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See a sample rate comparisonCPT 17263 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 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
| 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 79 - Unrelated procedure - postop period |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 17263 |
| Medicaid Fee Schedule | View Medicaid rates for 17263 |
National average reimbursement for CPT 17263 by major payers:
$211.77
$238.49
$246.05
$209.20
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CPT 17263
5 of 25 sample ratesHigher to lower in this preview
Yasmin Bilal
Rutgers Healthrwj Pediatric Critical Care
$367.29Published rateMadhuri Adabala
Capital Health Multispecialty Group
$214.69Published rateSudha Garla
Atlantic Medical Physicians LLC
$135.47Published rateMichael Leonardo
North Haledon Medical PC
$120.29Published rateJames Hakim
New Providence Internal Medicine Associates
$103.90Published rate
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See a sample payer proposalCPT 17263 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 17263 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 17263 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 17263. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 17263 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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