CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 22015 RVU and Medicare Payment (2026)
I&d abscess p-spine l/s/ls — 12.32 work RVU, about $921.86 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 12.32
- PE RVU (non-facility)
- 11.66
- PE RVU (facility)
- 11.66
- MP RVU
- 3.62
- Office payment
- $921.86
- Facility payment
- $921.86
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 22015 in a non-facility setting with national GPCI: (12.32 + 11.66 + 3.62) × $33.4009 ≈ $921.86. The same code in a facility setting pays about $921.86 because facility PE RVU (11.66) replaces office PE RVU.
What changes by locality
GPCI moves 22015 non-facility payment from $808.31 to $1,125.43 across CMS localities — from Arkansas to Nyc Suburbs/long Island. Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 22015?
12.32. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 22015 in 2026?
About $921.86 non-facility ($921.86 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (12.32) and malpractice RVU stay fixed; only practice expense changes (11.66 office vs 11.66 facility). That is the entire office-vs-facility payment gap.