CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 22902 RVU and Medicare Payment (2026)
Exc abd les sc < 3 cm — 4.31 work RVU, about $517.38 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4.31
- PE RVU (non-facility)
- 10.11
- PE RVU (facility)
- 4.54
- MP RVU
- 1.07
- Office payment
- $517.38
- Facility payment
- $331.34
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 22902 in a non-facility setting with national GPCI: (4.31 + 10.11 + 1.07) × $33.4009 ≈ $517.38. The same code in a facility setting pays about $331.34 because facility PE RVU (4.54) replaces office PE RVU.
What changes by locality
GPCI moves 22902 non-facility payment from $452.43 to $665.89 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 22902?
4.31. 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 22902 in 2026?
About $517.38 non-facility ($331.34 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 (4.31) and malpractice RVU stay fixed; only practice expense changes (10.11 office vs 4.54 facility). That is the entire office-vs-facility payment gap.