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CPT 22901: Excision of Intramuscular Abdominal Wall Mass, ≥5 cm
CPT code 22901 captures surgical excision of an intramuscular abdominal wall mass with specimen size 5 cm or greater, submitted for laboratory analysis. This procedure code matters nationally because it designates care for potentially significant soft-tissue masses that require operative management and pathologic diagnosis, affecting surgical, pathology, and facility billing. Common national payers include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will find a concise explanation of the code’s clinical scope and service setting, plus national benchmarking context where available. The publication outlines typical sites of service, common payer coverage patterns, and operational considerations relevant to coding and claims submission for sizable intramuscular abdominal wall masses. It also summarizes what metrics to expect when reviewing reimbursement benchmarks and policy updates tied to surgical excision procedures that generate laboratory specimens for pathology.
Data not available in the input: detailed payer reimbursement rates, associated taxonomies, specific ICD-10 diagnosis mappings, and related or adjunct procedure codes.
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Billing Code Overview
CPT code 22901 describes the surgical excision of an abnormal mass located within the muscle layer beneath the abdominal wall, with the submitted specimen measuring 5 cm or greater for laboratory analysis to determine its nature. The procedure involves removal of an intramuscular abdominal wall lesion and preparation of the specimen for pathological evaluation.
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Service type: Surgical excision of intramuscular abdominal wall mass
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Typical site of service: Hospital operating room or ambulatory surgical center