CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 22101 RVU and Medicare Payment (2026)
Remove part thorax vertebra — 10.8 work RVU, about $867.76 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 10.8
- PE RVU (non-facility)
- 11.75
- PE RVU (facility)
- 11.75
- MP RVU
- 3.43
- Office payment
- $867.76
- Facility payment
- $867.76
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 22101 in a non-facility setting with national GPCI: (10.8 + 11.75 + 3.43) × $33.4009 ≈ $867.76. The same code in a facility setting pays about $867.76 because facility PE RVU (11.75) replaces office PE RVU.
What changes by locality
GPCI moves 22101 non-facility payment from $756.85 to $1,063.2 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 22101?
10.8. 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 22101 in 2026?
About $867.76 non-facility ($867.76 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 (10.8) and malpractice RVU stay fixed; only practice expense changes (11.75 office vs 11.75 facility). That is the entire office-vs-facility payment gap.