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CMS RVU26D · Effective 2026-10-01

22902 in Wyoming**

Office / nonfacility

$508.09

Base rate per service

Facility setting

$322.04

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 22902: Small subcutaneous abdominal wall tumor excision

Removal of a small soft-tissue mass confined to the subcutaneous abdominal wall, reported when the excised tumor measures less than 3 cm.

This service removes a soft-tissue tumor located in the subcutaneous layer of the abdominal wall, such as a small lipoma. The surgeon exposes and excises the mass while distinguishing it from deeper involvement of the abdominal wall. It may be performed in an office procedure room or a surgical facility, depending on the clinical circumstances and the surgeon’s approach.

Select this code when the tumor is subcutaneous and measures less than 3 cm; use the operative report to support its size and tissue depth. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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. Bilateral adjustment is not appropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery payment is not permitted.

CMS billing rules for 22902

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 paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU4.31 · 28%
  • Practice expense (office) RVU10.11 · 65%
  • Malpractice RVU1.07 · 7%

1.4K

Medicare services in 2024 · #2720 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.

22902 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

22903

Tumor excision

Subcutaneous, 3 cm or larger

No office rate

Use 22903 for a subcutaneous abdominal wall tumor measuring 3 cm or more. This code applies to a subcutaneous tumor under 3 cm.

22900

Tumor excision

Deep, under 5 cm

No office rate

Use 22900 when the abdominal wall tumor is in a deeper tissue plane and under 5 cm. This code is for a subcutaneous tumor under 3 cm.

22901

Tumor excision

Deep, 5 cm or larger

No office rate

Use 22901 for a deeper abdominal wall tumor measuring 5 cm or more. This code describes a smaller, subcutaneous tumor.

22904

Abdominal tumor resection

Radical, under 5 cm

No office rate

22904 describes radical resection of an abdominal tumor under 5 cm, a different operative service from excision of a small subcutaneous mass.

The same code, a different location

How does Wyoming** compare?

22902 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $508.09

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $573.07

    $64.98 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $589.30

    $81.21 higher than Wyoming**

  4. Miami

    $585.87

    $77.78 higher than Wyoming**

  5. Chicago

    $566.36

    $58.27 higher than Wyoming**

  6. Manhattan

    $602.24

    $94.15 higher than Wyoming**

  7. Alaska*

    $595.26

    $87.17 higher than Wyoming**

Other payment areas listed in Wyoming appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 22902 ranges from $452.43 in Arkansas to $665.89 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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

  • Alabama

    Alabama · 22902

    Office

    $459.66

    Facility

    $296.87

    $48.43 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 22902

    Office

    $452.43

    Facility

    $292.62

    $55.66 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 22902

    Office

    $501.77

    Facility

    $321.49

    $6.32 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 22902

    Office

    $538.56

    Facility

    $334.66

    $30.47 higher than Wyoming** for the office setting.

  • Chico

    California · 22902

    Office

    $535.66

    Facility

    $331.76

    $27.57 higher than Wyoming** for the office setting.

  • El Centro

    California · 22902

    Office

    $535.84

    Facility

    $331.94

    $27.75 higher than Wyoming** for the office setting.

  • Fresno

    California · 22902

    Office

    $535.66

    Facility

    $331.76

    $27.57 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 22902

    Office

    $535.66

    Facility

    $331.76

    $27.57 higher than Wyoming** for the office setting.

  • Madera

    California · 22902

    Office

    $535.66

    Facility

    $331.76

    $27.57 higher than Wyoming** for the office setting.

  • Merced

    California · 22902

    Office

    $535.66

    Facility

    $331.76

    $27.57 higher than Wyoming** for the office setting.

  • Modesto

    California · 22902

    Office

    $535.66

    Facility

    $331.76

    $27.57 higher than Wyoming** for the office setting.

  • Napa

    California · 22902

    Office

    $616.25

    Facility

    $371.04

    $108.16 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 22902

    Office

    $569.40

    Facility

    $349.49

    $61.31 higher than Wyoming** for the office setting.

