CPT code 21602: Chest wall tumor excision, without mediastinal lymphadenectomy2026 Medicare rate & RVUs in Connecticut

In Connecticut, Medicare pays $1,629.22 for 21602 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 21602 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 21602 covers

A thoracic surgeon or surgical oncologist reports this service for removal of a chest wall tumor that involves the ribs, without mediastinal lymphadenectomy. A typical setting is an operating room, with the operative report describing the tumor’s site and extent, the chest wall structures removed, and the absence of mediastinal node dissection. Rib removal performed as part of the tumor resection is included in the service; this is not a code for an isolated rib resection.

Select this code based on the operation actually performed, distinguishing it from the related tumor-excision service that includes mediastinal lymphadenectomy. The operative report should support the tumor excision and its extent, including any rib resection. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation. Modifier 50 is inappropriate, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Connecticut compares for 21602

Across 109 of 109 payment localities, the facility rate for 21602 runs from $1,354.39 in Arkansas to $1,851.74 in Alaska. Connecticut pays $1,629.22. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

21602 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 21602 in every payment locality

How the 21602 rate is calculated

Each of 21602’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 21602

21602 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 21602

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 21602 has changed in Connecticut

Price 21602 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

• Ansonia
• Ball Pond
• Baltic
• Bantam
• Bethel
• Bethlehem Village
• Bigelow Corners
• Blue Hills

Browse all communities in Connecticut

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates