πŸ”₯ CPT +17003 β€” Destruction, Premalignant Lesions; 2nd Through 14th Lesion, Each (Add-On)

Quick Reference

wRVU: 0.18 (per unit) | Global Period: ZZZ (Add-On β€” inherits global of primary code 17000 / 010) | Assistant Payable: ❌ No | Bilateral Indicator: 1 | Modifier-51 Exempt: βœ… Yes β€” add-on code

Add-On Code β€” Never Bill Standalone

CPT +17003 is an AMA-designated add-on code. It requires CPT 17000 as the primary code on the same claim and same date of service. Billing 17003 without 17000 will result in an automatic claim denial. The + prefix in the AMA CPT manual designates this as an add-on code subject to NCCI add-on code edit enforcement.


πŸ“‹ Clinical Description

CPT +17003 is an add-on code reported once for each additional premalignant lesion destroyed beyond the first, starting with the second lesion and continuing through β€” but not exceeding β€” the 14th lesion in a single session. The primary code 17000 covers the first lesion destroyed; +17003 is then stacked as individual units, one per additional lesion, up to a maximum of 13 units (covering lesions 2 through 14). Once the session reaches the 15th premalignant lesion, the entire 17000 + 17003 construct is abandoned and replaced by 17004 β€” the flat-rate code for 15 or more lesions β€” which is reported as a single unit in its place.

The destructive modality β€” cryosurgery, electrosurgery, laser surgery, chemosurgery, or surgical curettement β€” is the same as described under 17000; +17003 does not restrict or change the modality used. Actinic keratosis (AK) is the prototypical diagnosis driving this code, and all clinical parameters β€” lesion identification, UV etiology, malignant progression risk, and destruction technique β€” are identical to those described under the primary code. +17003 exists purely as a per-unit counting mechanism within the 2-14 lesion range and carries no independent clinical description beyond β€œeach additional lesion.”

This add-on code is reported in the following clinical contexts:

  • Any session where 2-14 total premalignant lesions are destroyed β€” +17003 is required for every lesion beyond the first; a session treating 6 AKs requires 17000 + five units of +17003.
  • Mixed anatomic site session within the 2-14 lesion range β€” AKs on the scalp, face, ears, and hands in the same session are counted collectively toward the total lesion count; each lesion adds one unit of +17003 after the first.
  • Periocular and eyelid AK sessions (ophthalmology) β€” When an ophthalmologist treats multiple periocular AKs, +17003 stacks per lesion count in the same way; laterality and eyelid modifiers apply to the primary 17000 service for documentation; +17003 units are not individually modified by site.
  • Re-treatment session for recurrent AKs in a high-risk patient β€” When a patient with prior skin cancer history returns for re-treatment of recurrent AKs and the count is 2-14, +17003 drives the additional per-lesion billing alongside 17000.
  • Combined premalignant and benign destruction, total premalignant count 2-14 β€” When both AKs and benign lesions (seborrheic keratoses, verrucae) are destroyed in the same session, the premalignant count (2-14) drives 17000 + +17003, while the benign lesions are reported separately under 17110 or 17111 with modifier -59.

πŸ”¬ Anatomical & Procedural Considerations

ModalityMechanism / StepsKey Notes
Cryotherapy (Liquid Nitrogen)Liquid nitrogen spray or cotton-tip applicator applied to each lesion; freeze-thaw cycle destroys dysplastic keratinocytesMost common modality; each lesion receiving cryo counts as one unit of +17003 after the first; the note must document the total lesion count β€” not just the modality
Electrosurgery / ElectrodesiccationHigh-frequency electrical current destroys lesion tissue via resistive heating; curettement may followAcceptable modality; the operative note must confirm tissue destruction in situ (not excision) β€” if the lesion is cut out, excision codes apply
Laser Surgery (COβ‚‚ / Er:YAG)Ablative laser vaporizes dysplastic epidermis at each AK siteModality does not change the code; document laser type and each treated site; one unit of +17003 per additional lesion regardless of laser settings
Chemical DestructionProvider-applied topical caustic agent (e.g., TCA) to each discrete lesion in-officePatient self-applied field therapy agents (5-FU, imiquimod) are not reportable as 17003 β€” those are medication management encounters; in-office provider application qualifies
Surgical CurettementMechanical curettement of each dysplastic lesion with a dermal curetteValid for premalignant lesions; confirm lesion is premalignant β€” curettement of malignant lesions maps to the malignant excision or destruction code families

