Medicare Reimbursement for CPT 22327

CPT 22327 is a surgical procedure code; since this is a CPT code, the official AMA descriptor is not reproduced here. This page shows the Medicare Physician Fee Schedule (PFS) estimated allowed amount for this code nationally and by locality, with separate figures for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$1503.37	$1503.37
ALASKA* (AK)	$1771.53	$1771.53
ALABAMA (AL)	$1325.59	$1325.59
ARKANSAS (AR)	$1303.92	$1303.92
ARIZONA (AZ)	$1450.52	$1450.52
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$1669.49	$1669.49
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$1691.65	$1691.65
OXNARD-THOUSAND OAKS-VENTURA (CA)	$1538.21	$1538.21
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$1557.46	$1557.46
NAPA (CA)	$1613.91	$1613.91
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$1677.68	$1677.68
VALLEJO (CA)	$1602.11	$1602.11
BAKERSFIELD (CA)	$1478.34	$1478.34
CHICO (CA)	$1459.41	$1459.41
FRESNO (CA)	$1459.41	$1459.41
HANFORD-CORCORAN (CA)	$1459.41	$1459.41
MADERA (CA)	$1459.41	$1459.41
MERCED (CA)	$1459.41	$1459.41
MODESTO (CA)	$1459.41	$1459.41
REDDING (CA)	$1459.41	$1459.41
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$1536.42	$1536.42
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$1511.53	$1511.53
SALINAS (CA)	$1505.80	$1505.80
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$1725.13	$1725.13
SANTA CRUZ-WATSONVILLE (CA)	$1531.87	$1531.87
SANTA ROSA-PETALUMA (CA)	$1545.58	$1545.58
STOCKTON (CA)	$1459.41	$1459.41
VISALIA (CA)	$1459.41	$1459.41
YUBA CITY (CA)	$1459.41	$1459.41
EL CENTRO (CA)	$1460.61	$1460.61
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$1528.26	$1528.26
SAN LUIS OBISPO-PASO ROBLES (CA)	$1484.61	$1484.61
SANTA MARIA-SANTA BARBARA (CA)	$1507.88	$1507.88
REST OF CALIFORNIA (CA)	$1459.41	$1459.41
COLORADO (CO)	$1496.27	$1496.27
CONNECTICUT (CT)	$1612.61	$1612.61
DC + MD/VA SUBURBS (DC)	$1671.45	$1671.45
DELAWARE (DE)	$1475.40	$1475.40
FORT LAUDERDALE (FL)	$1705.58	$1705.58
MIAMI (FL)	$1895.62	$1895.62
REST OF FLORIDA (FL)	$1598.72	$1598.72
ATLANTA (GA)	$1563.19	$1563.19
REST OF GEORGIA (GA)	$1486.30	$1486.30
HAWAII, GUAM (HI)	$1482.30	$1482.30
IOWA (IA)	$1308.33	$1308.33
IDAHO (ID)	$1329.57	$1329.57
EAST ST. LOUIS (IL)	$1700.67	$1700.67
SUBURBAN CHICAGO (IL)	$1709.85	$1709.85
CHICAGO (IL)	$1822.90	$1822.90
REST OF ILLINOIS (IL)	$1587.96	$1587.96
INDIANA (IN)	$1336.80	$1336.80
KANSAS (KS)	$1327.65	$1327.65
KENTUCKY (KY)	$1417.84	$1417.84
NEW ORLEANS (LA)	$1501.54	$1501.54
REST OF LOUISIANA (LA)	$1425.85	$1425.85
METROPOLITAN BOSTON (MA)	$1618.34	$1618.34
REST OF MASSACHUSETTS (MA)	$1496.38	$1496.38
BALTIMORE/SURR. CNTYS (MD)	$1614.06	$1614.06
REST OF MARYLAND (MD)	$1497.43	$1497.43
SOUTHERN MAINE (ME)	$1409.24	$1409.24
REST OF MAINE (ME)	$1365.45	$1365.45
DETROIT (MI)	$1648.06	$1648.06
REST OF MICHIGAN (MI)	$1483.44	$1483.44
MINNESOTA (MN)	$1350.84	$1350.84
METROPOLITAN ST. LOUIS (MO)	$1475.72	$1475.72
METROPOLITAN KANSAS CITY (MO)	$1462.08	$1462.08
REST OF MISSOURI (MO)	$1416.22	$1416.22
MISSISSIPPI (MS)	$1359.04	$1359.04
MONTANA** (MT)	$1502.89	$1502.89
NORTH CAROLINA (NC)	$1377.16	$1377.16
NORTH DAKOTA** (ND)	$1360.33	$1360.33
NEBRASKA (NE)	$1308.45	$1308.45
NEW HAMPSHIRE (NH)	$1497.31	$1497.31
NORTHERN NJ (NJ)	$1656.15	$1656.15
REST OF NEW JERSEY (NJ)	$1607.72	$1607.72
NEW MEXICO (NM)	$1503.13	$1503.13
NEVADA** (NV)	$1463.74	$1463.74
MANHATTAN (NY)	$1782.74	$1782.74
NYC SUBURBS/LONG ISLAND (NY)	$1863.83	$1863.83
POUGHKPSIE/N NYC SUBURBS (NY)	$1640.07	$1640.07
QUEENS (NY)	$1759.79	$1759.79
REST OF NEW YORK (NY)	$1402.54	$1402.54
OHIO (OH)	$1454.30	$1454.30
OKLAHOMA (OK)	$1386.95	$1386.95
PORTLAND (OR)	$1517.61	$1517.61
REST OF OREGON (OR)	$1429.51	$1429.51
METROPOLITAN PHILADELPHIA (PA)	$1586.06	$1586.06
REST OF PENNSYLVANIA (PA)	$1442.06	$1442.06
PUERTO RICO (PR)	$1506.21	$1506.21
RHODE ISLAND (RI)	$1509.56	$1509.56
SOUTH CAROLINA (SC)	$1422.70	$1422.70
SOUTH DAKOTA** (SD)	$1343.47	$1343.47
TENNESSEE (TN)	$1338.53	$1338.53
BRAZORIA (TX)	$1450.53	$1450.53
DALLAS (TX)	$1472.92	$1472.92
GALVESTON (TX)	$1463.26	$1463.26
HOUSTON (TX)	$1595.23	$1595.23
BEAUMONT (TX)	$1433.52	$1433.52
FORT WORTH (TX)	$1470.19	$1470.19
AUSTIN (TX)	$1511.27	$1511.27
REST OF TEXAS (TX)	$1450.12	$1450.12
UTAH (UT)	$1443.64	$1443.64
VIRGINIA (VA)	$1422.61	$1422.61
VIRGIN ISLANDS (VI)	$1506.21	$1506.21
VERMONT (VT)	$1378.55	$1378.55
SEATTLE (KING CNTY) (WA)	$1626.19	$1626.19
REST OF WASHINGTON (WA)	$1485.68	$1485.68
WISCONSIN (WI)	$1312.11	$1312.11
WEST VIRGINIA (WV)	$1530.38	$1530.38
WYOMING** (WY)	$1440.76	$1440.76

