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CPT 22902 Fee Schedule

Last Verified: September 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Xcision Tumor Sft Tissue Of Abdomi Wall Subcutane Less Tha, Excision Tumor Soft Tissue Of Abdominal Wall Subcutaneous; Less Tha
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Musculoskeletal System

Common Place of Service

22 - On Campus Outpatient Hospital

11 - Office

Common Modifiers

None

59 - Distinct Procedural Service

51 - Multiple procedures

Complexity LevelModerate
Medicare Fee ScheduleView Medicare rates for 22902
Medicaid Fee ScheduleView Medicaid rates for 22902

National average reimbursement for CPT 22902 by major payers:

bcbs

$546.31

uhc

$603.71

aetna

$647.98

cigna

$574.98

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
  1. Surgery Affiliate Of El Paso, LLC, Foundation Surgery Affiliate Of El Paso, LLC

    Surgery Affiliate Of El Paso LLC

    TXAmbulatory Surgical Clinic/CenterNPI 1881678662Tax ID 74-2797719

    $3,611.00Published rate
  2. Longleaf Surgery Center, LLC

    Longleaf Surgery Center LLC

    FLAmbulatory Surgical Clinic/CenterNPI 1831525112Tax ID 46-2421622

    $1,276.00Published rate
  3. North Bend Medical Center Inc, Nbmc-Day Surgery

    ORAmbulatory Surgical Clinic/CenterNPI 1386650778Tax ID 37-1843700

    $865.00Published rate
  4. Southern Okla Surgical Services, Ardmore Regional Surgery Center

    Ardmore Regional Surgery Center

    OKAmbulatory Surgical Clinic/CenterNPI 1922079896Tax ID 26-2814211

    $676.00Published rate
  5. Elkins Asc LLC, Gila Valley Procedure Center

    Elkins Asc LLC

    AZAmbulatory Surgical Clinic/CenterNPI 1699356485Tax ID 86-2826760

    $420.00Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 22902 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The CPT 22902 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 22902 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
22900-CPTModerateXcision Tumor Sft Tissue Of Abdomi Wall Subfasci (Eg Intram, Excision Tumor Soft Tissue Of Abdominal Wall Subfascial (Eg Intram
22901-CPTModerateXcision Tumor Sft Tissue Of Abdomi Wall Subfasci (Eg Intram, Excision Tumor Soft Tissue Of Abdominal Wall Subfascial (Eg Intram
22902-CPTModerateXcision Tumor Sft Tissue Of Abdomi Wall Subcutane Less Tha, Excision Tumor Soft Tissue Of Abdominal Wall Subcutaneous; Less Tha
22903-CPTModerateXcision 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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