No office rate
Both cover deep back or flank tumor excision; 21933 is for tumors 5 cm or larger, while 21932 is for smaller tumors.
On this page
CMS RVU26D · Effective 2026-10-01
21933 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$689.72
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Soft tissue surgery
About 21933: Deep back tumor excision, 5 cm or larger
Excision of a soft tissue tumor at least 5 cm across from beneath the back or flank fascia, including an intramuscular tumor.
This service removes a soft tissue tumor measuring 5 cm or more that lies beneath the fascia of the back or flank, including a tumor within muscle. A surgeon typically performs the excision in an operating room or an appropriately equipped outpatient setting. The code distinguishes a deep tumor from a subcutaneous lesion and distinguishes tumors at least 5 cm from smaller deep tumors.
Choose the code based on the tumor’s documented depth and size, not the length of the incision. The operative report should support the back or flank site, the tumor’s deep location, its dimensions, and the excision performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Bilateral adjustment is inappropriate for this code. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 21933
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU10.85 · 52%
- Practice expense (office) RVU7.47 · 36%
- Malpractice RVU2.64 · 13%
3.1K
Medicare services in 2024 · #2143 by national volume
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.
21933 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
21931 applies to a subcutaneous lesion at least 3 cm across. Use 21933 for a tumor at least 5 cm across that lies beneath the fascia.
No office rate
21936 describes resection of a back or flank tumor 5 cm or larger; 21933 describes excision of a deep tumor of that size. Select based on the procedure performed and documented.
$564.24
21925 is for deep soft tissue sampling by biopsy; 21933 is for excision of the deep tumor measuring at least 5 cm.
The same code, a different location
How does El Centro compare?
21933 across payment areas
Same release and payment basis · bars start at $0
El Centro · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 21933
Office
Unavailable
Facility
$689.28
No comparable office rate is available.
Modesto
California · 21933
Office
Unavailable
Facility
$689.28
No comparable office rate is available.
Napa
California · 21933
Office
Unavailable
Facility
$758.87
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 21933
Office
Unavailable
Facility
$722.40
No comparable office rate is available.
Redding
California · 21933
Office
Unavailable
Facility
$689.28
No comparable office rate is available.
Rest Of California
California · 21933
Office
Unavailable
Facility
$689.28
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 21933
Office
Unavailable
Facility
$717.60
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 21933
Office
Unavailable
Facility
$712.88
No comparable office rate is available.
Salinas
California · 21933
Office
Unavailable
Facility
$710.07
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 21933
Office
Unavailable
Facility
$719.47
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 21933
Office
Unavailable
Facility
$789.10
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 21933
Office
Unavailable
Facility
$786.11
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 21933
Office
Unavailable
Facility
$809.31
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 21933
Office
Unavailable
Facility
$797.06
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 21933
Office
Unavailable
Facility
$700.01
No comparable office rate is available.
Santa Cruz-Watsonville
California · 21933
Office
Unavailable
Facility
$720.42
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 21933
Office
Unavailable
Facility
$710.73
No comparable office rate is available.
Santa Rosa-Petaluma
California · 21933
Office
Unavailable
Facility
$726.93
No comparable office rate is available.
Stockton
California · 21933
Office
Unavailable
Facility
$689.28
No comparable office rate is available.
Vallejo
California · 21933
Office
Unavailable
Facility
$754.55
No comparable office rate is available.
Visalia
California · 21933
Office
Unavailable
Facility
$689.28
No comparable office rate is available.
Yuba City
California · 21933
Office
Unavailable
Facility
$689.28
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 21933
Office
Unavailable
Facility
$774.03
No comparable office rate is available.
Miami
Florida · 21933
Office
Unavailable
Facility
$845.14
No comparable office rate is available.
Chicago
Illinois · 21933
Office
Unavailable
Facility
$818.06
No comparable office rate is available.
Manhattan
New York · 21933
Office
Unavailable
Facility
$815.37
No comparable office rate is available.
Alaska*
Alaska · 21933
Office
Unavailable
Facility
$857.91
No comparable office rate is available.
Alabama
Alabama · 21933
Office
Unavailable
Facility
$630.63
No comparable office rate is available.
Arkansas
Arkansas · 21933
Office
Unavailable
Facility
$622.14
No comparable office rate is available.
Arizona
Arizona · 21933
Office
Unavailable
Facility
$679.65
No comparable office rate is available.
Colorado
Colorado · 21933
Office
Unavailable
Facility
$701.09
No comparable office rate is available.
Connecticut
Connecticut · 21933
Office
Unavailable
Facility
$745.06
No comparable office rate is available.
Delaware
Delaware · 21933
Office
Unavailable
Facility
$689.99
No comparable office rate is available.
Fort Lauderdale
Florida · 21933
Office
Unavailable
Facility
$774.57
No comparable office rate is available.
Rest Of Florida
Florida · 21933
Office
Unavailable
Facility
$733.46
No comparable office rate is available.
Atlanta
Georgia · 21933
Office
Unavailable
Facility
$722.89
No comparable office rate is available.