Clinical Pearl

The maximum units of +17003 per date of service is 13 β€” covering lesions 2 through 14. CMS has specifically identified excessive units of 17003 per date of service as a RAC audit recovery target; billing 14 or more units of 17003 in a single session (implying 15+ total lesions) when 17004 should have been reported instead is a recoverable overpayment. Before finalizing the claim, confirm: if total premalignant lesions treated = 14 or fewer β†’ report 17000 + appropriate units of +17003. If total = 15 or more β†’ report 17004 only. Count first, then code.


βœ… Procedure Includes

  • Destruction of each additional premalignant lesion (2nd through 14th) using the same modality documented under the primary 17000 service
  • Routine wound care at each additional treatment site following destruction
  • All pre-procedure assessment, patient preparation, and post-procedure instructions are included under the primary 17000 payment β€” +17003 does not separately bundle or unbundle these elements
  • Documentation of individual lesion site and running count in the procedure note β€” essential for audit defense and unit justification

❌ Excludes / Do Not Report Together

CodeDescriptionRelationship to +17003
17000Destruction, premalignant lesion; first lesionRequired primary code β€” +17003 cannot be reported without 17000 on the same claim; 17000 covers lesion #1; +17003 begins at lesion #2
17004Destruction, premalignant lesions; 15 or more lesionsMutually exclusive in the same session β€” when the premalignant lesion count reaches 15, report only 17004; do NOT report 17000 + 17003 Γ— 13 + 17004 together; 17004 replaces the entire stack
17110Destruction, benign lesions other than skin tags or cutaneous vascular lesions; up to 14 lesionsDifferent lesion category β€” benign lesions are reported under 17110/17111, NOT 17000/17003; a NCCI edit exists; when both lesion types are treated in the same session, modifier -59 or XS is required to report both code families separately
17311-17315Mohs micrographic surgeryWhen Mohs technique is used for any lesion in the session, the Mohs family replaces the destruction code for that specific lesion; remaining premalignant lesions destroyed by standard technique in the same session may still drive 17000 + +17003 if the count (excluding the Mohs lesion) is 2-14
E/M codes (992xx / 920xx)Office visit, any levelSeparately reportable on the same date only when modifier -25 is appended to the E/M code; -25 is applied to the E/M code, never to +17003 or 17000

Add-On Code Rules β€” Global Period is ZZZ, Inherited from Primary 17000 (010)

The ZZZ global period assigned to +17003 is the AMA/CMS designation for add-on codes β€” it means this code has no independent global period and inherits the global period of its required primary code, 17000, which carries a 010 (10-day) global period. In practical billing terms: the 10-day global window is triggered by the 17000 service date, and all bundling rules (wound checks, related follow-up within 10 days) apply to the session as a whole β€” not to +17003 individually. Never attempt to assign an independent global period to +17003. For unrelated E/M visits within the 10-day global window, append modifier -24 to the E/M code with documentation of the unrelated nature β€” this is applied in the context of the 17000 global, not +17003 specifically.