  • Redding

    California · 22902

    Office

    $535.66

    Facility

    $331.76

    $27.57 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 22902

    Office

    $535.66

    Facility

    $331.76

    $27.57 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 22902

    Office

    $547.14

    Facility

    $343.23

    $39.05 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 22902

    Office

    $561.02

    Facility

    $344.65

    $52.93 higher than Wyoming** for the office setting.

  • Salinas

    California · 22902

    Office

    $558.95

    Facility

    $343.33

    $50.86 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 22902

    Office

    $571.52

    Facility

    $349.01

    $63.43 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 22902

    Office

    $650.17

    Facility

    $387.85

    $142.08 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 22902

    Office

    $648.96

    Facility

    $386.64

    $140.87 higher than Wyoming** for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 22902

    Office

    $665.89

    Facility

    $397.61

    $157.80 higher than Wyoming** for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 22902

    Office

    $660.92

    Facility

    $392.65

    $152.83 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 22902

    Office

    $550.18

    Facility

    $338.28

    $42.09 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 22902

    Office

    $576.42

    Facility

    $350.38

    $68.33 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 22902

    Office

    $560.88

    Facility

    $343.96

    $52.79 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 22902

    Office

    $582.11

    Facility

    $353.65

    $74.02 higher than Wyoming** for the office setting.

  • Stockton

    California · 22902

    Office

    $535.66

    Facility

    $331.76

    $27.57 higher than Wyoming** for the office setting.

  • Vallejo

    California · 22902

    Office

    $614.50

    Facility

    $369.29

    $106.41 higher than Wyoming** for the office setting.

  • Visalia

    California · 22902

    Office

    $535.66

    Facility

    $331.76

    $27.57 higher than Wyoming** for the office setting.

  • Yuba City

    California · 22902

    Office

    $535.66

    Facility

    $331.76

    $27.57 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 22902

    Office

    $532.89

    Facility

    $334.94

    $24.80 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 22902

    Office

    $553.77

    Facility

    $353.40

    $45.68 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 22902

    Office

    $510.44

    Facility

    $326.63

    $2.35 higher than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 22902

    Office

    $550.65

    Facility

    $362.19

    $42.56 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 22902

    Office

    $520.50

    Facility

    $342.64

    $12.41 higher than Wyoming** for the office setting.

