No office rate
Both describe deep abdominal wall tumor excision; select between them by tumor size. This code is for 5 cm or larger, while 22900 is for smaller than 5 cm.
On this page
CMS RVU26D · Effective 2026-10-01
22901 Tumor excision Medicare reimbursement rates in Virginia
Reports removal of a deep abdominal wall tumor measuring at least 5 cm, such as a mass beneath the fascia or within muscle. Compare 22901 office and facility rates across CMS payment localities in Virginia.
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 22901 in Virginia?
Virginia 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
$613.47–$709.64
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 22901: Deep abdominal wall tumor excision, large
Reports removal of a deep abdominal wall tumor measuring at least 5 cm, such as a mass beneath the fascia or within muscle.
This service involves surgically removing a tumor located deep in the abdominal wall, such as beneath the fascia or within muscle, when it measures 5 cm or larger. A surgeon typically performs the excision in an operating room, with the specimen sent for pathologic examination. The code distinguishes a large deep tumor from a smaller deep mass and from a superficial abdominal wall lesion.
Select the code based on the tumor’s documented size and depth, and describe its location and the operative work in the report. The 90-day global period 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 other procedures are subject to a 50% reduction. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 22901
- 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 RVU9.86 · 51%
- Practice expense (office) RVU6.88 · 36%
- Malpractice RVU2.47 · 13%
520
Medicare services in 2024 · #3529 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.
22901 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
Code 22903 is for a superficial abdominal lesion measuring 3 cm or larger. This code requires a deep tumor measuring at least 5 cm.
No office rate
Code 22905 describes radical resection of a large abdominal tumor. Choose this code for deep tumor excision when the procedure is not a radical resection.
Compare 22901 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
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$709.64
Virginia →
Office / nonfacility
Unavailable
Facility
$613.47
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22901 billing questions
When should I choose this code instead of 22900?
Use this code for a deep abdominal wall tumor measuring 5 cm or larger. Code 22900 is for a deep tumor smaller than 5 cm.
How does this differ from codes 22902 and 22903?
Those codes describe excision of a superficial abdominal lesion. This code is for a tumor in a deep plane, such as beneath fascia or within muscle.
How does this differ from 22905?
Code 22905 describes radical resection of a large abdominal tumor. This code describes excision of a deep tumor of that size; the operative approach and extent of resection guide code selection.
What documentation supports reporting this code?
Document the tumor’s dimensions, its deep location in the abdominal wall, and the excision performed. The operative report should distinguish a deep mass from a superficial lesion.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
How does the 90-day global period affect postoperative billing?
The global period includes the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, standard multiple-procedure reduction applies.
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.
2,13922870,,Insj stablj dev w/o dcmprn,A,,2.28,0.53,NA,0.53,,0.21,3.02,3.02,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,14022899,,Unlisted procedure spine,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
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