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 |
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 |
|---|---|---|---|---|---|---|
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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 | 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 | 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 | 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 | 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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Medicare Reimbursement Lookup Tool
Medicare localities are geographic regions used to adjust reimbursement rates based on local costs. Rates vary by locality to reflect differences in wages, rent, and other expenses. Sign up to see commercial rates (United/BCBS/Cigna/Aetna)
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| Year | Billing Code | Locality | Non-Facility Fee | Facility Fee |
|---|