🌳 Code Tree β€” Surgery: Integumentary System, Destruction - Premalignant Lesions

CPT 17000-17004 Destruction β€” Premalignant Lesions  
β”‚  
β”œβ”€β”€ 17000 Destruction, premalignant lesion; first lesion (Global: 010)  
β”‚ └── Primary code β€” required before +17003 can be reported  
β”‚  
β”œβ”€β”€ β–Άβ–Ά +17003 β—€β—€ Second through 14th lesion, each [Add-On] ← YOU ARE HERE  
β”‚ β”œβ”€β”€ Report 1 unit per additional lesion after the 1st  
β”‚ β”œβ”€β”€ Maximum 13 units per date of service (covers lesions 2-14)  
β”‚ └── ALWAYS requires 17000 as primary on same claim, same DOS  
β”‚  
└── 17004 15 or more lesions (Global: 010)  
└── Replaces 17000 + +17003 entirely when count β‰₯ 15

CPT 17110-17111 Destruction β€” Benign Lesions (not skin tags or vascular)  
β”œβ”€β”€ 17110 Up to 14 lesions (Global: 010)  
└── 17111 15 or more lesions (Global: 010)

πŸ’° RVU & Reimbursement Profile

ComponentValue
Work RVU (wRVU)0.18 per unit (verify against current CMS MPFS for applicable year)
Global PeriodZZZ β€” Add-On Code; inherits 010 (10-day) global from primary CPT 17000
Bilateral Indicator1 β€” Inherits from primary service context; bilateral reduction is not applied to individual +17003 units in practice
Assistant Surgeon❌ Not payable
Co-Surgeon❌ Not applicable
Team Surgery❌ Not applicable
PC/TC Split❌ No β€” procedure code only (Indicator 0)
Modifier -51 Exemptβœ… Yes β€” add-on codes are modifier-51 exempt by AMA and CMS policy; do NOT append -51 to +17003
Maximum Units Per DOS13 units β€” covers lesions 2 through 14; billing 14+ units implies a 15+ lesion session, which requires 17004 instead
AnesthesiaIncluded under primary 17000 payment; no separate anesthesia billing for +17003 units

wRVU Stacking and Reimbursement Reality

Each unit of +17003 carries a wRVU of 0.18. When added to the 17000 base wRVU of 0.61, the maximum theoretical value of a full 17000 + 13 Γ— 17003 session (14 total lesions) is approximately 0.61 + (13 Γ— 0.18) = 2.95 wRVU β€” compared to 17004’s flat 1.30 wRVU for 15+ lesions. This means a session treating exactly 14 lesions reimbursed under 17000/17003 stacking pays significantly more per lesion than the 17004 flat rate. This is not a billing manipulation opportunity β€” it is the AMA’s intended payment design β€” but it underscores why accurate lesion counting is critical: undercounting a 15-lesion session as 14 to stay under 17004 constitutes fraudulent upcoding of the per-unit structure.


🏷️ Modifier Reference

Add-On Code Modifier Rules

CPT +17003 is modifier-51 exempt and should not be reported with modifier -51 under any circumstance. Because +17003 is an add-on to 17000, it does not independently carry laterality, eyelid-site, or bilateral modifiers β€” those are applied to the primary 17000 service line when clinically appropriate. The modifiers below reflect how modifiers interact with the session as a whole rather than being appended to +17003 itself.

ModifierApplied ToWhen Applicable
-51 Exempt+17003 itselfAdd-on codes are exempt from -51 by AMA/CMS definition β€” never append -51 to +17003
-25E/M code on same DOSWhen a separately identifiable E/M service is performed on the same date as the AK destruction session; applied to the E/M code only β€” not to 17000 or +17003
-24E/M code within 10-day globalWhen a patient returns within the 10-day global window of the primary 17000 for an unrelated condition; applied to the E/M code; document unrelated nature explicitly
-5917110 or 17111 on same DOSWhen benign lesion destruction is also performed in the same session; applied to the lower-valued benign destruction code to bypass the NCCI edit β€” not applied to +17003
-XS17110 or [[17111]] on same DOSMAC-preferred alternative to -59 for distinct lesion type documentation; same application context as -59 above
-5217000 (primary)When the destruction session is partially completed β€” applied to the primary code; +17003 units reflect only the lesions actually treated
-5317000 (primary)When the session is discontinued due to patient safety concern β€” applied to the primary code; document the count of lesions treated at time of discontinuation