Rest Of Georgia
Georgia · 21933
Office
Unavailable
Facility
$690.07
No comparable office rate is available.
Hawaii, Guam
Hawaii · 21933
Office
Unavailable
Facility
$697.14
No comparable office rate is available.
Iowa
Iowa · 21933
Office
Unavailable
Facility
$625.70
No comparable office rate is available.
Idaho
Idaho · 21933
Office
Unavailable
Facility
$633.65
No comparable office rate is available.
East St. Louis
Illinois · 21933
Office
Unavailable
Facility
$769.54
No comparable office rate is available.
Rest Of Illinois
Illinois · 21933
Office
Unavailable
Facility
$728.02
No comparable office rate is available.
Suburban Chicago
Illinois · 21933
Office
Unavailable
Facility
$777.43
No comparable office rate is available.
Indiana
Indiana · 21933
Office
Unavailable
Facility
$636.55
No comparable office rate is available.
Kansas
Kansas · 21933
Office
Unavailable
Facility
$632.39
No comparable office rate is available.
Kentucky
Kentucky · 21933
Office
Unavailable
Facility
$664.89
No comparable office rate is available.
New Orleans
Louisiana · 21933
Office
Unavailable
Facility
$697.35
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 21933
Office
Unavailable
Facility
$667.69
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 21933
Office
Unavailable
Facility
$753.65
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 21933
Office
Unavailable
Facility
$701.20
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 21933
Office
Unavailable
Facility
$744.99
No comparable office rate is available.
Rest Of Maryland
Maryland · 21933
Office
Unavailable
Facility
$699.47
No comparable office rate is available.
Rest Of Maine
Maine · 21933
Office
Unavailable
Facility
$646.79
No comparable office rate is available.
Southern Maine
Maine · 21933
Office
Unavailable
Facility
$665.30
No comparable office rate is available.
Detroit
Michigan · 21933
Office
Unavailable
Facility
$751.84
No comparable office rate is available.
Rest Of Michigan
Michigan · 21933
Office
Unavailable
Facility
$689.75
No comparable office rate is available.
Minnesota
Minnesota · 21933
Office
Unavailable
Facility
$645.24
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 21933
Office
Unavailable
Facility
$682.83
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 21933
Office
Unavailable
Facility
$688.28
No comparable office rate is available.
Rest Of Missouri
Missouri · 21933
Office
Unavailable
Facility
$663.36
No comparable office rate is available.
Mississippi
Mississippi · 21933
Office
Unavailable
Facility
$642.39
No comparable office rate is available.
Montana**
Montana · 21933
Office
Unavailable
Facility
$699.91
No comparable office rate is available.
North Carolina
North Carolina · 21933
Office
Unavailable
Facility
$651.53
No comparable office rate is available.
North Dakota**
North Dakota · 21933
Office
Unavailable
Facility
$647.70
No comparable office rate is available.
Nebraska
Nebraska · 21933
Office
Unavailable
Facility
$626.02
No comparable office rate is available.
New Hampshire
New Hampshire · 21933
Office
Unavailable
Facility
$699.29
No comparable office rate is available.
Northern Nj
New Jersey · 21933
Office
Unavailable
Facility
$768.83
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 21933
Office
Unavailable
Facility
$746.09
No comparable office rate is available.
New Mexico
New Mexico · 21933
Office
Unavailable
Facility
$697.10
No comparable office rate is available.
Nevada**
Nevada · 21933
Office
Unavailable
Facility
$685.61
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 21933
Office
Unavailable
Facility
$846.00
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 21933
Office
Unavailable
Facility
$758.61
No comparable office rate is available.
Queens
New York · 21933
Office
Unavailable
Facility
$807.66
No comparable office rate is available.
Rest Of New York
New York · 21933
Office
Unavailable
Facility
$661.42
No comparable office rate is available.
Ohio
Ohio · 21933
Office
Unavailable
Facility
$679.08
No comparable office rate is available.
Oklahoma
Oklahoma · 21933
Office
Unavailable
Facility
$653.72
No comparable office rate is available.
Portland
Oregon · 21933
Office
Unavailable
Facility
$711.00
No comparable office rate is available.
Rest Of Oregon
Oregon · 21933
Office
Unavailable
Facility
$672.90
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 21933
Office
Unavailable
Facility
$733.85
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 21933
Office
Unavailable
Facility
$674.77
No comparable office rate is available.
Puerto Rico
Puerto Rico · 21933
Office
Unavailable
Facility
$701.50
No comparable office rate is available.
Rhode Island
Rhode Island · 21933
Office
Unavailable
Facility
$705.68
No comparable office rate is available.
South Carolina
South Carolina · 21933
Office
Unavailable
Facility
$667.89
No comparable office rate is available.
South Dakota**
South Dakota · 21933
Office
Unavailable
Facility
$641.53
No comparable office rate is available.
Tennessee
Tennessee · 21933
Office
Unavailable
Facility
$636.55
No comparable office rate is available.
