CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 22214 RVU and Medicare Payment (2026)
Incis 1 vertebral seg lumbar — 20.49 work RVU, about $1,444.25 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 20.49
- PE RVU (non-facility)
- 16.58
- PE RVU (facility)
- 16.58
- MP RVU
- 6.17
- Office payment
- $1,444.25
- Facility payment
- $1,444.25
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 22214 in a non-facility setting with national GPCI: (20.49 + 16.58 + 6.17) × $33.4009 ≈ $1,444.25. The same code in a facility setting pays about $1,444.25 because facility PE RVU (16.58) replaces office PE RVU.
What changes by locality
GPCI moves 22214 non-facility payment from $1,266.22 to $1,782.06 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 22214?
20.49. 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 22214 in 2026?
About $1,444.25 non-facility ($1,444.25 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 (20.49) and malpractice RVU stay fixed; only practice expense changes (16.58 office vs 16.58 facility). That is the entire office-vs-facility payment gap.