CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 22100 RVU and Medicare Payment (2026)
Remove part of neck vertebra — 10.73 work RVU, about $994.34 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 10.73
- PE RVU (non-facility)
- 14.53
- PE RVU (facility)
- 14.53
- MP RVU
- 4.51
- Office payment
- $994.34
- Facility payment
- $994.34
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 22100 in a non-facility setting with national GPCI: (10.73 + 14.53 + 4.51) × $33.4009 ≈ $994.34. The same code in a facility setting pays about $994.34 because facility PE RVU (14.53) replaces office PE RVU.
What changes by locality
GPCI moves 22100 non-facility payment from $852.86 to $1,244.57 across CMS localities — from Arkansas to Miami. 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 22100?
10.73. 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 22100 in 2026?
About $994.34 non-facility ($994.34 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 (10.73) and malpractice RVU stay fixed; only practice expense changes (14.53 office vs 14.53 facility). That is the entire office-vs-facility payment gap.