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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 RVUPractice expense RVUMalpractice RVUTotalMedicare rate
Non-facility (office)0.941.880.082.90$96.86
Facility (hospital, ASC)0.940.750.081.77$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.

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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 codeShort descriptionModifier indicator
0213TNjx paravert w/us cer/thor0 - no modifier bypassCheck pair
0216TNjx paravert w/us lumb/sac0 - no modifier 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
11057Parng/cutg b9 hyprkr les >41 - modifier may bypassCheck pair
11600Exc tr-ext mal+marg 0.5 cm/<1 - modifier may bypassCheck pair
11601Exc tr-ext mal+marg 0.6-1 cm1 - modifier may bypassCheck pair
11602Exc tr-ext mal+marg 1.1-2 cm1 - modifier may bypassCheck pair
11603Exc tr-ext mal+marg 2.1-3 cm1 - modifier may bypassCheck pair
11604Exc tr-ext mal+marg 3.1-4 cm1 - modifier may bypassCheck pair
11606Exc tr-ext mal+marg >4 cm1 - modifier may bypassCheck pair
11620Exc h-f-nk-sp mal+marg 0.5/<1 - modifier may bypassCheck pair
11621Exc s/n/h/f/g mal+mrg 0.6-11 - modifier may bypassCheck pair
11622Exc s/n/h/f/g mal+mrg 1.1-21 - modifier may bypassCheck pair
11623Exc s/n/h/f/g mal+mrg 2.1-31 - modifier may bypassCheck pair
11624Exc s/n/h/f/g mal+mrg 3.1-41 - modifier may bypassCheck pair
11626Exc s/n/h/f/g mal+mrg >4 cm1 - modifier may bypassCheck pair
11640Exc f/e/e/n/l mal+mrg 0.5cm<1 - modifier may bypassCheck pair
11641Exc f/e/e/n/l mal+mrg 0.6-11 - modifier may bypassCheck pair
11642Exc f/e/e/n/l mal+mrg 1.1-21 - modifier may bypassCheck pair
11643Exc f/e/e/n/l mal+mrg 2.1-31 - modifier may bypassCheck pair
11644Exc f/e/e/n/l mal+mrg 3.1-41 - modifier may bypassCheck pair
11646Exc f/e/e/n/l mal+mrg >4 cm1 - modifier may bypassCheck pair
11900Inject skin lesions </w 71 - modifier may bypassCheck pair
11901Inject skin lesions >71 - modifier may bypassCheck pair
12001Rpr s/n/ax/gen/trnk 2.5cm/<1 - modifier may bypassCheck pair
12002Rpr s/n/ax/gen/trnk2.6-7.5cm1 - modifier may bypassCheck 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 codeShort descriptionModifier indicator
0881TCryotherapy oral cavity1Check pair
11055Paring/cutg b9 hyprker les 11Check pair
11056Parng/cutg b9 hyprkr les 2-41Check pair
11102Tangntl bx skin single les1Check pair
11104Punch bx skin single lesion1Check pair
11106Incal bx skn single les1Check pair
17004Destroy premal lesions 15/>1Check pair
17110Destruction b9 les up to 141Check pair
17111Destruction b9 lesions 15/>1Check pair
17311Mohs 1 stage h/n/hf/g1Check pair
17313Mohs 1 stage t/a/l1Check 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.