Medicare Reimbursement for CPT 22532

This page covers the Medicare Physician Fee Schedule (PFS) allowed amount for CPT code 22532, a procedure code whose descriptor is maintained by the AMA and not reproduced here. It shows the national PFS estimate as well as how the amount can vary by locality, and compares non-facility and facility settings. These figures are estimates derived from published Medicare rate-setting inputs, not a guarantee of payment.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$1732.17	$1732.17
ALASKA* (AK)	$2062.72	$2062.72
ALABAMA (AL)	$1531.14	$1531.14
ARKANSAS (AR)	$1506.74	$1506.74
ARIZONA (AZ)	$1671.69	$1671.69
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$1887.88	$1887.88
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$1911.38	$1911.38
OXNARD-THOUSAND OAKS-VENTURA (CA)	$1753.71	$1753.71
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$1777.29	$1777.29
NAPA (CA)	$1830.45	$1830.45
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$1897.81	$1897.81
VALLEJO (CA)	$1816.12	$1816.12
BAKERSFIELD (CA)	$1690.96	$1690.96
CHICO (CA)	$1667.93	$1667.93
FRESNO (CA)	$1667.93	$1667.93
HANFORD-CORCORAN (CA)	$1667.93	$1667.93
MADERA (CA)	$1667.93	$1667.93
MERCED (CA)	$1667.93	$1667.93
MODESTO (CA)	$1667.93	$1667.93
REDDING (CA)	$1667.93	$1667.93
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$1761.42	$1761.42
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$1723.78	$1723.78
SALINAS (CA)	$1717.17	$1717.17
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$1952.01	$1952.01
SANTA CRUZ-WATSONVILLE (CA)	$1741.95	$1741.95
SANTA ROSA-PETALUMA (CA)	$1757.28	$1757.28
STOCKTON (CA)	$1667.93	$1667.93
VISALIA (CA)	$1667.93	$1667.93
YUBA CITY (CA)	$1667.93	$1667.93
EL CENTRO (CA)	$1669.39	$1669.39
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$1740.04	$1740.04
SAN LUIS OBISPO-PASO ROBLES (CA)	$1693.45	$1693.45
SANTA MARIA-SANTA BARBARA (CA)	$1718.79	$1718.79
REST OF CALIFORNIA (CA)	$1667.93	$1667.93
COLORADO (CO)	$1716.31	$1716.31
CONNECTICUT (CT)	$1856.17	$1856.17
DC + MD/VA SUBURBS (DC)	$1916.55	$1916.55
DELAWARE (DE)	$1699.76	$1699.76
FORT LAUDERDALE (FL)	$1976.03	$1976.03
MIAMI (FL)	$2203.37	$2203.37
REST OF FLORIDA (FL)	$1853.06	$1853.06
ATLANTA (GA)	$1802.95	$1802.95
REST OF GEORGIA (GA)	$1724.18	$1724.18
HAWAII, GUAM (HI)	$1690.44	$1690.44
IOWA (IA)	$1505.49	$1505.49
IDAHO (ID)	$1530.67	$1530.67
EAST ST. LOUIS (IL)	$1981.04	$1981.04
SUBURBAN CHICAGO (IL)	$1979.74	$1979.74
CHICAGO (IL)	$2119.54	$2119.54
REST OF ILLINOIS (IL)	$1845.07	$1845.07
INDIANA (IN)	$1538.62	$1538.62
KANSAS (KS)	$1530.23	$1530.23
KENTUCKY (KY)	$1641.45	$1641.45
NEW ORLEANS (LA)	$1736.90	$1736.90
REST OF LOUISIANA (LA)	$1651.64	$1651.64
METROPOLITAN BOSTON (MA)	$1849.87	$1849.87
REST OF MASSACHUSETTS (MA)	$1717.84	$1717.84
BALTIMORE/SURR. CNTYS (MD)	$1858.31	$1858.31
REST OF MARYLAND (MD)	$1723.79	$1723.79
SOUTHERN MAINE (ME)	$1618.99	$1618.99
REST OF MAINE (ME)	$1574.21	$1574.21
DETROIT (MI)	$1911.89	$1911.89
REST OF MICHIGAN (MI)	$1718.23	$1718.23
MINNESOTA (MN)	$1543.63	$1543.63
METROPOLITAN ST. LOUIS (MO)	$1704.27	$1704.27
METROPOLITAN KANSAS CITY (MO)	$1689.24	$1689.24
REST OF MISSOURI (MO)	$1642.66	$1642.66
MISSISSIPPI (MS)	$1573.39	$1573.39
MONTANA** (MT)	$1731.59	$1731.59
NORTH CAROLINA (NC)	$1586.90	$1586.90
NORTH DAKOTA** (ND)	$1558.57	$1558.57
NEBRASKA (NE)	$1504.68	$1504.68
NEW HAMPSHIRE (NH)	$1719.97	$1719.97
NORTHERN NJ (NJ)	$1900.33	$1900.33
REST OF NEW JERSEY (NJ)	$1848.98	$1848.98
NEW MEXICO (NM)	$1741.65	$1741.65
NEVADA** (NV)	$1683.96	$1683.96
MANHATTAN (NY)	$2053.75	$2053.75
NYC SUBURBS/LONG ISLAND (NY)	$2148.98	$2148.98
POUGHKPSIE/N NYC SUBURBS (NY)	$1888.02	$1888.02
QUEENS (NY)	$2023.54	$2023.54
REST OF NEW YORK (NY)	$1615.69	$1615.69
OHIO (OH)	$1682.87	$1682.87
OKLAHOMA (OK)	$1603.49	$1603.49
PORTLAND (OR)	$1736.78	$1736.78
REST OF OREGON (OR)	$1643.00	$1643.00
METROPOLITAN PHILADELPHIA (PA)	$1828.15	$1828.15
REST OF PENNSYLVANIA (PA)	$1667.43	$1667.43
PUERTO RICO (PR)	$1734.32	$1734.32
RHODE ISLAND (RI)	$1736.27	$1736.27
SOUTH CAROLINA (SC)	$1643.22	$1643.22
SOUTH DAKOTA** (SD)	$1538.11	$1538.11
TENNESSEE (TN)	$1542.84	$1542.84
BRAZORIA (TX)	$1669.30	$1669.30
DALLAS (TX)	$1695.91	$1695.91
GALVESTON (TX)	$1684.52	$1684.52
HOUSTON (TX)	$1844.68	$1844.68
BEAUMONT (TX)	$1658.00	$1658.00
FORT WORTH (TX)	$1693.78	$1693.78
AUSTIN (TX)	$1734.97	$1734.97
REST OF TEXAS (TX)	$1673.55	$1673.55
UTAH (UT)	$1666.75	$1666.75
VIRGINIA (VA)	$1636.16	$1636.16
VIRGIN ISLANDS (VI)	$1734.32	$1734.32
VERMONT (VT)	$1581.86	$1581.86
SEATTLE (KING CNTY) (WA)	$1855.74	$1855.74
REST OF WASHINGTON (WA)	$1704.78	$1704.78
WISCONSIN (WI)	$1505.00	$1505.00
WEST VIRGINIA (WV)	$1780.38	$1780.38
WYOMING** (WY)	$1656.18	$1656.18

