CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 22212 RVU and Medicare Payment (2026)
Incis 1 vertebral seg thorac — 20.47 work RVU, about $1,455.95 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 20.47
- PE RVU (non-facility)
- 16.78
- PE RVU (facility)
- 16.78
- MP RVU
- 6.34
- Office payment
- $1,455.95
- Facility payment
- $1,455.95
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 22212 in a non-facility setting with national GPCI: (20.47 + 16.78 + 6.34) × $33.4009 ≈ $1,455.95. The same code in a facility setting pays about $1,455.95 because facility PE RVU (16.78) replaces office PE RVU.
What changes by locality
GPCI moves 22212 non-facility payment from $1,274.21 to $1,802.71 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 22212?
20.47. 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 22212 in 2026?
About $1,455.95 non-facility ($1,455.95 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 (20.47) and malpractice RVU stay fixed; only practice expense changes (16.78 office vs 16.78 facility). That is the entire office-vs-facility payment gap.