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Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 1 unit per patient per day — Date of Service Edit: Policy. Units above the MUE are denied; some MUEs can be exceeded only with appropriate documentation and modifiers where policy allows.

How the amount is calculated

Medicare PFS amounts are built from three Relative Value Units (RVUs) assigned to a code: physician work, practice expense, and malpractice. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed, reflecting local cost-of-living and practice-cost differences. The geographically adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce the allowed amount. Non-facility and facility rates can differ because the practice-expense RVU is calculated differently depending on whether the service is furnished in a physician office (non-facility) versus a hospital or facility setting; for this code, the practice-expense RVU is the same in both settings, so the national amounts shown match.

RVUs — work 20.25, practice expense 17.55 (non-facility) / 17.55 (facility), malpractice 7.21 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This is an estimate only, not a guarantee of payment.
Medicare typically pays 80% of the allowed amount after the annual Part B deductible is met; the beneficiary or secondary payer is responsible for the remainder.
Modifiers, place of service, multiple-procedure reductions, and sequestration can change the actual paid amount.
Annual budget-neutrality adjustments and conversion factor updates can shift fees year to year.
Always verify current rates and coverage rules with your Medicare Administrative Contractor (MAC).

Frequently asked

Why does the fee differ by locality for the same code?

Medicare applies locality-specific GPCIs to the work, practice-expense, and malpractice RVUs to account for regional differences in costs, so the same code can have different allowed amounts in different areas.

Why are the non-facility and facility amounts the same for this code?

The practice-expense RVU used in the formula is identical for non-facility and facility settings for this code, so the calculated allowed amounts come out the same nationally.

Does this amount reflect what the provider will actually collect?

No. It reflects the Medicare-allowed amount before the standard 80/20 split, deductible status, modifiers, and any applicable adjustments are applied.

Where can I find the official CPT descriptor for this code?

CPT code descriptors are copyrighted by the American Medical Association; check your licensed CPT codebook or AMA resources for the official language.

More free billing tools: all Medicare fees · fee calculator · denial code decoder

Estimated Medicare Physician Fee Schedule amount. Medicare generally pays 80% after the deductible; actual amounts vary by locality, modifiers, sequestration, and annual updates. Verify with your MAC.