21936 Resection back tumor 5 centimeters/>
Also known as: radical back tumor resection large, extensive back tumor removal
Radical resection of back tumor, greater than 5 centimeters. Extensive surgical removal of significant back malignancy with wide margins, for lesion exceeding 5 centimeters.
In Plain Language
major cancer surgery of back; large tumor removal with wide margins
Clinical Context
Used for advanced malignant back lesions exceeding 5 centimeters requiring extensive resection with wide margins. Higher morbidity reflecting larger lesion and more extensive reconstruction.
RVU Breakdown
| Work RVU | 21.99 |
| Total RVU | 21.99 |
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 21.99, this code ranks in the 85th percentile among Surgery codes — 2.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21936?
CPT 21936 (Resection back tumor 5 centimeters/>) is a Surgery code. Radical resection of back tumor, greater than 5 centimeters. Extensive surgical removal of significant back malignancy with wide margins, for lesion exceeding 5 centimeters.
What is the wRVU value for CPT 21936?
The work RVU for CPT 21936 is 21.99. This code is primarily used by General Surgery, Orthopedic Surgery. It has a 90-day global period.
When is CPT 21936 used?
Used for advanced malignant back lesions exceeding 5 centimeters requiring extensive resection with wide margins. Higher morbidity reflecting larger lesion and more extensive reconstruction.
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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.