CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 22220 RVU and Medicare Payment (2026)
Osteot dsc ant 1 vrt sgm crv — 22.37 work RVU, about $1,558.82 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 22.37
- PE RVU (non-facility)
- 17.24
- PE RVU (facility)
- 17.24
- MP RVU
- 7.06
- Office payment
- $1,558.82
- Facility payment
- $1,558.82
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 22220 in a non-facility setting with national GPCI: (22.37 + 17.24 + 7.06) × $33.4009 ≈ $1,558.82. The same code in a facility setting pays about $1,558.82 because facility PE RVU (17.24) replaces office PE RVU.
What changes by locality
GPCI moves 22220 non-facility payment from $1,363.26 to $1,942.98 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 22220?
22.37. 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 22220 in 2026?
About $1,558.82 non-facility ($1,558.82 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 (22.37) and malpractice RVU stay fixed; only practice expense changes (17.24 office vs 17.24 facility). That is the entire office-vs-facility payment gap.