Medicare Reimbursement for CPT 22533

CPT 22533 is a surgical procedure code reported under the Medicare Physician Fee Schedule (PFS). This page shows the estimated PFS allowed amount for 2026, both nationally and adjusted for locality, and distinguishes non-facility from facility payment settings where applicable.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$1547.80	$1547.80
ALASKA* (AK)	$1885.24	$1885.24
ALABAMA (AL)	$1386.50	$1386.50
ARKANSAS (AR)	$1366.86	$1366.86
ARIZONA (AZ)	$1499.71	$1499.71
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$1708.98	$1708.98
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$1731.44	$1731.44
OXNARD-THOUSAND OAKS-VENTURA (CA)	$1580.82	$1580.82
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$1600.96	$1600.96
NAPA (CA)	$1653.95	$1653.95
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$1716.55	$1716.55
VALLEJO (CA)	$1643.05	$1643.05
BAKERSFIELD (CA)	$1525.89	$1525.89
CHICO (CA)	$1508.04	$1508.04
FRESNO (CA)	$1508.04	$1508.04
HANFORD-CORCORAN (CA)	$1508.04	$1508.04
MADERA (CA)	$1508.04	$1508.04
MERCED (CA)	$1508.04	$1508.04
MODESTO (CA)	$1508.04	$1508.04
REDDING (CA)	$1508.04	$1508.04
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$1579.36	$1579.36
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$1558.09	$1558.09
SALINAS (CA)	$1551.98	$1551.98
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$1762.36	$1762.36
SANTA CRUZ-WATSONVILLE (CA)	$1572.91	$1572.91
SANTA ROSA-PETALUMA (CA)	$1586.91	$1586.91
STOCKTON (CA)	$1508.04	$1508.04
VISALIA (CA)	$1508.04	$1508.04
YUBA CITY (CA)	$1508.04	$1508.04
EL CENTRO (CA)	$1509.15	$1509.15
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$1571.67	$1571.67
SAN LUIS OBISPO-PASO ROBLES (CA)	$1530.31	$1530.31
SANTA MARIA-SANTA BARBARA (CA)	$1553.18	$1553.18
REST OF CALIFORNIA (CA)	$1508.04	$1508.04
COLORADO (CO)	$1541.92	$1541.92
CONNECTICUT (CT)	$1650.55	$1650.55
DC + MD/VA SUBURBS (DC)	$1708.74	$1708.74
DELAWARE (DE)	$1523.15	$1523.15
FORT LAUDERDALE (FL)	$1734.27	$1734.27
MIAMI (FL)	$1909.16	$1909.16
REST OF FLORIDA (FL)	$1636.90	$1636.90
ATLANTA (GA)	$1603.22	$1603.22
REST OF GEORGIA (GA)	$1534.56	$1534.56
HAWAII, GUAM (HI)	$1525.12	$1525.12
IOWA (IA)	$1369.63	$1369.63
IDAHO (ID)	$1389.12	$1389.12
EAST ST. LOUIS (IL)	$1731.92	$1731.92
SUBURBAN CHICAGO (IL)	$1739.17	$1739.17
CHICAGO (IL)	$1844.11	$1844.11
REST OF ILLINOIS (IL)	$1627.97	$1627.97
INDIANA (IN)	$1395.64	$1395.64
KANSAS (KS)	$1387.73	$1387.73
KENTUCKY (KY)	$1471.39	$1471.39
NEW ORLEANS (LA)	$1547.49	$1547.49
REST OF LOUISIANA (LA)	$1478.88	$1478.88
METROPOLITAN BOSTON (MA)	$1656.93	$1656.93
REST OF MASSACHUSETTS (MA)	$1543.01	$1543.01
BALTIMORE/SURR. CNTYS (MD)	$1651.25	$1651.25
REST OF MARYLAND (MD)	$1543.85	$1543.85
SOUTHERN MAINE (ME)	$1461.05	$1461.05
REST OF MAINE (ME)	$1422.27	$1422.27
DETROIT (MI)	$1682.27	$1682.27
REST OF MICHIGAN (MI)	$1531.42	$1531.42
MINNESOTA (MN)	$1406.22	$1406.22
METROPOLITAN ST. LOUIS (MO)	$1523.38	$1523.38
METROPOLITAN KANSAS CITY (MO)	$1511.08	$1511.08
REST OF MISSOURI (MO)	$1470.52	$1470.52
MISSISSIPPI (MS)	$1417.73	$1417.73
MONTANA** (MT)	$1547.35	$1547.35
NORTH CAROLINA (NC)	$1432.78	$1432.78
NORTH DAKOTA** (ND)	$1415.66	$1415.66
NEBRASKA (NE)	$1369.54	$1369.54
NEW HAMPSHIRE (NH)	$1541.23	$1541.23
NORTHERN NJ (NJ)	$1696.67	$1696.67
REST OF NEW JERSEY (NJ)	$1649.33	$1649.33
NEW MEXICO (NM)	$1549.51	$1549.51
NEVADA** (NV)	$1511.17	$1511.17
MANHATTAN (NY)	$1813.74	$1813.74
NYC SUBURBS/LONG ISLAND (NY)	$1888.02	$1888.02
POUGHKPSIE/N NYC SUBURBS (NY)	$1680.06	$1680.06
QUEENS (NY)	$1792.07	$1792.07
REST OF NEW YORK (NY)	$1455.83	$1455.83
OHIO (OH)	$1504.51	$1504.51
OKLAHOMA (OK)	$1442.76	$1442.76
PORTLAND (OR)	$1561.27	$1561.27
REST OF OREGON (OR)	$1479.66	$1479.66
METROPOLITAN PHILADELPHIA (PA)	$1626.50	$1626.50
REST OF PENNSYLVANIA (PA)	$1493.08	$1493.08
PUERTO RICO (PR)	$1550.16	$1550.16
RHODE ISLAND (RI)	$1556.21	$1556.21
SOUTH CAROLINA (SC)	$1475.06	$1475.06
SOUTH DAKOTA** (SD)	$1400.09	$1400.09
TENNESSEE (TN)	$1397.66	$1397.66
BRAZORIA (TX)	$1500.65	$1500.65
DALLAS (TX)	$1521.40	$1521.40
GALVESTON (TX)	$1512.37	$1512.37
HOUSTON (TX)	$1634.27	$1634.27
BEAUMONT (TX)	$1485.38	$1485.38
FORT WORTH (TX)	$1519.11	$1519.11
AUSTIN (TX)	$1554.10	$1554.10
REST OF TEXAS (TX)	$1499.80	$1499.80
UTAH (UT)	$1494.02	$1494.02
VIRGINIA (VA)	$1473.59	$1473.59
VIRGIN ISLANDS (VI)	$1550.16	$1550.16
VERMONT (VT)	$1432.73	$1432.73
SEATTLE (KING CNTY) (WA)	$1665.05	$1665.05
REST OF WASHINGTON (WA)	$1532.58	$1532.58
WISCONSIN (WI)	$1372.10	$1372.10
WEST VIRGINIA (WV)	$1575.81	$1575.81
WYOMING** (WY)	$1489.96	$1489.96

