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See a sample rate comparisonCPT 22903 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 3 Cm Or, Excision Tumor Soft Tissue Of Abdominal Wall Subcutaneous; 3 Cm Or
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 22903 |
| Medicaid Fee Schedule | View Medicaid rates for 22903 |
National average reimbursement for CPT 22903 by major payers:
$534.91
$602.47
$623.47
$733.90
Compare published rates across providers.
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CPT 22903
5 of 25 sample ratesHigher to lower in this preview
Alle-Kiski Medical Center
Highmark Health
$7,900.64Published rateMichigan Outpatient Surgical Solutions, LLC
Michigan Outpatient Surgical Solutions LLC
$2,307.00Published rate32nd Street Surgery Center, LLC
32nd Street Surgery Center, L.L.C.
$1,915.00Published rateSoutheastern Surgical, LLC, Riverfront Surgery Center
Southeastern Surgical LLC
$1,458.00Published rateOcean Endosurgery Center LLC, Ocean Endosurgery Center
Ocean Endosurgery Center LLC
$721.00Published rate
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See a sample payer proposalCPT 22903 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 22903 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 22903 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.
| Code | Complexity | Description |
|---|---|---|
| 22902-CPT | Moderate | Xcision Tumor Sft Tissue Of Abdomi Wall Subcutane Less Tha, Excision Tumor Soft Tissue Of Abdominal Wall Subcutaneous; Less Tha |
| 22903-CPT | Moderate | Xcision Tumor Sft Tissue Of Abdomi Wall Subcutane 3 Cm Or, Excision Tumor Soft Tissue Of Abdominal Wall Subcutaneous; 3 Cm Or |
| 22904-CPT | High | Radical Resct Of Tumor (Eg Sarcom) Sft Tissue Of Abdomi Wal, Radical Resection Of Tumor (Eg Sarcoma) Soft Tissue Of Abdominal Wal |
| 22905-CPT | High | 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 22903. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22903 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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