CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 22315 RVU and Medicare Payment (2026)
Closed tx vert fx w/manj — 9.86 work RVU, about $1,005.03 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 9.86
- PE RVU (non-facility)
- 17.69
- PE RVU (facility)
- 10.23
- MP RVU
- 2.54
- Office payment
- $1,005.03
- Facility payment
- $755.86
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 22315 in a non-facility setting with national GPCI: (9.86 + 17.69 + 2.54) × $33.4009 ≈ $1,005.03. The same code in a facility setting pays about $755.86 because facility PE RVU (10.23) replaces office PE RVU.
What changes by locality
GPCI moves 22315 non-facility payment from $880.57 to $1,263.06 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). 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 22315?
9.86. 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 22315 in 2026?
About $1,005.03 non-facility ($755.86 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 (9.86) and malpractice RVU stay fixed; only practice expense changes (17.69 office vs 10.23 facility). That is the entire office-vs-facility payment gap.