21931 excision back lesion sternoclavicular 3 centimeters/>
Also known as: back lesion excision simple, back mass removal moderate size
Excision of lesion of back with closure, simple, greater than 3 centimeters. Surgical removal of superficial back lesion with primary closure, greater than 3 centimeters in dimension.
In Plain Language
surgical removal of back growth; moderate size back lump removal
Clinical Context
Used for benign superficial back lesions including cysts, lipomas, or small masses exceeding 3 centimeters. Simple closure indicates straightforward single-layer approximation without flaps or grafts.
RVU Breakdown
| Work RVU | 6.71 |
| Total RVU | 6.71 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 6.71, this code ranks in the 44th percentile among Surgery codes — 1.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21931?
CPT 21931 (excision back lesion sternoclavicular 3 centimeters/>) is a Surgery code. Excision of lesion of back with closure, simple, greater than 3 centimeters. Surgical removal of superficial back lesion with primary closure, greater than 3 centimeters in dimension.
What is the wRVU value for CPT 21931?
The work RVU for CPT 21931 is 6.71. This code is primarily used by General Surgery, Orthopedic Surgery. It has a 90-day global period.
When is CPT 21931 used?
Used for benign superficial back lesions including cysts, lipomas, or small masses exceeding 3 centimeters. Simple closure indicates straightforward single-layer approximation without flaps or grafts.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.