17260 Dstrj mal les t/a/l 0.5 cm/<
What 17260 is
CMS fee schedule short descriptor: Dstrj mal les t/a/l 0.5 cm/<.
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 17260 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 0.94 | 1.88 | 0.08 | 2.90 | $96.86 |
| Facility (hospital, ASC) | 0.94 | 0.75 | 0.08 | 1.77 | $59.12 |
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 17260 at 7 units per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Clinical: Data. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 17260? These codes are bundled into it
17260 is a Column 1 code in 241 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 |
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 |
11057 | Parng/cutg b9 hyprkr les >4 | 1 - modifier may bypass | Check pair |
11600 | Exc tr-ext mal+marg 0.5 cm/< | 1 - modifier may bypass | Check pair |
11601 | Exc tr-ext mal+marg 0.6-1 cm | 1 - modifier may bypass | Check pair |
11602 | Exc tr-ext mal+marg 1.1-2 cm | 1 - modifier may bypass | Check pair |
11603 | Exc tr-ext mal+marg 2.1-3 cm | 1 - modifier may bypass | Check pair |
11604 | Exc tr-ext mal+marg 3.1-4 cm | 1 - modifier may bypass | Check pair |
11606 | Exc tr-ext mal+marg >4 cm | 1 - modifier may bypass | Check pair |
11620 | Exc h-f-nk-sp mal+marg 0.5/< | 1 - modifier may bypass | Check pair |
11621 | Exc s/n/h/f/g mal+mrg 0.6-1 | 1 - modifier may bypass | Check pair |
11622 | Exc s/n/h/f/g mal+mrg 1.1-2 | 1 - modifier may bypass | Check pair |
11623 | Exc s/n/h/f/g mal+mrg 2.1-3 | 1 - modifier may bypass | Check pair |
11624 | Exc s/n/h/f/g mal+mrg 3.1-4 | 1 - modifier may bypass | Check pair |
11626 | Exc s/n/h/f/g mal+mrg >4 cm | 1 - modifier may bypass | Check pair |
11640 | Exc f/e/e/n/l mal+mrg 0.5cm< | 1 - modifier may bypass | Check pair |
11641 | Exc f/e/e/n/l mal+mrg 0.6-1 | 1 - modifier may bypass | Check pair |
11642 | Exc f/e/e/n/l mal+mrg 1.1-2 | 1 - modifier may bypass | Check pair |
11643 | Exc f/e/e/n/l mal+mrg 2.1-3 | 1 - modifier may bypass | Check pair |
11644 | Exc f/e/e/n/l mal+mrg 3.1-4 | 1 - modifier may bypass | Check pair |
11646 | Exc f/e/e/n/l mal+mrg >4 cm | 1 - modifier may bypass | Check pair |
11900 | Inject skin lesions </w 7 | 1 - modifier may bypass | Check pair |
11901 | Inject skin lesions >7 | 1 - modifier may bypass | Check pair |
12001 | Rpr s/n/ax/gen/trnk 2.5cm/< | 1 - modifier may bypass | Check pair |
12002 | Rpr s/n/ax/gen/trnk2.6-7.5cm | 1 - modifier may bypass | Check pair |
Showing 30 of 241 column 2 codes. Use the pair checker for any specific combination.
17260 is bundled into these codes
17260 appears as a Column 2 code in 11 active edits. Reported with one of these Column 1 codes on the same date of service, 17260 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0881T | Cryotherapy oral cavity | 1 | Check pair |
11055 | Paring/cutg b9 hyprker les 1 | 1 | Check pair |
11056 | Parng/cutg b9 hyprkr les 2-4 | 1 | Check pair |
11102 | Tangntl bx skin single les | 1 | Check pair |
11104 | Punch bx skin single lesion | 1 | Check pair |
11106 | Incal bx skn single les | 1 | Check pair |
17004 | Destroy premal lesions 15/> | 1 | Check pair |
17110 | Destruction b9 les up to 14 | 1 | Check pair |
17111 | Destruction b9 lesions 15/> | 1 | Check pair |
17311 | Mohs 1 stage h/n/hf/g | 1 | Check pair |
17313 | Mohs 1 stage t/a/l | 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.