🩺 Common ICD-10-CM Pairings

ICD-10-CM and Add-On Codes

Because +17003 is an add-on code that always accompanies 17000, the ICD-10-CM diagnosis codes reported with +17003 are identical to those reported with the primary 17000 service. The diagnosis code does not change per unit of +17003 β€” the same L57.0 (or applicable L57.- variant) applies to the entire session. The table below mirrors the 17000 pairing table; all diagnosis codes are reported on the same claim covering both 17000 and all units of +17003.

Primary β€” Actinic Keratosis and Premalignant Skin Changes

ICD-10 CodeDescriptionHCC?Clinical Notes
L57.0Actinic keratosis❌ NoPrimary diagnosis for the vast majority of 17000 + +17003 sessions; applies uniformly to the entire multi-lesion session β€” L57.0 is reported once on the claim, not once per lesion or per unit of +17003; no laterality or site-level specificity required at the ICD-10 code level
L57.1Actinic reticuloid❌ NoUse when the dermatologist specifically documents actinic reticuloid rather than standard AK; uncommon; applies to the entire session
L57.8Other skin changes due to chronic exposure to nonionizing radiation❌ NoUse for provider-documented UV-induced premalignant changes that do not meet the specific L57.0 AK descriptor β€” includes certain actinic injury patterns when the provider specifies
L57.9Skin changes due to chronic exposure to nonionizing radiation, unspecified❌ NoLeast specific in the L57 family; use only when documentation does not support a more specific L57.0-L57.8 code even after a provider query attempt

Supporting / High-Risk Context Codes

ICD-10 CodeDescriptionHCC?Clinical Notes
Z85.828Personal history of other malignant neoplasm of skin❌ NoHighly relevant secondary diagnosis for multi-lesion AK sessions β€” documents the elevated risk context (prior BCC, SCC, or melanoma) that supports medical necessity for treating multiple lesions in a single session; should be queried and captured when documented in the chart
Z77.098Contact with and (suspected) exposure to other hazardous, chiefly nonmedicinal, chemicals (UV)❌ NoApplicable when chronic occupational or recreational UV exposure is explicitly documented as a contributing etiology; most useful for outdoor workers; supports medical necessity narrative
D04.9Carcinoma in situ of skin, unspecified❌ NoReport when the provider documents in-situ squamous carcinoma (Bowen disease) among the lesions treated in the session; this is a premalignant/in-situ designation that remains within the 17000 family scope; when invasive malignancy is confirmed, shift that specific lesion to excision or Mohs codes

Coding Specificity Reminder

ICD-10-CM code L57.0 requires no additional characters β€” it is a complete, non-extendable code with no laterality, site, or severity axis. For multi-lesion sessions using 17000 + +17003, report L57.0 once on the claim regardless of how many units of +17003 are billed. The number of lesions treated is a CPT documentation element, not an ICD-10-CM element. Do not attempt to report L57.0 multiple times or use different L57 codes for different lesions within the same session β€” the diagnosis applies to the encounter as a whole.


πŸ₯ MS-DRG Considerations (Inpatient)

Inpatient Coding Reminder

CPT +17003 is an add-on code performed exclusively in the outpatient or office setting as part of the same service captured under primary CPT 17000. There are no MS-DRG assignments for this code β€” inpatient admission for premalignant skin lesion destruction is not clinically supported, and +17003 carries no independent inpatient facility coding equivalent. In the rare inpatient scenario where premalignant lesion destruction is performed, the ICD-10-PCS coding is driven by the primary destruction service β€” see the 17000 note for applicable PCS codes. There is no PCS add-on construct equivalent to the CPT +17003 per-unit model; each anatomic site treated is captured by its own PCS Destruction code line.


