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See a sample rate comparisonCPT 17261 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.
Dstrj Mal Les T A L 6 1 0cm, Destruction Malignant Lesion Eg Laser Surgery Electrosurgery Cryosurgery Chemosurgery Surgical Curettement Trunk Arms Or Legs Lesion Diameter 0 6 To 1 0 Cm
| 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 76 - Repeat procedure by same physician |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 17261 |
| Medicaid Fee Schedule | View Medicaid rates for 17261 |
National average reimbursement for CPT 17261 by major payers:
$156.43
$179.20
$186.58
$229.70
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CPT 17261
5 of 25 sample ratesHigher to lower in this preview
Ochsner Bayou LLC, Ochsner St. Anne General Hospital
Ochsner Bayou, LLC
$2,819.00Published rateTexas Health Harris Methodist Hospital Southwest Fort Worth
$1,400.00Published rateSimon Finger
$368.36Published rateMetairie Orthopedics & Sports Medicine
Metairie Orthopedic & Sports Medicine, LLC
$131.63Published rateGeorge Keough
Germain Dermatology
$89.43Published rate
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See a sample payer proposalCPT 17261 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 17261 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 17261 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 |
|---|---|---|
| 17260-CPT | Low | Dstrj Mal Les T A L 0 5 Cm, Destruction Malignant Lesion Eg Laser Surgery Electrosurgery Cryosurgery Chemosurgery Surgical Curettement Trunk Arms Or Legs Lesion Diameter 0 5 Cm Or Less |
| 17261-CPT | Low | Dstrj Mal Les T A L 6 1 0cm, Destruction Malignant Lesion Eg Laser Surgery Electrosurgery Cryosurgery Chemosurgery Surgical Curettement Trunk Arms Or Legs Lesion Diameter 0 6 To 1 0 Cm |
| 17262-CPT | Low | Dstrj Mal Les T A L 1 1 2 0, Destruction Malignant Lesion Eg Laser Surgery Electrosurgery Cryosurgery Chemosurgery Surgical Curettement Trunk Arms Or Legs Lesion Diameter 1 1 To 2 0 Cm |
| 17263-CPT | Moderate | Dstrj Mal Les T A L 2 1 3 0, Destruction Malignant Lesion Eg Laser Surgery Electrosurgery Cryosurgery Chemosurgery Surgical Curettement Trunk Arms Or Legs Lesion Diameter 2 1 To 3 0 Cm |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 17261. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 17261 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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