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See a sample rate comparisonCPT 17004 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Destroy Premal Lesions 15, Destruction Eg Laser Surgery Electrosurgery Cryosurgery Chemosurgery Surgical Curettement Premalignant Lesions Eg Actinic Keratoses 15 Or More Lesions
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 11 - Office 19 - Off Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 79 - Unrelated procedure - postop period |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 17004 |
| Medicaid Fee Schedule | View Medicaid rates for 17004 |
National average reimbursement for CPT 17004 by major payers:
$183.36
$208.25
$214.79
$266.78
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CPT 17004
5 of 25 sample ratesHigher to lower in this preview
Mohammed Hamid
Aspirus Wausau Hospital Inc
$553.96Published rateSoheila Vossough
Radu Codel, Md, PC
$296.83Published rateAndrew Gilmartin
Consensus Medical Group LLC
$174.77Published rateSandhya Gumaste
Sandhya Gumaste, Md
$104.12Published rateSheryl Haber-Kuo
Sheryl Haber Kuo Md PC
$89.76Published rate
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See a sample payer proposalCPT 17004 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 17004 code is part of the Surgery services used for Surgical Procedures on the Integumentary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 17004 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 17000-CPT | Low | Destruct Premalg Lesion, Destruction Eg Laser Surgery Electrosurgery Cryosurgery Chemosurgery Surgical Curettement Premalignant Lesions Eg Actinic Keratoses First Lesion |
| 17003-CPT | Low | Destruction (Eg Laser Surgery Electrosurgery Cryosurgery Chemosurgery Surgical Curettement) All Benign Or Premalignant Lesions (Eg Actinic Keratoses) Other Than Skin Tags Or Cutaneous Vascular Proliferative Lesions; Second Through 14 Lesions Each (List Separately In Addition To Code For First Lesion) |
| 17004-CPT | Low | Destroy Premal Lesions 15, Destruction Eg Laser Surgery Electrosurgery Cryosurgery Chemosurgery Surgical Curettement Premalignant Lesions Eg Actinic Keratoses 15 Or More Lesions |
| 17110-CPT | Low | Destruction (E.G. Laser Surge, Destruction (E.G. Laser Surgery Electrosurgery Cryosurgery Chemosurgery Surgical Curettement) Of Benign Lesions Other Than Skin Tags Or Cutaneous Vascular Proliferative Lesions Up To 14 Lesions |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 17004. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 17004 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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