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See a sample rate comparisonHealthcare 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 22 - On 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 17262 |
| Medicaid Fee Schedule | View Medicaid rates for 17262 |
National average reimbursement for CPT 17262 by major payers:

$196.24

$218.25

$225.91

$189.39
Choose a payer to see a sample of rates for CPT 17262.
Summit Medical Group, P.A.
Primary Care Partners, LLC
Mid Jersey Medical Associates PA
Heart Vascular Associates Of Northern Jersey PA
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 17262 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 17262 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 17262 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 17262. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 17262 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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