CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 22325 RVU and Medicare Payment (2026)
Treat spine fracture — 19.37 work RVU, about $1,444.25 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 19.37
- PE RVU (non-facility)
- 17.07
- PE RVU (facility)
- 17.07
- MP RVU
- 6.8
- 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 22325 in a non-facility setting with national GPCI: (19.37 + 17.07 + 6.8) × $33.4009 ≈ $1,444.25. The same code in a facility setting pays about $1,444.25 because facility PE RVU (17.07) replaces office PE RVU.
What changes by locality
GPCI moves 22325 non-facility payment from $1,253.71 to $1,814.91 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 22325?
19.37. 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 22325 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 (19.37) and malpractice RVU stay fixed; only practice expense changes (17.07 office vs 17.07 facility). That is the entire office-vs-facility payment gap.