πŸ”§ ICD-10-PCS Equivalents (Inpatient Facility Coding)

Note

Because +17003 is an add-on code with no independent clinical identity, there is no distinct PCS code that maps specifically to β€œ+17003” as a unit. Inpatient PCS coding for multi-lesion AK destruction mirrors the site-by-site Destruction (5) code structure used for the primary service β€” see CPT 17000 for the full PCS character analysis and code table. Each additional anatomic body part treated beyond the first requires its own PCS Destruction code line (e.g., 0H51XZZ for face, 0H52XZZ for right ear, 0H50XZZ for scalp, etc.). The per-lesion counting mechanism of +17003 has no PCS equivalent β€” PCS codes by body part, not by lesion count within a body part.

PCS CodeFull DescriptionApplicable Site
0H50XZZDestruction of Scalp Skin, External Approach, No Device, No QualifierAdditional AK lesions on the scalp beyond the first treated site
0H51XZZDestruction of Face Skin, External Approach, No Device, No QualifierAdditional facial AK lesions β€” cheek, forehead, nose, chin, temple
0H52XZZDestruction of Right Ear Skin, External Approach, No Device, No QualifierAdditional right auricular / periauricular lesions
0H53XZZDestruction of Left Ear Skin, External Approach, No Device, No QualifierAdditional left auricular / periauricular lesions
0H54XZZDestruction of Right Upper Eyelid, External Approach, No Device, No QualifierPeriocular AK β€” right upper eyelid
0H55XZZDestruction of Left Upper Eyelid, External Approach, No Device, No QualifierPeriocular AK β€” left upper eyelid

PCS Coding for Multi-Lesion Sessions

  • In ICD-10-PCS, assign one Destruction code per distinct body part value treated β€” not one code per lesion; PCS does not replicate the CPT per-unit counting structure of +17003.
  • If the same body part (e.g., face skin, body part value 1) has multiple AK lesions destroyed, assign 0H51XZZ once β€” PCS does not allow multiple units of the same code for the same body part.
  • When multiple body parts are treated (scalp + face + right ear), assign separate PCS code lines for each body part; this is the closest ICD-10-PCS approximation of the multi-lesion CPT session.

πŸ“ Coding Examples


Example 1 β€” Office: 6 AKs, Cryotherapy (17000 + 5 Units of +17003)

Clinical Scenario: A 65-year-old established male presents to dermatology for routine skin surveillance. The physician identifies and destroys 6 discrete actinic keratoses: 2 on the right cheek, 1 on the left cheek, 1 on the right temple, 1 on the forehead, and 1 on the right dorsal hand, all using liquid nitrogen cryotherapy. The procedure note reads: β€œCryotherapy to 6 AKs β€” sites as listed; single freeze-thaw cycle per lesion, 8-10 seconds each.” No separate E/M was documented beyond the pre-procedure assessment.

FieldCodeRationale
CPT 117000First premalignant lesion destroyed β€” required primary code for the session
CPT 2+17003 Γ— 5 unitsLesions 2-6; 5 additional units of the add-on code β€” report as 5 units of 17003 on one line or as 5 separate lines per payer preference; -51 is NOT applied
PDxL57.0Actinic keratosis β€” reported once for the session; applies to all 6 lesions
SDxZ85.828Personal history of malignant neoplasm of skin β€” if documented; supports medical necessity for multi-lesion surveillance and treatment

Note

+17003 is modifier-51 exempt β€” do not append -51 to the add-on code regardless of payer. When submitting electronically, most payers accept 17003 as a single line with 5 units in the quantity field; some payers prefer five individual line items at 1 unit each β€” verify your specific MAC and commercial payer preference before submitting. Never submit +17003 without 17000 on the same claim.


