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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 RVUPractice expense RVUMalpractice RVUTotalMedicare rate
Non-facility (office)1.343.390.134.86$162.33
Facility (hospital, ASC)1.341.010.132.48$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.

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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 codeShort descriptionModifier indicator
0213TNjx paravert w/us cer/thor0 - no modifier bypassCheck pair
0216TNjx paravert w/us lumb/sac0 - no modifier bypassCheck pair
0419TDstrj neurofibroma xtnsv1 - modifier may bypassCheck pair
0420TDstrj neurofibroma xtnsv1 - modifier may bypassCheck pair
0596TTemp fml iu vlv-pmp 1st insj1 - modifier may bypassCheck pair
0597TTemp fml iu valve-pmp rplcmt1 - modifier may bypassCheck pair
0903TEcg alg 12 lead reduced i&r1 - modifier may bypassCheck pair
0904TEcg alg 12 ld rdcd trcg only1 - modifier may bypassCheck pair
0905TEcg alg 12 ld rdcd i&r only1 - modifier may bypassCheck pair
11000Dbrdmt ecz/infected skin<10%1 - modifier may bypassCheck pair
11042Dbrdmt subq tis 1st 20sqcm/<1 - modifier may bypassCheck pair
11055Paring/cutg b9 hyprker les 11 - modifier may bypassCheck pair
11056Parng/cutg b9 hyprkr les 2-41 - modifier may bypassCheck pair
11057Parng/cutg b9 hyprkr les >41 - modifier may bypassCheck pair
11102Tangntl bx skin single les1 - modifier may bypassCheck pair
11104Punch bx skin single lesion1 - modifier may bypassCheck pair
11106Incal bx skn single les1 - modifier may bypassCheck pair
11200Rmvl skin tags up to&inc 151 - modifier may bypassCheck pair
11300Shave skin lesion 0.5 cm/<1 - modifier may bypassCheck pair
11301Shave skin lesion 0.6-1.0 cm1 - modifier may bypassCheck pair
11302Shave skin lesion 1.1-2.0 cm1 - modifier may bypassCheck pair
11305Shave skin lesion 0.5 cm/<1 - modifier may bypassCheck pair
11306Shave skin lesion 0.6-1.0 cm1 - modifier may bypassCheck pair
11310Shave skin lesion 0.5 cm/<1 - modifier may bypassCheck pair
11311Shave skin lesion 0.6-1.0 cm1 - modifier may bypassCheck pair
11400Exc tr-ext b9+marg 0.5 cm<1 - modifier may bypassCheck pair
11420Exc h-f-nk-sp b9+marg 0.5/<1 - modifier may bypassCheck pair
11440Exc face-mm b9+marg 0.5 cm/<1 - modifier may bypassCheck pair
11719Trim nail(s) any number1 - modifier may bypassCheck pair
11900Inject skin lesions </w 71 - modifier may bypassCheck 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 codeShort descriptionModifier indicator
11303Shave skin lesion >2.0 cm1Check pair
11307Shave skin lesion 1.1-2.0 cm1Check pair
11308Shave skin lesion >2.0 cm1Check pair
11312Shave skin lesion 1.1-2.0 cm1Check pair
11313Shave skin lesion >2.0 cm1Check pair
11401Exc tr-ext b9+marg 0.6-1 cm1Check pair
11402Exc tr-ext b9+marg 1.1-2 cm1Check pair
11403Exc tr-ext b9+marg 2.1-3cm1Check pair
11404Exc tr-ext b9+marg 3.1-4 cm1Check pair
11406Exc tr-ext b9+marg >4.0 cm1Check pair
11421Exc h-f-nk-sp b9+marg 0.6-11Check pair
11422Exc h-f-nk-sp b9+marg 1.1-21Check pair
11423Exc h-f-nk-sp b9+marg 2.1-31Check pair
11424Exc h-f-nk-sp b9+marg 3.1-41Check pair
11426Exc h-f-nk-sp b9+marg >4 cm1Check 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.