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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 (PE), and malpractice (MP). Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed, reflecting local cost differences. The locality-adjusted RVUs are summed and multiplied by the annual national conversion factor to produce a dollar amount. Non-facility and facility rates differ because the PE RVU is typically lower in facility settings, where the facility itself bears more of the overhead cost; for this code, the non-facility and facility PE RVUs shown are the same, so the national amounts match, though locality-level amounts may still differ.

RVUs — work 25.34, practice expense 17.77 (non-facility) / 17.77 (facility), malpractice 8.75 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This is an estimate only, not a confirmed payment amount.
Medicare typically pays 80% of the allowed amount after the patient's deductible is met; the beneficiary or secondary payer is responsible for the remainder.
Modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can change the actual amount paid.
Allowed amounts vary by locality based on GPCIs and may differ from the national figures shown here.
Always verify current rates and eligibility with your Medicare Administrative Contractor (MAC) before billing or appealing a claim.

Frequently asked

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

Medicare applies Geographic Practice Cost Indices (GPCIs) to the work, practice expense, and malpractice RVUs to account for regional differences in wages, rent, and other costs, which changes the final allowed amount by locality.

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

The allowed amount differs mainly when the practice expense RVU differs between settings. If the non-facility and facility PE RVUs are equal, as shown here, the national non-facility and facility amounts will also be equal.

Does this amount reflect what my practice will actually be paid?

No. This is a national or locality-level estimate based on standard PFS inputs. Actual payment depends on the patient's specific locality, applicable modifiers, deductible status, sequestration, and any annual payment adjustments.

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

CPT code descriptors are copyrighted by the American Medical Association. Refer to your licensed CPT codebook or AMA resources for the official description of this code.

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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.