CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31

CPT 97022 RVU and Medicare Payment (2026)

Whirlpool therapy — 0.17 work RVU, about $15.7 non-facility Medicare payment at the 2026 conversion factor.

Work RVU
0.17
PE RVU (non-facility)
0.29
PE RVU (facility)
0.29
MP RVU
0.01
Office payment
$15.7
Facility payment
$15.7

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 97022 in a non-facility setting with national GPCI: (0.17 + 0.29 + 0.01) × $33.4009 ≈ $15.7. The same code in a facility setting pays about $15.7 because facility PE RVU (0.29) replaces office PE RVU.

What changes by locality

GPCI moves 97022 non-facility payment from $14.17 to $20.45 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 97022?

0.17. 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 97022 in 2026?

About $15.7 non-facility ($15.7 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 (0.17) and malpractice RVU stay fixed; only practice expense changes (0.29 office vs 0.29 facility). That is the entire office-vs-facility payment gap.