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.
On this page
CMS RVU26D · Effective 2026-10-01
22902 Abdominal wall excision Medicare reimbursement rates in Wisconsin
Removal of a small soft-tissue mass confined to the subcutaneous abdominal wall, reported when the excised tumor measures less than 3 cm. Compare 22902 office and facility rates across CMS payment localities in Wisconsin.
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 22902 in Wisconsin?
Wisconsin has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$478.47
1 of 1 localities have a supported rate.
Payment area: Wisconsin
One mapped payment locality.
Facility setting
$300.24
1 of 1 localities have a supported rate.
Payment area: Wisconsin
One mapped payment locality.
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.
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 Wisconsin, from the same CMS release.
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.
No office rate
Use 22901 for a deeper abdominal wall tumor measuring 5 cm or more. This code describes a smaller, subcutaneous tumor.
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.
Compare 22902 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.
1 of 1 payment localities
Wisconsin →
Office / nonfacility
$478.47
Facility
$300.24
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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 Wisconsin.
PPRRVU2026_Oct_nonQPP.csv
2,143
- Code
- 22902
- Physician work
- 4.31
- Practice expense
- 10.11
- Malpractice
- 1.07
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.31 | × 1.000 | 4.3100 |
| Practice expense | 10.11 | × 0.958 | 9.6854 |
| Malpractice | 1.07 | × 0.308 | 0.3296 |
| Total RVUs | 14.3249 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wisconsin$478.47
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.31 | 1 |
| Practice expense | 10.11 | 0.958 |
| Malpractice | 1.07 | 0.308 |
(4.31 × 1 + 10.11 × 0.958 + 1.07 × 0.308) × $33.4009 = $478.47
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.31 | 1 |
| Practice expense | 4.54 | 0.958 |
| Malpractice | 1.07 | 0.308 |
(4.31 × 1 + 4.54 × 0.958 + 1.07 × 0.308) × $33.4009 = $300.24
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.
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.
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
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
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,