CPT 17313 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 • 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
National average reimbursement for CPT 17313 by major payers:
$704.35
$786.53
$803.00
$1,052.24
| 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 17313 | ||||||
United | 17313 | $512.14 | 1679928519 - HANNAH HILL | 454870515 - (AZ) DESERT SKY DERMATOLOGY, PLLC | AZ | Dermatology Physician (207N00000X) |
United | 17313 | $490.50 | 1669732178 - AD HOSPITAL EAST, LLC | 475587037 | TX | General Acute Care Hospital (282N00000X) |
United | 17313 | $1320.00 | 1659323772 - COLUMBIA PLAZA MEDICAL CENTER OF FORT WORTH SUBSIDIARY LP, MEDICAL CITY FORT WORTH | 621682202 - (TX) COLUMBIA PLAZA MEDICAL CENTER OF FORT WORTH SUBSIDIARY LP | TX | General Acute Care Hospital (282N00000X) |
United | 17313 | $705.40 | 1336206077 - EDWARD LISECKI | 203294396 - (LA) THE ORTHO CLINIC | LA | Orthopaedic Surgery Physician (207X00000X) |
United | 17313 | $541.73 | 1467556712 - LANCE ESTRADA | 814586583 - (LA) OANO, LLC | LA | Orthopaedic Surgery Physician (207X00000X) |
United | 17313 | $370.79 | 1073513826 - DAVID MULDOWNY | 721331195 - (LA) DAVID S MULDOWNY MD APMC | LA | Orthopaedic Surgery Physician (207X00000X) |
United | 17313 | $911.00 | 1962472431 - COASTAL CAROLINA MEDICAL CENTER, INC., COASTAL CAROLINA HOSPITAL | 934580630 | SC | General Acute Care Hospital (282N00000X) |
United | 17313 | $2082.55 | 1265797922 - BOBBY REDDY | 42697983 - MASS GENERAL BRIGHAM INCORPORATED | MA | Dermatology Physician (207N00000X) |
United | 17313 | $1514.00 | 1831868033 - VHS SAN ANTONIO PARTNERS, LLC, NORTH CENTRAL BAPTIST HOSPITAL | 760714523 | TX | General Acute Care Hospital (282N00000X) |
United | 17313 | $737.90 | 1962723049 - JOEY LAMARTINA | 720478620 | LA | Orthopaedic Surgery Physician (207X00000X) |
United | 17313 | $2191.00 | 1063596443 - BEAUFORT COUNTY MEMORIAL HOSPITAL, BEAUFORT MEMORIAL HOSPITAL | 576000094 - (SC) BEAUFORT COUNTY MEMORIAL HOSPITAL | SC | General Acute Care Hospital (282N00000X) |
United | 17313 | $567.23 | 1841469681 - PATRICK ELLENDER | 260458213 - (LA) ORTHOPAEDIC SPORTS SPECIALISTS | LA | Orthopaedic Surgery Physician (207X00000X) |
United | 17313 | $933.00 | 1275235426 - EMERUS BHS SA THOUSAND OAKS LLC | 452497248 - (TX) EMERUS BHS SA THOUSAND OAKS LLC | TX | General Acute Care Hospital (282N00000X) |
United | 17313 | $2191.00 | 1366436073 - BEAUFORT COUNTY MEMORIAL HOSPITAL | 576000094 - (SC) BEAUFORT COUNTY MEMORIAL HOSPITAL | SC | General Acute Care Hospital (282N00000X) |
United | 17313 | $1023.33 | 1033167325 - MICHAEL ROBICHAUX | 721460193 - (LA) BATON ROUGE ORTHOPAEDIC CLINIC, LLC | LA | Orthopaedic Surgery Physician (207X00000X) |
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 17313 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 17313 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 17313 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 17313. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 17313 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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