This code applies to a deep tumor under 5 cm. Code 21931 is for a subcutaneous back or flank tumor measuring 3 cm or more.
On this page
CMS RVU26D · Effective 2026-10-01
21932 Back tumor excision Medicare reimbursement rates in Oregon
Reports excision of a deep soft tissue tumor of the back or flank when the tumor measures less than 5 cm. Compare 21932 office and facility rates across CMS payment localities in Oregon.
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.
What does Medicare pay for 21932 in Oregon?
Oregon has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$604.02–$638.95
2 of 2 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Surgical excision
About 21932: Deep back soft tissue tumor excision under 5 cm
Reports excision of a deep soft tissue tumor of the back or flank when the tumor measures less than 5 cm.
This service removes a soft tissue tumor beneath the superficial fascia in the back or flank, such as an intramuscular mass, with a size under 5 cm. A surgeon typically performs the excision in an operating room or, when appropriate, an office procedure setting. The operative note should identify the back or flank site, describe the tumor’s depth and size, and document the excision performed. A limited tissue sample for diagnosis is a biopsy service rather than this excision.
Select this code for the deep location and size, not simply because a back mass was removed. 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 the others at 50%. The descriptor and anatomy make modifier 50 inappropriate. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 21932
- 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 RVU9.57 · 51%
- Practice expense (office) RVU6.96 · 37%
- Malpractice RVU2.25 · 12%
1K
Medicare services in 2024 · #2947 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.
21932 compared with similar codes
Office rates for Oregon, from the same CMS release.
Both codes describe deep back or flank tumor excision; select 21933 when the tumor measures 5 cm or more.
Code 21925 represents biopsy of deep back or flank soft tissue. Choose this code when the tumor is excised rather than sampled.
Code 21935 describes radical resection of a deep back or flank tumor under 5 cm, rather than the excision represented here.
Compare 21932 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Portland →
Office / nonfacility
Unavailable
Facility
$638.95
Rest Of Oregon →
Office / nonfacility
Unavailable
Facility
$604.02
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21932 billing questions
How is this distinguished from a superficial back mass excision?
This code is for a tumor beneath the superficial fascia. A tumor confined to subcutaneous tissue is reported with the applicable superficial back or flank excision code.
When should a back mass be reported as a biopsy instead?
Use a biopsy code when the procedure obtains a tissue sample for diagnosis rather than excising the tumor. The operative note should make clear whether the surgeon sampled the mass or removed it.
How does the 5 cm threshold affect code selection?
This code describes a deep back or flank tumor under 5 cm. A deep tumor measuring 5 cm or more falls in the corresponding larger-size code.
Can modifier 50 be used for bilateral back tumors?
No. CMS identifies bilateral adjustment as inappropriate for this descriptor and anatomy, so modifier 50 is not appropriate.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can 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.