Austin
Texas · 21933
Office
Unavailable
Facility
$705.23
No comparable office rate is available.
Beaumont
Texas · 21933
Office
Unavailable
Facility
$671.37
No comparable office rate is available.
Brazoria
Texas · 21933
Office
Unavailable
Facility
$681.34
No comparable office rate is available.
Dallas
Texas · 21933
Office
Unavailable
Facility
$689.83
No comparable office rate is available.
Fort Worth
Texas · 21933
Office
Unavailable
Facility
$688.48
No comparable office rate is available.
Galveston
Texas · 21933
Office
Unavailable
Facility
$686.07
No comparable office rate is available.
Houston
Texas · 21933
Office
Unavailable
Facility
$734.39
No comparable office rate is available.
Rest Of Texas
Texas · 21933
Office
Unavailable
Facility
$678.80
No comparable office rate is available.
Utah
Utah · 21933
Office
Unavailable
Facility
$676.12
No comparable office rate is available.
Virginia
Virginia · 21933
Office
Unavailable
Facility
$669.92
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 21933
Office
Unavailable
Facility
$701.50
No comparable office rate is available.
Vermont
Vermont · 21933
Office
Unavailable
Facility
$654.03
No comparable office rate is available.
Rest Of Washington
Washington · 21933
Office
Unavailable
Facility
$696.94
No comparable office rate is available.
Seattle (King Cnty)
Washington · 21933
Office
Unavailable
Facility
$758.70
No comparable office rate is available.
Wisconsin
Wisconsin · 21933
Office
Unavailable
Facility
$628.58
No comparable office rate is available.
West Virginia
West Virginia · 21933
Office
Unavailable
Facility
$705.40
No comparable office rate is available.
Wyoming**
Wyoming · 21933
Office
Unavailable
Facility
$677.16
No comparable office rate is available.
See how rates vary across the country
21933 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 21933 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$758.69
$689.72 × 110% = $758.69
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 21933 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
2,038
- Code
- 21933
- Physician work
- 10.85
- Practice expense
- 7.47
- Malpractice
- 2.64
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.85 | × 1.017 | 11.0344 |
| Practice expense | 7.47 | × 1.096 | 8.1871 |
| Malpractice | 2.64 | × 0.541 | 1.4282 |
| Total RVUs | 20.6498 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$689.72
Open 21933 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.85 | 1.017 |
| Practice expense | 7.47 | 1.096 |
| Malpractice | 2.64 | 0.541 |
(10.85 × 1.017 + 7.47 × 1.096 + 2.64 × 0.541) × $33.4009 = $689.72
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
21933 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $689.72 | RVU26D |
| 2026-07-01 | Not available in this setting | $689.72 | RVU26C |
| 2026-04-01 | Not available in this setting | $689.72 | RVU26B |
| 2026-01-01 | Not available in this setting | $689.72 | RVU26A |
| 2025-10-01 | Not available in this setting | $721.10 | RVU25D |
| 2025-07-01 | Not available in this setting | $721.10 | RVU25C |
| 2025-04-01 | Not available in this setting | $721.10 | RVU25B |
| 2025-01-01 | Not available in this setting | $721.10 | RVU25A |
21933 billing questions
When should 21933 be selected instead of 21932?
Both describe excision of a deep soft tissue tumor of the back or flank. Select 21933 when the tumor is at least 5 cm; 21932 is for a smaller deep tumor.
How does 21933 differ from 21931?
21933 is for a deep tumor at least 5 cm across. 21931 describes excision of a subcutaneous back or flank lesion at least 3 cm across.
Can a biopsy and the excision be reported together?
A biopsy code describes sampling rather than removal of the tumor. The operative documentation should establish whether the service was a diagnostic biopsy or an excision; do not report both for the same work.
Does modifier 50 apply when tumors are removed on both sides?
CMS identifies bilateral adjustment as inappropriate for 21933. Do not use modifier 50 to claim a bilateral adjustment for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
May an assistant or another surgeon be reported?
An assistant at surgery may be paid. CMS does not permit co-surgeons or team surgery for this code.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
2,03521930,,Exc back les sc < 3 cm,A,,4.82,10.30,,4.63,,1.07,16.19,10.52,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,03621931,,Exc back les sc 3 cm/>,A,,6.71,5.21,NA,5.21,,1.66,13.58,13.58,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,03721932,,Exc back tum deep < 5 cm,A,,9.57,6.96,NA,6.96,,2.25,18.78,18.78,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,03821933,,Exc back tum deep 5 cm/>,A,,10.85,7.47,NA,7.47,,2.64,20.96,20.96,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,03921935,,Resect back tum < 5 cm,A,,15.33,9.68,NA,9.68,,3.61,28.62,28.62,0,090,0.10,0.69,0.21,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,04021936,,Resect back tum 5 cm/>,A,,21.99,11.94,NA,11.94,,5.23,39.16,39.16,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,04122010,,I&d p-spine c/t/cerv-thor,A,,12.43,12.05,NA,12.05,,3.99,28.47,28.47,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664