CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 22319 RVU and Medicare Payment (2026)
Treat odontoid fx w/graft — 24.7 work RVU, about $1,809.66 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 24.7
- PE RVU (non-facility)
- 19.05
- PE RVU (facility)
- 19.05
- MP RVU
- 10.43
- Office payment
- $1,809.66
- Facility payment
- $1,809.66
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 22319 in a non-facility setting with national GPCI: (24.7 + 19.05 + 10.43) × $33.4009 ≈ $1,809.66. The same code in a facility setting pays about $1,809.66 because facility PE RVU (19.05) replaces office PE RVU.
What changes by locality
GPCI moves 22319 non-facility payment from $1,541.86 to $2,368.41 across CMS localities — from Wisconsin 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 22319?
24.7. 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 22319 in 2026?
About $1,809.66 non-facility ($1,809.66 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 (24.7) and malpractice RVU stay fixed; only practice expense changes (19.05 office vs 19.05 facility). That is the entire office-vs-facility payment gap.