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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) — physician work, practice expense, and malpractice — assigned to each code. Each RVU component is adjusted by the Geographic Practice Cost Index (GPCI) for the specific locality to account for regional cost differences. The adjusted RVUs are summed and multiplied by the annual conversion factor (a dollar figure set by CMS) to produce the allowed amount. Practice-expense RVUs often differ between non-facility (e.g., office) and facility (e.g., hospital) settings, which can change the total depending on where the service is performed; for this code, the practice-expense RVU is the same in both settings for 2026.

RVUs — work 24.17, practice expense 15.51 (non-facility) / 15.51 (facility), malpractice 6.66 — × 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 patient or secondary insurer is generally responsible for the remainder.
Actual payment can vary by locality, applicable modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments.
Always verify the current allowed amount with your Medicare Administrative Contractor (MAC) before billing or appealing a denial.

Frequently asked

Why does the allowed amount differ by locality?

CMS applies locality-specific Geographic Practice Cost Indices (GPCIs) to the work, practice expense, and malpractice RVUs to reflect regional differences in wages, rent, and other costs.

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

When the practice-expense RVU is identical for non-facility and facility settings, as shown here, the calculated allowed amount is the same regardless of place of service.

Does this amount include the full Medicare payment?

No. The figure shown is the total allowed amount before the standard 80/20 split; Medicare generally pays 80% after the deductible, with the remainder owed by the patient or secondary payer.

Why did the amount change from a prior year?

Annual updates to RVUs, GPCIs, and the conversion factor — along with budget-neutrality adjustments — can shift the allowed amount each year, even if the code itself is unchanged.

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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.