CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 22552 RVU and Medicare Payment (2026)
Arthrd ant ntrbd cervical ea — 6.34 work RVU, about $353.05 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 6.34
- PE RVU (non-facility)
- 2.13
- PE RVU (facility)
- 2.13
- MP RVU
- 2.1
- Office payment
- $353.05
- Facility payment
- $353.05
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 22552 in a non-facility setting with national GPCI: (6.34 + 2.13 + 2.1) × $33.4009 ≈ $353.05. The same code in a facility setting pays about $353.05 because facility PE RVU (2.13) replaces office PE RVU.
What changes by locality
GPCI moves 22552 non-facility payment from $301.52 to $463.21 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 22552?
6.34. 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 22552 in 2026?
About $353.05 non-facility ($353.05 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 (6.34) and malpractice RVU stay fixed; only practice expense changes (2.13 office vs 2.13 facility). That is the entire office-vs-facility payment gap.