CPT 17311 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 • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • 79 - Unrelated procedure - postop period • 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 17311 |
National average reimbursement for CPT 17311 by major payers:
$747.97
$846.29
$863.85
$1,125.14
| 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 17311 | ||||||
United | 17311 | $1114.81 | 1518948777 - CHRISTOPHER NIEMAN | 262767279 - VALLEY HEALTH SYSTEM | VA | Diagnostic Radiology Physician (2085R0202X) |
United | 17311 | $1304.07 | 1346656626 - JESSICA DARBY | 453023019 - NORTH SHORE-LIJ MEDICAL PC | NY | Family Nurse Practitioner (363LF0000X) |
United | 17311 | $1440.32 | 1831401066 - WILLIAM COLLINS | 43265008 - BOSTON UNIVERSITY GENERAL SURGICAL ASSOCIATES INC | MA | Plastic and Reconstructive Surgery Physician (2086S0122X) |
United | 17311 | $1623.30 | 1245294487 - MARK COHEN | 340714585 - THE CLEVELAND CLINIC FOUNDATION | OH | Diagnostic Radiology Physician (2085R0202X) |
United | 17311 | $802.29 | 1588051601 - HAYLEY CHESTER | 132884976 - WILLIAM F RYAN COMMUNITY HEALTH CENTER INC | NY | Internal Medicine Physician (207R00000X) |
United | 17311 | $1215.97 | 1407015480 - BARBARA MENDEZ-AGRUSA | 453023019 - NORTH SHORE-LIJ MEDICAL PC | NY | Internal Medicine Physician (207R00000X) |
United | 17311 | $2686.89 | 1144665829 - DIONYS FUSTER | 135562308 - NEW YORK UNIVERSITY | FL | Single Specialty Group (193400000X) |
United | 17311 | $821.18 | 1689988644 - MICHAEL LETZING | 853861695 - MUSC COMMUNITY PHYSICIANS | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 17311 | $932.91 | 1376503433 - RICHARD MUIR | 952843281 - ORTHOPAEDIC SPECIALISTS OF NORTH COUNTY, INC. | CA | Orthopaedic Surgery Physician (207X00000X) |
United | 17311 | $1195.65 | 1912075631 - KIRK RUSSELL | 582030692 - EMORY UNIVERSITY | NC | Diagnostic Radiology Physician (2085R0202X) |
United | 17311 | $1060.20 | 1013394519 - SARAH STELMA | 832124345 - CONSENSUS MEDICAL GROUP LLC | MA | Orthopaedic Surgery Physician (207X00000X) |
United | 17311 | $843.09 | 1821294034 - NICOLE ADLER | 135562308 - NEW YORK UNIVERSITY | NY | Internal Medicine Physician (207R00000X) |
United | 17311 | $684.02 | 1285757906 - WILLIAM ROBERTS | 751049190 - PATHOLOGISTS BIO-MEDICAL LABORATORIES | TX | Anatomic Pathology Physician (207ZP0101X) |
United | 17311 | $2529.28 | 1699116129 - COURTNEY MOREAU | 133544120 - CAREMOUNT MEDICAL, P.C. | NY | Medical Physician Assistant (363AM0700X) |
United | 17311 | $474.62 | 1215399274 - JEFFREY LE | 842501422 - EMPIRE CITY HEART AND VASCULAR SPECIALIST PC | NY | Cardiovascular Disease Physician (207RC0000X) |
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 17311 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 17311 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 17311 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 |
|---|---|---|
| 17311-CPT | Moderate | Mohs Micrographic Technique Including Removal Of All Gross Tumor Surgical Excision Of Tissue Specimens Mapping Color Coding Of Specimens Microscopic Examination Of Specimens By The Surgeon And Histopathologic Preparation Includingroutine Stain(S) (Eg Hematoxylin And Eosin Toluidine Blue) Head Neck Hands Feet Genitalia Or Any Location With Surgery Directly Involving Muscle Cartilage Bone Tendon Major Nerves Or Vessels; First Stage Up To 5 Tissue |
| 17312-CPT | Moderate | Mohs Micrographic Technique, Including Removal Of All Gross Tumor, Surgical Excision Of Tissue Specimens, Mapping, Color Coding Of Specimens, Microscopic Examination Of Specimens By The Surgeon, And Histopathologic Preparation Including Routine Stain(S) (Eg, Hemato |
| 17313-CPT | Moderate | Mohs Micrographic Technique Including Removal Of All Gross Tumor Surgical Excision Of Tissue Specimens Mapping Color Coding Of Specimens Microscopic Examination Of Specimens By The Surgeon And Histopathologic Preparation Includingroutine Stain(S) (Eg Hematoxylin And Eosin Toluidine Blue) Of The Trunk Arms Or Legs; First Stage Up To 5 Tissue Blocks |
| 17314-CPT | Moderate | Mohs Micrographic Technique, Including Removal Of All Gross Tumor, Surgical Excision Of Tissue Specimens, Mapping, Color Coding Of Specimens, Microscopic Examination Of Specimens By The Surgeon, And Histopathologic Preparation Including Routine Stain(S) (Eg, Hemato |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 17311. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 17311 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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