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See a sample rate comparisonCPT 22900 Fee Schedule
Medicare rates as of October 2026
CPT 22900 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Xcision Tumor Sft Tissue Of Abdomi Wall Subfasci (Eg Intram, Excision Tumor Soft Tissue Of Abdominal Wall Subfascial (Eg Intram
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22On Campus Outpatient Hospital 24Ambulatory Surgical Center |
| Common Modifiers | 59Distinct Procedural Service 51Multiple procedures |
| Hospital Outpatient Group (APC) | APC 5073 - Level 3 Excision/ Biopsy/ Incision and Drainage |
| Surgery Center Payment (ASC) | G2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 03600975Sign up to view all 5 |
| Medicare Fee Schedule | $547.44 national non-facility rate (2026)View Medicare rates for 22900 |
| Medicaid Fee Schedule | $428.185 median of the 8 states in the free previewView Medicaid rates for 22900 |
National average reimbursement for CPT 22900 by major payers:
$661.33
BCBS / Anthem
$709.99
UnitedHealthcare
$764.80
Aetna
$884.23
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 22900.
CPT 22900
5 of 25 sample ratesHigher to lower in this preview
Kenosha Surgicenter LLC
$2,844.00Published rateNorth Shore Same Day Surgery LLC, North Shore Surgical Center
North Shore Same Day Surgery LLC
$2,353.00Published rateProffer Surgical Center, PLLC
Proffer Surgical Center PLLC
$1,490.00Published rateAu Surgery Center, LLC
Au Surgery Center LLC
$1,076.00Published rateTgh Surgery Center At Morsani, LLC, Tgh Surgery Center
$787.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 22900 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 22900. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 22900-CPT | Xcision Tumor Sft Tissue Of Abdomi Wall Subfasci (Eg Intram, Excision Tumor Soft Tissue Of Abdominal Wall Subfascial (Eg Intram |
| 22901-CPT | Xcision Tumor Sft Tissue Of Abdomi Wall Subfasci (Eg Intram, Excision Tumor Soft Tissue Of Abdominal Wall Subfascial (Eg Intram |
| 22902-CPT | Xcision Tumor Sft Tissue Of Abdomi Wall Subcutane Less Tha, Excision Tumor Soft Tissue Of Abdominal Wall Subcutaneous; Less Tha |
| 22904-CPT | Radical Resct Of Tumor (Eg Sarcom) Sft Tissue Of Abdomi Wal, Radical Resection Of Tumor (Eg Sarcoma) Soft Tissue Of Abdominal Wal |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 22900. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22900 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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Frequently Asked Questions
What APC is CPT 22900 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 22900 to APC 5073 (Level 3 Excision/ Biopsy/ Incision and Drainage). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 22900 in an ambulatory surgery center?
CMS lists CPT 22900 with ASC payment indicator G2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 22900?
Hospital price transparency files list CPT 22900 under these revenue codes: 0360, 0975, 0960, 0761 and 0361. A revenue code names the hospital department or charge category for the line; it does not change what the service is.