CPT 22903: Tumor excisionMedicare rate & RVUs in Oregon
Report this service for excision of a subcutaneous soft-tissue tumor of the abdominal wall when the tumor measures 3 cm or larger.
CMS doesn’t publish an office rate for 22903 in Oregon.
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 9 sections
What 22903 covers
This code describes surgical removal of a soft-tissue tumor located in the subcutaneous layer of the abdominal wall, with a tumor size of at least 3 cm. General surgeons and other surgeons who treat abdominal wall masses may perform the procedure in a hospital or ambulatory surgical setting. The operative work is directed at the tumor in the subcutaneous tissue, rather than a deeper abdominal wall mass or a radical tumor resection.
Choose the code based on the documented tissue layer and tumor size: 3 cm or larger qualifies here; a smaller subcutaneous tumor falls under 22902. The operative report should identify the abdominal wall site, subcutaneous location, tumor dimensions, and extent of removal. Medicare 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 the same session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, 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.
Where 22903 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $437.58 |
| Rest Of Oregon | Unavailable | $412.72 |
How the 22903 rate is calculated
Each of 22903’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 · 22903
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 6.23Practice expense 5.05Malpractice 1.56
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 22903
22903 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 22903
Tumor excision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 22903
Tumor excision
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
22903 without 51 · national facility
$428.87
Tumor excision
22903-51 · Second procedure: 50%
$214.44
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%).
22903 compared with similar codes
Compare codes
22903 vs 22902 vs 22900 vs 22901 vs 22904: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 22902Abdominal wall excision
- Both describe excision of a subcutaneous abdominal wall tumor; 22902 applies below 3 cm, while 22903 applies at 3 cm or larger.
- 22900Tumor excision
- 22900 is for a deep abdominal wall tumor smaller than 5 cm. Use 22903 for a subcutaneous tumor measuring 3 cm or larger.
- 22901Tumor excision
- 22901 describes excision of a deep abdominal wall tumor measuring 5 cm or larger; 22903 is for a subcutaneous tumor.
- 22904Abdominal tumor resection
- 22904 describes radical resection of an abdominal tumor smaller than 5 cm, rather than the subcutaneous tumor excision reported with 22903.
22903 billing questions
When should I report 22903 instead of 22902?
Use 22903 for a subcutaneous abdominal wall soft-tissue tumor measuring 3 cm or larger. Use 22902 when the subcutaneous tumor measures less than 3 cm.
How does a deep abdominal wall tumor change code selection?
These codes describe subcutaneous tumors. A tumor documented in deeper abdominal wall tissue is considered under 22900 or 22901, selected by the applicable size threshold.
Is modifier 50 appropriate for tumors on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code, so do not use modifier 50 to report bilateral treatment.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How is this code affected when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard 50% multiple-procedure reduction.
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
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