Example 2 β€” Office: 10 AKs + 12 Seborrheic Keratoses, Same Session, with Separate E/M

Clinical Scenario: A 71-year-old established female with a history of prior SCC of the scalp presents for a comprehensive skin clearance session. The dermatologist destroys 10 actinic keratoses (cryotherapy) and 12 seborrheic keratoses (electrodesiccation) in the same visit. The note clearly separates lesion types: β€œ10 AKs treated with LN2 β€” [sites listed]; 12 SKs treated with electrodesiccation β€” [sites listed].” The physician also separately evaluates the patient’s new complaint of a pigmented lesion on the back, performs a dermoscopy evaluation, and documents independent history, exam, and assessment/plan for that separate concern.

FieldCodeRationale
CPT 117000First premalignant lesion (AK #1) β€” required primary code
CPT 2+17003 Γ— 9 unitsAK lesions 2-10; 9 units; -51 exempt; total premalignant count = 10, below 15-lesion threshold
CPT 317110-5912 benign lesions (seborrheic keratoses); modifier -59 on the lower-valued code to bypass the NCCI edit between the premalignant (17000/17003) and benign (17110/17111) destruction families
CPT 499214-25Established patient E/M, moderate complexity; modifier -25 on the E/M code for the separately documented dermoscopy/pigmented lesion evaluation; NOT applied to 17000 or +17003
PDxL57.0Actinic keratosis β€” primary diagnosis driving 17000 + +17003
SDxL82.1Other seborrheic keratosis β€” diagnosis supporting 17110
SDxZ85.828Personal history of malignant neoplasm of skin (prior scalp SCC)

Warning

Three separate billing actions are occurring here: (1) premalignant destruction via 17000 + +17003, (2) benign destruction via 17110 with -59, and (3) a separately identifiable E/M with -25. The -25 goes on the E/M code only, -59 goes on the 17110 only, and +17003 takes no modifier. Misplacing -59 on +17003 or -25 on 17000 are the two most common modifier placement errors in this multi-code scenario.


Example 3 β€” Office: 14 AKs β€” Maximum +17003 Units; vs. 15 AKs β€” Switch to 17004

Clinical Scenario A (14 lesions): A 76-year-old male presents for AK clearance. The physician documents and destroys exactly 14 actinic keratoses with cryotherapy. The note enumerates each lesion site with a running count ending at 14.

FieldCodeRationale
CPT 117000First lesion
CPT 2+17003 Γ— 13 unitsLesions 2-14; 13 units β€” the maximum allowable per date of service; total session = 14 lesions
PDxL57.0Actinic keratosis

Clinical Scenario B (15 lesions β€” same scenario with one more lesion found and treated): During the same type of visit, the physician finds and destroys one additional AK, bringing the total to 15.

FieldCodeRationale
CPT 11700415 premalignant lesions β€” flat-rate code replaces the entire 17000 + +17003 stack; report only 17004, 1 unit
PDxL57.0Actinic keratosis

Note

The 15-lesion threshold is a hard switch. There is no version of a 15-lesion session that is correctly coded as 17000 + 17003 Γ— 13 + any additional code. Once lesion #15 is documented and treated, only 17004 is reported and the 17000/17003 structure is abandoned entirely. CMS RAC auditors specifically flag claims with 13+ units of 17003 in a session because it may indicate the threshold was reached and 17004 should have been used instead. Count before you code.


⚠️ Common Coding Pitfalls

  • Billing +17003 without 17000 on the same claim: +17003 is an add-on code β€” it has no standalone billing value and will be automatically denied by every payer if submitted without 17000 as the primary code on the same date of service. This is the most fundamental rule of add-on code billing and the most common cause of clean-claim failure for this code. Verify that your billing system always triggers 17000 when +17003 is entered.

