17004 Destroy premal lesions 15/>
What 17004 is
CMS fee schedule short descriptor: Destroy premal lesions 15/>.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 17004 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 1.34 | 3.39 | 0.13 | 4.86 | $162.33 |
| Facility (hospital, ASC) | 1.34 | 1.01 | 0.13 | 2.48 | $82.83 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: 10-day global period.
Medically Unlikely Edit (MUE)
Medicare caps 17004 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 17004? These codes are bundled into it
17004 is a Column 1 code in 259 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
0213T | Njx paravert w/us cer/thor | 0 - no modifier bypass | Check pair |
0216T | Njx paravert w/us lumb/sac | 0 - no modifier bypass | Check pair |
0419T | Dstrj neurofibroma xtnsv | 1 - modifier may bypass | Check pair |
0420T | Dstrj neurofibroma xtnsv | 1 - modifier may bypass | Check pair |
0596T | Temp fml iu vlv-pmp 1st insj | 1 - modifier may bypass | Check pair |
0597T | Temp fml iu valve-pmp rplcmt | 1 - modifier may bypass | Check pair |
0903T | Ecg alg 12 lead reduced i&r | 1 - modifier may bypass | Check pair |
0904T | Ecg alg 12 ld rdcd trcg only | 1 - modifier may bypass | Check pair |
0905T | Ecg alg 12 ld rdcd i&r only | 1 - modifier may bypass | Check pair |
11000 | Dbrdmt ecz/infected skin<10% | 1 - modifier may bypass | Check pair |
11042 | Dbrdmt subq tis 1st 20sqcm/< | 1 - modifier may bypass | Check pair |
11055 | Paring/cutg b9 hyprker les 1 | 1 - modifier may bypass | Check pair |
11056 | Parng/cutg b9 hyprkr les 2-4 | 1 - modifier may bypass | Check pair |
11057 | Parng/cutg b9 hyprkr les >4 | 1 - modifier may bypass | Check pair |
11102 | Tangntl bx skin single les | 1 - modifier may bypass | Check pair |
11104 | Punch bx skin single lesion | 1 - modifier may bypass | Check pair |
11106 | Incal bx skn single les | 1 - modifier may bypass | Check pair |
11200 | Rmvl skin tags up to&inc 15 | 1 - modifier may bypass | Check pair |
11300 | Shave skin lesion 0.5 cm/< | 1 - modifier may bypass | Check pair |
11301 | Shave skin lesion 0.6-1.0 cm | 1 - modifier may bypass | Check pair |
11302 | Shave skin lesion 1.1-2.0 cm | 1 - modifier may bypass | Check pair |
11305 | Shave skin lesion 0.5 cm/< | 1 - modifier may bypass | Check pair |
11306 | Shave skin lesion 0.6-1.0 cm | 1 - modifier may bypass | Check pair |
11310 | Shave skin lesion 0.5 cm/< | 1 - modifier may bypass | Check pair |
11311 | Shave skin lesion 0.6-1.0 cm | 1 - modifier may bypass | Check pair |
11400 | Exc tr-ext b9+marg 0.5 cm< | 1 - modifier may bypass | Check pair |
11420 | Exc h-f-nk-sp b9+marg 0.5/< | 1 - modifier may bypass | Check pair |
11440 | Exc face-mm b9+marg 0.5 cm/< | 1 - modifier may bypass | Check pair |
11719 | Trim nail(s) any number | 1 - modifier may bypass | Check pair |
11900 | Inject skin lesions </w 7 | 1 - modifier may bypass | Check pair |
Showing 30 of 259 column 2 codes. Use the pair checker for any specific combination.
17004 is bundled into these codes
17004 appears as a Column 2 code in 61 active edits. Reported with one of these Column 1 codes on the same date of service, 17004 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
11303 | Shave skin lesion >2.0 cm | 1 | Check pair |
11307 | Shave skin lesion 1.1-2.0 cm | 1 | Check pair |
11308 | Shave skin lesion >2.0 cm | 1 | Check pair |
11312 | Shave skin lesion 1.1-2.0 cm | 1 | Check pair |
11313 | Shave skin lesion >2.0 cm | 1 | Check pair |
11401 | Exc tr-ext b9+marg 0.6-1 cm | 1 | Check pair |
11402 | Exc tr-ext b9+marg 1.1-2 cm | 1 | Check pair |
11403 | Exc tr-ext b9+marg 2.1-3cm | 1 | Check pair |
11404 | Exc tr-ext b9+marg 3.1-4 cm | 1 | Check pair |
11406 | Exc tr-ext b9+marg >4.0 cm | 1 | Check pair |
11421 | Exc h-f-nk-sp b9+marg 0.6-1 | 1 | Check pair |
11422 | Exc h-f-nk-sp b9+marg 1.1-2 | 1 | Check pair |
11423 | Exc h-f-nk-sp b9+marg 2.1-3 | 1 | Check pair |
11424 | Exc h-f-nk-sp b9+marg 3.1-4 | 1 | Check pair |
11426 | Exc h-f-nk-sp b9+marg >4 cm | 1 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.