CPT Long List - 2014 National Averages

medicare national average allowed charges -*2014
CPT CODE
11200
Removal of Skin Tags (up to & including 15 lesions)
17283
Destruction diameter 2.1 to 3.0cm
$266.52
$96.28
17284
Destruction diameter 3.1 to 4.0cm
$304.87
11201
Each add. ten lesions (in add. to 11200 list separately)
$21.13
17286
Destruction diameter over 4.0cm
$393.32
17000
Destruction (eg, laser surgery, electrosurgery, cryosurgery
chemosurgery, surgical curettement), premalignant lesion
(eg, actinic keratoses); first lesion
$82.19
40820
Destruction of lesion or scar of vestibule of mouth
$299.39
42160
Destruction of lesion, palate or uvula
$263.78
17003
2nd-14th lesions; each (list separately in addition
to code for first lesion) use in conjunction with 17000
$10.96
46924
$592.53
17004
Destruction (eg, laser surgery, electrosurgery, cryosurgery
chemosurgery, surgical curettement), premalignant lesion
(eg, actinic keratoses); 15 or more lesions
Do not report 17004 in conjunction with 17000-17003
$163.20
Destruction of lesion(s)anus, (eg, condyloma, papilloma.
molluscum contagiosum, herpetic vesicle), extensive
(eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)
54056
Destruction of lesion (s), penis: simple
$154.98
54065
Destruction of cutaneous vascular lesions: less than 10 sq. cm.
$370.23
Destruction of lesion(s)penis, (eg, condyloma, papilloma.
molluscum contagiosum, herpetic vesicle), extensive
(eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)
$241.08
17106
17107
Destruction of 10.0-550.0 sq. cm.
$479.03
17108
Destruction of over 50.0 sq. cm.
$697.41
56501
Destruction of lesion (s), vulva: simple
(eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)
$146.37
17110
Destruction (eg, laser surgery, electrosurgery, cryosurgery
chemosurgery, surgical curettement), of benign lesions other than
skin tags or cutaneous vascular lesions; up to 14 lesions
$119.37
56515
Destruction of lesion (s), vulva: extensive
(eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)
$252.04
17111
Destruction 15 or more lesions
$141.67
17260
Destruction, malignant lesion (eg, laser surgery, electrosurgery,
cryosurgery, chemosurgery, surgical curettement) trunk, arms, legs;
lesion diameter 0.5cm or less (see codes 17261-17266)
$102.15
57061
Destruction of vaginal lesion (s): simple
(eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)
$126.80
17261
Destruction: diameter 0.6 to 1.0cm
$155.76
67850
Destruction of lid margin (up to 1cm)
$236.38
17262
Destruction: diameter 1.1 to 2.0cm
$189.81
17263
Destruction: diameter 2.1 to 3.0cm
$207.42
17266
Destruction: diameter over 4.0cm
$253.21
17270
Destruction malignant lesion, (eg, laser surgery, electrosurgery,
cryosurgery, chemosurgery, surgical curettement) scalp, neck, hands,
feet, genitalia; lesion diameter 0.5cm or less
$163.20
17271
Destruction diameter 0.6 to 1.0cm
$177.68
17272
Destruction diameter 1.1 to 2.0cm
$202.34
17273
Destruction 2.1 to 3.0cm
$226.21
17274
Destruction diameter 3.1 to 4.0cm
$267.30
17276
Destruction diameter over 4.0cm
$310.74
17280
Destruction, malignant lesion, (eg, laser surgery, electrosurgery,
cryosurgery, chemosurgery, surgical curettement) face, ears, eyelids,
nose, lips, mucous membranes: lesion diameter 0.5cm or less
$153.02
17281
Destruction diameter 0.6 to 1.0cm
$193.33
17282
Destruction diameter 1.1 to 2.0cm
$222.29
Excision-Debridement
11400
Excision, benign lesion including margins, except skin tag
$133.85
(unless listed elsewhere). trunk, arms or legs: excised diameter 0.5cm or less
11401
Excised diameter 0.6 to 1.0cm
$162.02
11600
Excision, malignant lesion including margins, trunk, arms or legs:
excised diameter 0.5cm or less
$210.55
11601
Excised diameter 0.6 to 1.0cm
$248.91
Biopsy of skin, subcutaneous tissue and or mucous membrane
(includes simple closure) unless otherwise noted, single lesion
Each separate/additional lesion list separately in addition to
primary procedure
$111.93
Biopsy
11100
11101
Paring or Cutting (to report destruction, see 17000-17004)
11055
Paring or cutting of benign hyperkeratotic lesion (eg. corn or callus)
$35.61
$52.05
Most common CPT Codes used for Cryosurgery are:
11200 • 11201 • 17000 • 17003 • 17004 • 17111 • 54056 • 57061
This information is provided to assist you in determining possible codes for procedures performed and are presented as examples only, as
allowed charges will vary from state to state and carrier to carrier. Please check your current coding book for a more extensive list and for
any coding changes.
* Data derived from the Centers for Medicare and Medicaid Services. * CPT is a trademark of the American Medical Association.
*2014 national averages/payment amounts were calulated using all modifiers and non-facility prices. Prices reflect data through 03.19.2014.
Please visit: www.cms.gov/apps/physician-fee-schedule to obtain your state’s reimbursement fees.
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MM-CT2-007-R6 revised 04.01.2014