  • Appending modifier -51 to +17003: Add-on codes are modifier -51 exempt by AMA and CMS policy β€” they are defined as services that cannot stand alone and do not require -51 to identify them as secondary procedures. Appending -51 to +17003 is technically incorrect and may trigger a claim edit or payment reduction at some payers. Do not add -51 to any add-on code.

  • Billing more than 13 units of +17003 per date of service: The maximum is 13 units (covering lesions 2-14). If 14 or more units of +17003 appear on a claim, it implies 15 or more total lesions were treated β€” and 17004 should have been reported instead. CMS RAC guidance explicitly identifies excessive units of 17003 as a recovery target. A claim showing 17000 + 17003 Γ— 14 units is an automatic overpayment flag.

  • Counting lesion type incorrectly β€” mixing benign and premalignant in the +17003 unit count: Only premalignant lesions are counted toward the 17000/17003/17004 family. Benign lesions (seborrheic keratoses, warts) are reported under the 17110/17111 family. If a provider destroys 8 AKs and 6 SKs and the biller counts all 14 as one group, the resulting 17000 + +17003 Γ— 13 represents a significant upcoding violation. The procedure note must clearly separate lesion types by count, and the coder must bill each family independently.

  • Misplacing modifier -25 on 17000 or +17003 instead of the E/M code: Modifier -25 belongs exclusively on the E/M service code when a separately identifiable office visit is billed on the same date as AK destruction. Appending -25 to 17000 or +17003 is a modifier placement error that will generate a claim edit and is a compliance finding in dermatology practice audits. Train billing staff on this distinction specifically.

  • Failing to document a per-lesion enumeration in the procedure note: β€œSeveral AKs treated” or β€œmultiple lesions, cryotherapy” without a specific count does not support any specific number of +17003 units on audit. Each unit of +17003 represents one billable lesion β€” if the count is not documented in the procedure note, payers will default to 17000 alone (1 lesion) regardless of how many units of +17003 were billed. The note must state a specific number: β€œcryotherapy to 8 AKs β€” [sites].”


πŸ“Ž Sources

1 AMA CPT 2025 Professional Edition β€” CPT +17003, Surgery: Integumentary System, Destruction-Premalignant Lesions; add-on code designation and reporting instructions Β· 2 CMS 2025 Medicare Physician Fee Schedule Final Rule (CMS-1807-F) Β· 3 CMS RVU25A Relative Value Files β€” wRVU (0.18 per unit), ZZZ global period, and bilateral indicator data for CPT +17003 Β· 4 CMS Medicare NCCI Add-On Code Edits Policy β€” cms.gov/medicare/coding-billing/national-correct-coding-initiative-ncci-edits/medicare-ncci-add-code-edits Β· 5 CMS Medicare RAC Guidance 0121 β€” Destruction of Premalignant Lesions: Excessive Units; CPT 17000/17003/17004 maximum units per date of service Β· 6 NCCI Policy Manual Chapter 4 (Surgery: Integumentary System), CMS 2025 β€” bundling rules between premalignant (17000/17003/17004) and benign (17110/17111) destruction families; modifier -59/XS guidance Β· 7 ICD-10-CM Official Guidelines for Coding and Reporting FY2026 β€” Chapter 12: Diseases of the Skin and Subcutaneous Tissue, L57 coding guidance Β· 8 ICD-10-PCS Official Guidelines for Coding and Reporting FY2026 β€” Root Operation Destruction (5), Body System H (Skin and Breast) Β· 9 AAPC CPT Code 17003 Reference β€” aapc.com/codes/cpt-codes/17003 Β· 10 Auctus Group Consulting β€” β€œCPT Code 17003: Everything You Need to Know” (2025) Β· 11 AultCare β€” β€œUnderstanding Add-On Procedure Code Denials” (2024) Β· 12 Palmetto GBA Jurisdiction M β€” Global Period and Modifier Policy (2024) Β· 13 AAPC Dermatology Coding Alert β€” Premalignant Lesion Destruction Series 17000/17003/17004 Coding Guidelines