  • Atlanta

    Georgia · 22902

    Office

    $530.40

    Facility

    $341.38

    $22.31 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 22902

    Office

    $487.77

    Facility

    $321.82

    $20.32 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 22902

    Office

    $548.60

    Facility

    $337.07

    $40.51 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 22902

    Office

    $467.13

    Facility

    $296.90

    $40.96 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 22902

    Office

    $471.53

    Facility

    $300.37

    $36.56 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 22902

    Office

    $526.60

    Facility

    $355.45

    $18.51 higher than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 22902

    Office

    $508.12

    Facility

    $338.27

    $0.03 higher than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 22902

    Office

    $555.10

    Facility

    $364.03

    $47.01 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 22902

    Office

    $474.36

    Facility

    $301.90

    $33.73 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 22902

    Office

    $467.24

    Facility

    $299.05

    $40.85 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 22902

    Office

    $476.86

    Facility

    $311.47

    $31.23 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 22902

    Office

    $502.32

    Facility

    $327.25

    $5.77 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 22902

    Office

    $477.05

    Facility

    $312.40

    $31.04 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 22902

    Office

    $584.86

    Facility

    $362.73

    $76.77 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 22902

    Office

    $530.33

    Facility

    $334.42

    $22.24 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 22902

    Office

    $552.80

    Facility

    $353.18

    $44.71 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 22902

    Office

    $519.94

    Facility

    $331.67

    $11.85 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 22902

    Office

    $476.86

    Facility

    $305.70

    $31.23 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 22902

    Office

    $501.15

    Facility

    $316.78

    $6.94 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 22902

    Office

    $530.08

    Facility

    $350.55

    $21.99 higher than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 22902

    Office

    $492.61

    Facility

    $322.75

    $15.48 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 22902

    Office

    $502.01

    Facility

    $310.57

    $6.08 lower than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 22902

    Office

    $495.96

    Facility

    $321.26

    $12.13 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 22902

    Office

    $501.24

    Facility

    $324.13

    $6.85 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 22902

    Office

    $469.85

    Facility

    $309.48

    $38.24 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 22902

    Office

    $461.11

    Facility

    $300.93

    $46.98 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 22902

    Office

    $517.31

    Facility

    $331.27

    $9.22 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 22902

    Office

    $481.85

    Facility

    $308.28

    $26.24 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 22902

    Office

    $496.15

    Facility

    $310.11

    $11.94 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 22902

    Office

    $469.15

    Facility

    $297.43

    $38.94 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 22902

    Office

    $526.76

    Facility

    $333.09

    $18.67 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 22902

    Office

    $582.91

    Facility

    $367.10

    $74.82 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 22902

    Office

    $557.67

    Facility

    $354.51

    $49.58 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 22902

    Office

    $496.54

    Facility

    $325.93

    $11.55 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 22902

    Office

    $511.75

    Facility

    $325.52

    $3.66 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 22902

    Office

    $621.04

    Facility

    $399.84

    $112.95 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 22902

    Office

    $563.44

    Facility

    $359.73

    $55.35 higher than Wyoming** for the office setting.

  • Queens

    New York · 22902

    Office

    $603.85

    Facility

    $383.95

    $95.76 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 22902

    Office

    $489.88

    Facility

    $313.14

    $18.21 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 22902

    Office

    $488.29

    Facility

    $318.43

    $19.80 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 22902

    Office

    $473.28

    Facility

    $307.14

    $34.81 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 22902

    Office

    $548.02

    Facility

    $341.32

    $39.93 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 22902

    Office

    $505.41

    Facility

    $320.12

    $2.68 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 22902

    Office

    $540.71

    Facility

    $347.04

    $32.62 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 22902

    Office

    $487.72

    Facility

    $316.94

    $20.37 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 22902

    Office

    $520.56

    Facility

    $332.47

    $12.47 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 22902

    Office

    $527.40

    Facility

    $335.22

    $19.31 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 22902

    Office

    $486.36

    Facility

    $314.45

    $21.73 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 22902

    Office

    $493.65

    Facility

    $307.61

    $14.44 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 22902

    Office

    $470.10

    Facility

    $300.99

    $37.99 lower than Wyoming** for the office setting.

  • Austin

    Texas · 22902

    Office

    $533.18

    Facility

    $336.35

    $25.09 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 22902

    Office

    $484.45

    Facility

    $315.15

    $23.64 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 22902

    Office

    $507.63

    Facility

    $323.26

    $0.46 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 22902

    Office

    $512.25

    Facility

    $326.95

    $4.16 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 22902

    Office

    $509.34

    Facility

    $325.90

    $1.25 higher than Wyoming** for the office setting.

  • Galveston

    Texas · 22902

    Office

    $510.02

    Facility

    $325.28

    $1.93 higher than Wyoming** for the office setting.

  • Houston

    Texas · 22902

    Office

    $529.61

    Facility

    $344.86

    $21.52 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 22902

    Office

    $496.69

    Facility

    $320.14

    $11.40 lower than Wyoming** for the office setting.

  • Utah

    Utah · 22902

    Office

    $493.47

    Facility

    $318.59

    $14.62 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 22902

    Office

    $501.13

    Facility

    $318.25

    $6.96 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 22902

    Office

    $520.56

    Facility

    $332.47

    $12.47 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 22902

    Office

    $496.35

    Facility

    $312.17

    $11.74 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 22902

    Office

    $528.61

    Facility

    $332.70

    $20.52 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 22902

    Office

    $594.69

    Facility

    $366.42

    $86.60 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 22902

    Office

    $478.47

    Facility

    $300.24

    $29.62 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 22902

    Office

    $488.55

    Facility

    $326.88

    $19.54 lower than Wyoming** for the office setting.

