CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 22511 RVU and Medicare Payment (2026)
Perq lumbosacral injection — 7.15 work RVU, about $1,773.92 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 7.15
- PE RVU (non-facility)
- 44.89
- PE RVU (facility)
- 2.6
- MP RVU
- 1.07
- Office payment
- $1,773.92
- Facility payment
- $361.4
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 22511 in a non-facility setting with national GPCI: (7.15 + 44.89 + 1.07) × $33.4009 ≈ $1,773.92. The same code in a facility setting pays about $361.4 because facility PE RVU (2.6) replaces office PE RVU.
What changes by locality
GPCI moves 22511 non-facility payment from $1,545.18 to $2,446.33 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 22511?
7.15. 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 22511 in 2026?
About $1,773.92 non-facility ($361.4 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 (7.15) and malpractice RVU stay fixed; only practice expense changes (44.89 office vs 2.6 facility). That is the entire office-vs-facility payment gap.