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Billing code 22905: Tumor resectionMedicare rate & RVUs

Reports radical removal of a tumor measuring at least 5 cm from the abdominal wall, with broader tissue resection than a limited excision.

CMS RVU26DEffective Oct 1, 2026109 payment localities320 Medicare services in 2024

Medicare pays $1,237.50 for 22905 nationally in a facility.

Medicare rate · 22905

Tumor resection

Swap in your local Medicare rate.

Work RVUs
21.04
Total RVUs
37.05
Global days
090

National rate · 2026

$1,237.50

Facility setting, before claim adjustments.

See every locality for 22905 → · Billed by an NP, PA or therapist? →

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

On this page 10 sections
  1. Medicare rate
  2. What 22905 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 22905 covers

Radical resection removes a tumor measuring 5 cm or larger from the abdominal wall, taking a broader extent of tissue than a limited tumor excision. It is typically performed in an operating room by a surgeon, such as a general surgeon or surgical oncologist, for a sizable abdominal-wall soft-tissue tumor. The operative report should establish the tumor’s size and describe the radical extent of removal and tissues involved.

Choose this code for the radical procedure at the 5 cm threshold, rather than a limited deep-tumor excision or the smaller radical-resection level. The service has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. An assistant at surgery may be paid; co-surgeon and team-surgery payment require supporting documentation.

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.

Where 22905 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

22905 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,120.81
Alaska*Unavailable$1,540.72
ArizonaUnavailable$1,202.70
ArkansasUnavailable$1,106.61
AtlantaUnavailable$1,278.01
AustinUnavailable$1,242.18
BakersfieldUnavailable$1,223.63
Baltimore/Surr. CntysUnavailable$1,314.24
BeaumontUnavailable$1,192.44
BrazoriaUnavailable$1,204.27

22905 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
22905 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 22905 rate is calculated

Each of 22905’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.

How the rate is built · 22905

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 21.04Practice expense 11.18Malpractice 4.83

37.0500 adjusted RVUs×$33.4009 conversion factor=$1,237.50

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 22905

22905 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 22905

Tumor resection

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)1Permitted with supporting documentation.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.81/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 22905

Tumor resection

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

22905 without 51 · national facility

$1,237.50

Tumor resection

22905-51 · Second procedure: 50%

$618.75

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

22905 compared with similar codes

Compare codes

22905 vs 22901 vs 22904 vs 22900 vs 22903: national Medicare rates

Swap in your local Medicare rate.

  • 22905
    Tumor resection · 21.04 wRVU
    —
  • 22901
    Tumor excision · 9.86 wRVU
    —
  • 22904
    Abdominal tumor resection · 16.27 wRVU
    —
  • 22900
    Tumor excision · 8.11 wRVU
    —
  • 22903
    Tumor excision · 6.23 wRVU
    —

How to choose

22901Tumor excision
Both cover tumors at least 5 cm, but 22905 is for radical resection; 22901 is for a less extensive deep-tumor excision.
22904Abdominal tumor resection
Use 22904 for radical resection below 5 cm and 22905 at 5 cm or larger.
22900Tumor excision
22900 covers a less extensive deep-tumor excision below 5 cm; 22905 is for radical resection at 5 cm or larger.
22903Tumor excision
22903 concerns a subcutaneous abdominal-wall lesion, not the radical resection of a tumor at least 5 cm covered by 22905.

Codes related to 22905

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

Codes related to 22905
CodeHow it relatesNational office range
Same family
22904Abdominal tumor resectionRadical abdominal-wall tumor resection for a tumor smaller than 5 cm.No office rate
Used instead
22901Tumor excisionDeep abdominal-wall tumor excision at 5 cm or larger when the operation is not radical.No office rate
22900Tumor excisionDeep abdominal-wall tumor excision for a tumor smaller than 5 cm when the operation is not radical.No office rate
22903Tumor excisionFor a subcutaneous abdominal-wall lesion measuring 3 cm or larger.No office rate

22905 billing questions

How does this differ from 22901?

Both concern a deep abdominal-wall tumor measuring at least 5 cm. Use 22905 for radical resection; 22901 describes a less extensive excision.

When is 22904 the better choice?

Use 22904 for a radical resection of a deep abdominal-wall tumor smaller than 5 cm. The size threshold separates it from 22905.

What should the operative report document?

Document the tumor’s size and location, the extent of tissue removed, and why the operation was a radical resection rather than a limited excision.

Does the code include routine postoperative care?

Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full; other procedures are subject to the standard multiple-procedure reduction.

Can an assistant or another surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon and team-surgery payment require supporting documentation.

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

Show the CMS file lines behind this rate
RVUs for 22905PPRRVU2026_Oct_nonQPP.csv, line 2,146 (RVU26D)

Open CMS sourceHow we calculate rates

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