{
    "code": "17004",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/17004/2018/A",
    "release_specific_url": "https://localishealth.com/cpt/17004/2018/B",
    "description": "Treatment of a large crop of precancerous skin lesions, usually actinic keratoses, in a single session, where fifteen or more spots are frozen or otherwise destroyed. It replaces the per-lesion counting used for smaller numbers: when the count reaches this threshold, the whole session is reported with this one code instead. As with all destruction codes, the lesions are killed in place and no tissue goes to pathology.",
    "answer": {
        "question": "How much did Medicare pay for CPT 17004 in Q2 2018?",
        "text": "Medicare paid $147.96 for CPT 17004 in the office (non-facility) setting and $102.60 in a facility under the Q2 2018 Physician Fee Schedule, effective April 2018. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2018, when it decreased 3.2%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2018,
        "quarter": "B",
        "label": "Q2 2018",
        "effective": "April 1 – June 30, 2018",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 147.96,
        "facility": 102.6,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 1.37,
        "practice_expense_non_facility": 2.55,
        "practice_expense_facility": 1.29,
        "malpractice": 0.19
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.9996,
    "source": {
        "label": "Physician relative value file (Q2 2018)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu18b.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2018/B",
        "file": "PPRRVU18_APR.csv",
        "row": 5584,
        "sha256": "6a692625dad07579d7e9946e9b59265acc1cff8c6ed48d4391949735be04024b"
    },
    "modified_at": "2026-08-04T03:08:19+00:00"
}