CPT 17250 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Surgery • Surgical Procedures on the Integumentary System |
| Common Place of Service | • 11 - Office • 99 - Other POS • None |
| Common Modifiers | • None • 59 - Distinct Procedural Service • XS - Separate Structure |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 17250 |
National average reimbursement for CPT 17250 by major payers:
$96.96
$102.10
$109.96
$137.06
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 17250 | ||||||
United | 17250 | $83.19 | 1083642144 - SOUTHERN COLORADO NEPHROLOGY ASSOC PC | 841121886 - (CO) SOUTHERN COLORADO NEPHROLOGY ASSOCIATES PC | CO | Specialist (174400000X) |
United | 17250 | $278.60 | 1194173641 - JENNIFER HRENO | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Medical Physician Assistant (363AM0700X) |
United | 17250 | $70.37 | 1376670349 - STEPHEN MUCKLEROY | 846002707 - (CO) MONTROSE MEMORIAL HOSPITAL | CO | Surgery Physician (208600000X) |
United | 17250 | $212.00 | 1164976478 - FRANCISCAN MEDICAL GROUP, THE DOCTORS CLINIC AMBULATORY SURGICAL CENTER, A PART OF THE FRANCISCA | 911939739 - FRANCISCAN MEDICAL GROUP | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 17250 | $183.22 | 1730549684 - CHRISTINA COLOSIMO | 942958258 - BANNER-UNIVERSITY MEDICAL GROUP | CO | Surgery Physician (208600000X) |
United | 17250 | $227.08 | 1922456292 - KYLE STOFFERS | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CA | Physical Medicine & Rehabilitation Physician (208100000X) |
United | 17250 | $104.87 | 1649273533 - JONATHAN SEIDLIN | 840631509 | CO | Specialist (174400000X) |
United | 17250 | $129.25 | 1750636544 - AARON LYNN | 840417134 - (CO) SAINT JOSEPH HOSPITAL | CO | Surgery Physician (208600000X) |
United | 17250 | $521.00 | 1154460525 - VIRGINIA MASON MEDICAL CENTER, VIRGINIA MASON LYNNWOOD ASC | 910565539 - (WA) VIRGINIA MASON MEDICAL CENTER | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 17250 | $230.41 | 1376905737 - KATIE EGAN | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Plastic and Reconstructive Surgery Physician (2086S0122X) |
United | 17250 | $42.06 | 1851718902 - HUSAYN LADHANI | 481169103 - SALINA REGIONAL HEALTH CENTER INC | CA | Trauma Surgery Physician (2086S0127X) |
United | 17250 | $284.19 | 1669868741 - LISA WALKER | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | OR | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 17250 | $77.87 | 1386875441 - FOUR CORNERS EYE CLINIC, PC, <UNAVAIL> | 841444226 - (CO) FOUR CORNERS EYE CLINIC PC | CO | Specialist (174400000X) |
United | 17250 | $531.00 | 1811515034 - SALMON SURGERY CENTER LLC | 844895716 - (WA) SALMON SURGERY CENTER LLC | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 17250 | $284.19 | 1861936676 - MALLORY SWIRKA | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Adult Health Nurse Practitioner (363LA2200X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 17250 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 17250 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 17250 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 |
|---|---|---|
| 17106-CPT | Moderate | Destruction Of Cutaneous Vascular Proliferative Lesions- Medicaid=rn Review=9/11/12-7/31/17; Commercial Rn Review=9/11/12-12/27/12:Dx 6953=inv/N10=4/6/07-9/11/12 |
| 17107-CPT | Moderate | Dest Cutan Vasc Prolif Lesions 10-50 Sq Cm - Dx 695.3=inv/N10>4/5/07<9/11/12: Commercial=rn Review<12/28/12: Medicaid=rn Review |
| 17108-CPT | Moderate | Dest Cutan Vasc Prolifer Lesions>50 Sq Cm - Dx 695.3=inv/N10>4/5/07<9/11/12: Commercial=rn Review<12/28/12: Medicaid=rn Review |
| 17250-CPT | Low | Chemical Cauterization Of Granulation Tissue (Proud Flesh). (Desc Revised 1/1/2018) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 17250. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 17250 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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