$484.45–$533.18
Both describe excision of a subcutaneous abdominal wall tumor; 22902 applies below 3 cm, while 22903 applies at 3 cm or larger.
On this page
CMS RVU26D · Effective 2026-10-01
22903 Tumor excision Medicare reimbursement rates in Texas
Report this service for excision of a subcutaneous soft-tissue tumor of the abdominal wall when the tumor measures 3 cm or larger. Compare 22903 office and facility rates across CMS payment localities in Texas.
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 22903 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
No 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.
Where 22903 pays more and less in Texas
General surgery
About 22903: Subcutaneous abdominal wall tumor excision, 3 cm or larger
Report this service for excision of a subcutaneous soft-tissue tumor of the abdominal wall when the tumor measures 3 cm or larger.
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.
CMS billing rules for 22903
- 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 RVU6.23 · 49%
- Practice expense (office) RVU5.05 · 39%
- Malpractice RVU1.56 · 12%
2.2K
Medicare services in 2024 · #2383 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.
22903 compared with similar codes
Office rates for Texas, from the same CMS release.
No office rate
22900 is for a deep abdominal wall tumor smaller than 5 cm. Use 22903 for a subcutaneous tumor measuring 3 cm or larger.
No office rate
22901 describes excision of a deep abdominal wall tumor measuring 5 cm or larger; 22903 is for a subcutaneous tumor.
No office rate
22904 describes radical resection of an abdominal tumor smaller than 5 cm, rather than the subcutaneous tumor excision reported with 22903.
Compare 22903 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office Unavailable | Facility $433.13 |
| Beaumont | Office Unavailable | Facility $409.99 |
| Brazoria | Office Unavailable | Facility $417.55 |
| Dallas | Office Unavailable | Facility $422.67 |
| Fort Worth | Office Unavailable | Facility $421.66 |
| Galveston | Office Unavailable | Facility $420.39 |
| Houston | Office Unavailable | Facility $448.94 |
| Rest Of Texas | Office Unavailable | Facility $415.21 |
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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 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.
2,14122900,,Exc abdl tum deep < 5 cm,A,,8.11,6.30,NA,6.30,,1.98,16.39,16.39,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,14222901,,Exc abdl tum deep 5 cm/>,A,,9.86,6.88,NA,6.88,,2.47,19.21,19.21,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,14322902,,Exc abd les sc < 3 cm,A,,4.31,10.11,,4.54,,1.07,15.49,9.92,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,14422903,,Exc abd les sc 3 cm/>,A,,6.23,5.05,NA,5.05,,1.56,12.84,12.84,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,14522904,,Radical resect abd tumor<5cm,A,,16.27,9.45,NA,9.45,,3.78,29.50,29.50,0,090,0.09,0.81,0.10,2,0,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
2,14622905,,Rad resect abd tumor 5 cm/>,A,,21.04,11.18,NA,11.18,,4.83,37.05,37.05,0,090,0.09,0.81,0.10,2,0,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
2,14722999,,Unlisted px abdomen muscskel,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00