CPT 17311
Global 000 ActiveMohs 1 stage h/n/hf/g
CPT 17311 Billing & Documentation Guide
CPT code 17311 (Mohs 1 stage h/n/hf/g) is classified under Anesthesia with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 6.05, a non-facility practice expense RVU of 13.33, and a malpractice RVU of 0.59, a total non-facility RVU of 19.97 and facility RVU of 8.59. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $687.74, though rates vary from $594.68 to $876.89 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 17311, 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 17311 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 17311 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 17311
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 6.05 | 6.05 |
| Practice Expense RVU | 13.33 | 1.95 |
| Malpractice RVU | 0.59 | 0.59 |
| Total RVU | 19.97 | 8.59 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 17311
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 | $746.84 | $297.07 | $704.05 - $876.89 | 29 |
| Florida | $687.16 | $305.79 | $657.34 - $715.4 | 3 |
| Georgia | $650.71 | $288.09 | $622.71 - $678.71 | 2 |
| Illinois | $670.65 | $303.38 | $639.38 - $696.18 | 4 |
| Michigan | $647.89 | $290.97 | $630.82 - $664.95 | 2 |
| North Carolina | $630.07 | $275.44 | $630.07 - $630.07 | 1 |
| New York | $735.15 | $311.11 | $638.9 - $780.99 | 5 |
| Ohio | $628.44 | $281.4 | $628.44 - $628.44 | 1 |
| Pennsylvania | $661.07 | $288.76 | $629.42 - $692.71 | 2 |
| Texas | $659.83 | $285.61 | $625.55 - $691 | 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 17311
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 17311 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 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 |
| 11000 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 17311
What does CPT code 17311 mean? +
CPT code 17311 represents: Mohs 1 stage h/n/hf/g. It's in the Anesthesia category with a global period of 000.
What is the Medicare reimbursement for CPT 17311? +
The 2026 Medicare national average non-facility payment for CPT 17311 is $687.74. Rates range from $594.68 to $876.89 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 17311? +
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 17311? +
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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