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See a sample rate comparisonCPT 22902 Fee Schedule
Medicare rates as of October 2026
CPT 22902 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Xcision Tumor Sft Tissue Of Abdomi Wall Subcutane Less Tha, Excision Tumor Soft Tissue Of Abdominal Wall Subcutaneous; Less Tha
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22On Campus Outpatient Hospital 11Office |
| Common Modifiers | 59Distinct Procedural Service 51Multiple procedures |
| Hospital Outpatient Group (APC) | APC 5072 - Level 2 Excision/ Biopsy/ Incision and Drainage |
| Surgery Center Payment (ASC) | G2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 03600761Sign up to view all 10 |
| Medicare Fee Schedule | $517.38 national non-facility rate (2026)View Medicare rates for 22902 |
| Medicaid Fee Schedule | $396.93 median of the 8 states in the free previewView Medicaid rates for 22902 |
National average reimbursement for CPT 22902 by major payers:
$546.31
BCBS / Anthem
$603.71
UnitedHealthcare
$647.98
Aetna
$574.98
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 22902.
CPT 22902
5 of 25 sample ratesHigher to lower in this preview
Surgery Affiliate Of El Paso, LLC, Foundation Surgery Affiliate Of El Paso, LLC
Surgery Affiliate Of El Paso LLC
$3,611.00Published rateLongleaf Surgery Center, LLC
Longleaf Surgery Center LLC
$1,276.00Published rateNorth Bend Medical Center Inc, Nbmc-Day Surgery
$865.00Published rateSouthern Okla Surgical Services, Ardmore Regional Surgery Center
Ardmore Regional Surgery Center
$676.00Published rateElkins Asc LLC, Gila Valley Procedure Center
Elkins Asc LLC
$420.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 22902 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 22902. 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 |
| 22903-CPT | Xcision Tumor Sft Tissue Of Abdomi Wall Subcutane 3 Cm Or, Excision Tumor Soft Tissue Of Abdominal Wall Subcutaneous; 3 Cm Or |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 22902. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22902 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 22902 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 22902 to APC 5072 (Level 2 Excision/ Biopsy/ Incision and Drainage). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 22902 in an ambulatory surgery center?
CMS lists CPT 22902 with ASC payment indicator G2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 22902?
Hospital price transparency files list CPT 22902 under these revenue codes: including 0360, 0761, 0361, 0960 and 0510. A revenue code names the hospital department or charge category for the line; it does not change what the service is.