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See a sample rate comparisonCPT 22903 Fee Schedule
Medicare rates as of October 2026
CPT 22903 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
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 | 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 | 03600761Sign up to view all 11 |
| Medicare Fee Schedule | $428.87 national non-facility rate (2026)View Medicare rates for 22903 |
| Medicaid Fee Schedule | $335.27 median of the 8 states in the free previewView Medicaid rates for 22903 |
National average reimbursement for CPT 22903 by major payers:
$534.91
BCBS / Anthem
$602.47
UnitedHealthcare
$623.47
Aetna
$733.90
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 22903.
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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Payer Contract Negotiation
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See a sample payer proposalCPT 22903 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 22903. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 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 |
| 22904-CPT | Radical Resct Of Tumor (Eg Sarcom) Sft Tissue Of Abdomi Wal, Radical Resection Of Tumor (Eg Sarcoma) Soft Tissue Of Abdominal Wal |
| 22905-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 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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Frequently Asked Questions
What APC is CPT 22903 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 22903 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 22903 in an ambulatory surgery center?
CMS lists CPT 22903 with ASC payment indicator G2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 22903?
Hospital price transparency files list CPT 22903 under these revenue codes: including 0360, 0761, 0960, 0975 and 0361. A revenue code names the hospital department or charge category for the line; it does not change what the service is.