2 |
| Texas | $201.98 | $113.86 | $192 - $210.93 | 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 17273
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 17273 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 17273
What does CPT code 17273 mean? +
CPT code 17273 represents: Dstr mal les s/n/h/f/g 2.1-3. It's in the Anesthesia category with a global period of 010.
What is the Medicare reimbursement for CPT 17273? +
The 2026 Medicare national average non-facility payment for CPT 17273 is $210.14. Rates range from $182.66 to $265.5 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 17273? +
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 17273? +
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 2, 2026.
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