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See a sample rate comparisonCPT 22901 Fee Schedule
Medicare rates as of October 2026
CPT 22901 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 ASPA/NP/CNS assistant at surgery |
| 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 | 03600960Sign up to view all 5 |
| Medicare Fee Schedule | $641.63 national non-facility rate (2026)View Medicare rates for 22901 |
| Medicaid Fee Schedule | $500.63 median of the 8 states in the free previewView Medicaid rates for 22901 |
National average reimbursement for CPT 22901 by major payers:
$843.52
BCBS / Anthem
$914.51
UnitedHealthcare
$929.73
Aetna
$1,102.52
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 22901.
CPT 22901
5 of 25 sample ratesHigher to lower in this preview
Saint Lukes South Pain Management Center LLC
$5,177.00Published rateKhs Ambulatory Surgery Center, LLC, Select Surgical Center At Kennedy
Khs Ambulatory Surgery Center LLC
$2,307.00Published rateWalla Walla Clinic, Inc., Walla Walla Clinic Ambulatory Surgery Center
Walla Walla Clinic, Inc.
$1,831.00Published rateSahara Outpatient Surgery Center Ltd
$1,381.00Published ratePlastic Surgery Specialists, PC
Plastic Surgery Specialists, P.C.
$700.00Published rate
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See a sample payer proposalCPT 22901 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 22901. 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 22901. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22901 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 22901 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 22901 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 22901 in an ambulatory surgery center?
CMS lists CPT 22901 with ASC payment indicator G2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 22901?
Hospital price transparency files list CPT 22901 under these revenue codes: 0360, 0960, 0975, 0361 and 0761. A revenue code names the hospital department or charge category for the line; it does not change what the service is.