See how rates vary across the country

22902 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$452.43

$600.78

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$595.261
AL$459.661
AR$452.431
AZ$501.771
CA$535.66–$665.8929
CO$532.891
CT$553.771
DC$589.301
DE$510.441
FL$520.50–$585.873
GA$487.77–$530.402
GU$548.601
HI$548.601
IA$467.131
ID$471.531
IL$508.12–$566.364
IN$474.361
KS$467.241
KY$476.861
LA$477.05–$502.322
MA$530.33–$584.862
MD$519.94–$589.303
ME$476.86–$501.152
MI$492.61–$530.082
MN$502.011
MO$469.85–$501.243
MS$461.111
MT$517.311
NC$481.851
ND$496.151
NE$469.151
NH$526.761
NJ$557.67–$582.912
NM$496.541
NV$511.751
NY$489.88–$621.045
OH$488.291
OK$473.281
OR$505.41–$548.022
PA$487.72–$540.712
PR$520.561
RI$527.401
SC$486.361
SD$493.651
TN$470.101
TX$484.45–$533.188
UT$493.471
VA$501.13–$589.302
VI$520.561
VT$496.351
WA$528.61–$594.692
WI$478.471
WV$488.551
WY$508.091

Explore 22902 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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.

Browse all communities in Wyoming →

Why are the office and facility amounts different?

For 22902 in Wyoming**, the physician’s office rate is $508.09 and the facility-setting rate is $322.04: a difference of $186.05.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 22902 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$558.90

$508.09 × 110% = $558.90

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.

Compare your contract offer →

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 22902 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

2,143

Code
22902
Physician work
4.31
Practice expense
10.11
Malpractice
1.07

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 22902 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work4.31× 1.0004.3100
Practice expense10.11× 1.00010.1100
Malpractice1.07× 0.7400.7918
Total RVUs15.2118
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$508.09

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 22902 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.311
Practice expense10.111
Malpractice1.070.74

(4.31 × 1 + 10.11 × 1 + 1.07 × 0.74) × $33.4009 = $508.09

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.311
Practice expense4.541
Malpractice1.070.74

(4.31 × 1 + 4.54 × 1 + 1.07 × 0.74) × $33.4009 = $322.04

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

22902 · Office / nonfacility

$508.09

Effective 2026-10-01

The base rate is $56.50 higher than on 2025-10-01, moving from $451.59 to $508.09 (12.5%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $451.59changed to$508.09

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.42 changed to 4.31
    • Practice expense RVU 8.78 changed to 10.11
    • Malpractice RVU 1.03 changed to 1.07
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $451.59

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$508.09$322.04RVU26D
2026-07-01$508.09$322.04RVU26C
2026-04-01$508.09$322.04RVU26B
2026-01-01$508.09$322.04RVU26A
2025-10-01$451.59$322.53RVU25D
2025-07-01$451.59$322.53RVU25C
2025-04-01$451.59$322.53RVU25B
2025-01-01$451.59$322.53RVU25A

22902 billing questions

How is this distinguished from 22903?

Both describe subcutaneous abdominal wall tumor excision; choose 22902 for a tumor under 3 cm and 22903 for one measuring 3 cm or more. Document the tumor size in the operative record.

When should 22900 or 22901 be used instead?

Those codes describe abdominal wall tumors in a deeper tissue plane rather than the subcutaneous layer. The operative findings should establish whether the tumor is superficial or deep.

Is the incision length used to select the size level?

No. Select the size level from the tumor measurement, not the length of the incision. Record the tumor’s size and location in the operative report.

Can modifier 50 be reported for tumors on both sides?

No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. Separately consider only services that are outside the included global-period care and meet applicable reporting requirements.

Can an assistant or co-surgeon be paid?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery payment is not permitted.

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.

RVUs for 22902PPRRVU2026_Oct_nonQPP.csv, line 2,143 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet