CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 22861 RVU and Medicare Payment (2026)
Rev rplcm arthrp 1ntrspc crv — 32.53 work RVU, about $2,248.88 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 32.53
- PE RVU (non-facility)
- 21.07
- PE RVU (facility)
- 21.07
- MP RVU
- 13.73
- Office payment
- $2,248.88
- Facility payment
- $2,248.88
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 22861 in a non-facility setting with national GPCI: (32.53 + 21.07 + 13.73) × $33.4009 ≈ $2,248.88. The same code in a facility setting pays about $2,248.88 because facility PE RVU (21.07) replaces office PE RVU.
What changes by locality
GPCI moves 22861 non-facility payment from $1,901.98 to $2,978.93 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 22861?
32.53. 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 22861 in 2026?
About $2,248.88 non-facility ($2,248.88 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 (32.53) and malpractice RVU stay fixed; only practice expense changes (21.07 office vs 21.07 facility). That is the entire office-vs-facility payment gap.