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See a sample rate comparisonCPT 17266 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 4 0 Cm, Destruction Malignant Lesion Eg Laser Surgery Electrosurgery Cryosurgery Chemosurgery Surgical Curettement Trunk Arms Or Legs Lesion Diameter Over 4 0 Cm
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 11 - Office 99 - Other POS |
| Common Modifiers | None 59 - Distinct Procedural Service 79 - Unrelated procedure - postop period |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 17266 |
| Medicaid Fee Schedule | View Medicaid rates for 17266 |
National average reimbursement for CPT 17266 by major payers:
$251.92
$291.78
$291.85
$368.13
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CPT 17266
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Kingsland LLC, Memorial Hermann Surgery Center Kingsland
$2,079.00Published rateOlive Ambulatory Surgery Center, LLC, North Campus Surgery Center
Olive Ambulatory Surgery Center LLC
$633.00Published rateNorth Valley Orthopedic Surgery Center LLC, The Orthopedic Surgery Center Of Arizona
North Valley Orthopedic Surgery Center LLC
$531.00Published rateJourney Lite Of Cincinnati, LLC
Journeylite Of Cincinnati, LLC
$158.00Published rateSt Lukes Surgical Center Inc, St. Luke'S Surgical At Wesley Chapel
St Lukes Surgical Center Inc
$60.00Published rate
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See a sample payer proposalCPT 17266 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 17266 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 17266 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 |
| 17266-CPT | Moderate | Dstrj Mal Les T A L 4 0 Cm, Destruction Malignant Lesion Eg Laser Surgery Electrosurgery Cryosurgery Chemosurgery Surgical Curettement Trunk Arms Or Legs Lesion Diameter Over 4 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 17266. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 17266 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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