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21935 Resection back tumor < 5 centimeters

Surgery Global 90d

Also known as: radical back tumor resection small, back tumor wide excision

Radical resection of back tumor, less than 5 centimeters. Extensive surgical removal of back malignancy with wide margins, for lesion under 5 centimeters.

In Plain Language

extensive cancer surgery of back; wide removal of back tumor

Clinical Context

Used for malignant back lesions requiring radical resection with adequate margins. Lesion size under 5 centimeters indicates earlier stage disease. Requires oncologic principles of wide margins.

RVU Breakdown

Work RVU15.33
Total RVU15.33

Est. Medicare Payment

$512.02

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 15.33, this code ranks in the 74th percentile among Surgery codes — 1.9x the median (8.00). The highest wRVU in this category is 106.19.

Specialties

General SurgeryOrthopedic Surgery

Frequently Asked Questions

What is CPT code 21935?

CPT 21935 (Resection back tumor < 5 centimeters) is a Surgery code. Radical resection of back tumor, less than 5 centimeters. Extensive surgical removal of back malignancy with wide margins, for lesion under 5 centimeters.

What is the wRVU value for CPT 21935?

The work RVU for CPT 21935 is 15.33. This code is primarily used by General Surgery, Orthopedic Surgery. It has a 90-day global period.

When is CPT 21935 used?

Used for malignant back lesions requiring radical resection with adequate margins. Lesion size under 5 centimeters indicates earlier stage disease. Requires oncologic principles of wide margins.

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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.