Medicare Reimbursement for CPT 22614

CPT 22614 is a procedure code used in Medicare Part B billing; the exact clinical description is maintained by the AMA and not reproduced here. This page shows the Medicare Physician Fee Schedule (PFS) estimated allowed amount for 2026, both nationally and adjustable by locality, and compares non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$349.37	$349.37
ALASKA* (AK)	$427.47	$427.47
ALABAMA (AL)	$310.41	$310.41
ARKANSAS (AR)	$305.74	$305.74
ARIZONA (AZ)	$337.18	$337.18
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$358.22	$358.22
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$361.67	$361.67
OXNARD-THOUSAND OAKS-VENTURA (CA)	$341.87	$341.87
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$347.51	$347.51
NAPA (CA)	$350.80	$350.80
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$360.58	$360.58
VALLEJO (CA)	$347.39	$347.39
BAKERSFIELD (CA)	$332.95	$332.95
CHICO (CA)	$327.46	$327.46
FRESNO (CA)	$327.46	$327.46
HANFORD-CORCORAN (CA)	$327.46	$327.46
MADERA (CA)	$327.46	$327.46
MERCED (CA)	$327.46	$327.46
MODESTO (CA)	$327.46	$327.46
REDDING (CA)	$327.46	$327.46
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$349.70	$349.70
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$336.16	$336.16
SALINAS (CA)	$334.84	$334.84
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$371.32	$371.32
SANTA CRUZ-WATSONVILLE (CA)	$336.69	$336.69
SANTA ROSA-PETALUMA (CA)	$339.49	$339.49
STOCKTON (CA)	$327.46	$327.46
VISALIA (CA)	$327.46	$327.46
YUBA CITY (CA)	$327.46	$327.46
EL CENTRO (CA)	$327.81	$327.81
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$337.65	$337.65
SAN LUIS OBISPO-PASO ROBLES (CA)	$330.49	$330.49
SANTA MARIA-SANTA BARBARA (CA)	$334.70	$334.70
REST OF CALIFORNIA (CA)	$327.46	$327.46
COLORADO (CO)	$341.18	$341.18
CONNECTICUT (CT)	$373.58	$373.58
DC + MD/VA SUBURBS (DC)	$381.08	$381.08
DELAWARE (DE)	$342.56	$342.56
FORT LAUDERDALE (FL)	$406.42	$406.42
MIAMI (FL)	$458.49	$458.49
REST OF FLORIDA (FL)	$381.22	$381.22
ATLANTA (GA)	$365.09	$365.09
REST OF GEORGIA (GA)	$355.10	$355.10
HAWAII, GUAM (HI)	$329.78	$329.78
IOWA (IA)	$301.49	$301.49
IDAHO (ID)	$307.12	$307.12
EAST ST. LOUIS (IL)	$414.18	$414.18
SUBURBAN CHICAGO (IL)	$406.38	$406.38
CHICAGO (IL)	$441.16	$441.16
REST OF ILLINOIS (IL)	$382.36	$382.36
INDIANA (IN)	$308.52	$308.52
KANSAS (KS)	$308.15	$308.15
KENTUCKY (KY)	$335.65	$335.65
NEW ORLEANS (LA)	$354.66	$354.66
REST OF LOUISIANA (LA)	$338.35	$338.35
METROPOLITAN BOSTON (MA)	$363.99	$363.99
REST OF MASSACHUSETTS (MA)	$342.36	$342.36
BALTIMORE/SURR. CNTYS (MD)	$374.33	$374.33
REST OF MARYLAND (MD)	$346.62	$346.62
SOUTHERN MAINE (ME)	$323.10	$323.10
REST OF MAINE (ME)	$317.47	$317.47
DETROIT (MI)	$394.57	$394.57
REST OF MICHIGAN (MI)	$352.20	$352.20
MINNESOTA (MN)	$302.51	$302.51
METROPOLITAN ST. LOUIS (MO)	$346.13	$346.13
METROPOLITAN KANSAS CITY (MO)	$343.48	$343.48
REST OF MISSOURI (MO)	$337.84	$337.84
MISSISSIPPI (MS)	$321.44	$321.44
MONTANA** (MT)	$349.23	$349.23
NORTH CAROLINA (NC)	$319.57	$319.57
NORTH DAKOTA** (ND)	$308.11	$308.11
NEBRASKA (NE)	$300.73	$300.73
NEW HAMPSHIRE (NH)	$343.58	$343.58
NORTHERN NJ (NJ)	$378.57	$378.57
REST OF NEW JERSEY (NJ)	$370.97	$370.97
NEW MEXICO (NM)	$357.49	$357.49
NEVADA** (NV)	$337.84	$337.84
MANHATTAN (NY)	$414.91	$414.91
NYC SUBURBS/LONG ISLAND (NY)	$435.64	$435.64
POUGHKPSIE/N NYC SUBURBS (NY)	$380.08	$380.08
QUEENS (NY)	$406.31	$406.31
REST OF NEW YORK (NY)	$325.22	$325.22
OHIO (OH)	$343.80	$343.80
OKLAHOMA (OK)	$326.34	$326.34
PORTLAND (OR)	$342.76	$342.76
REST OF OREGON (OR)	$328.46	$328.46
METROPOLITAN PHILADELPHIA (PA)	$369.44	$369.44
REST OF PENNSYLVANIA (PA)	$339.77	$339.77
PUERTO RICO (PR)	$349.11	$349.11
RHODE ISLAND (RI)	$348.17	$348.17
SOUTH CAROLINA (SC)	$333.60	$333.60
SOUTH DAKOTA** (SD)	$303.24	$303.24
TENNESSEE (TN)	$310.79	$310.79
BRAZORIA (TX)	$335.13	$335.13
DALLAS (TX)	$341.11	$341.11
GALVESTON (TX)	$338.61	$338.61
HOUSTON (TX)	$376.68	$376.68
BEAUMONT (TX)	$338.10	$338.10
FORT WORTH (TX)	$341.31	$341.31
AUSTIN (TX)	$345.96	$345.96
REST OF TEXAS (TX)	$339.04	$339.04
UTAH (UT)	$338.06	$338.06
VIRGINIA (VA)	$327.75	$327.75
VIRGIN ISLANDS (VI)	$349.11	$349.11
VERMONT (VT)	$314.35	$314.35
SEATTLE (KING CNTY) (WA)	$363.13	$363.13
REST OF WASHINGTON (WA)	$339.23	$339.23
WISCONSIN (WI)	$298.34	$298.34
WEST VIRGINIA (WV)	$370.08	$370.08
WYOMING** (WY)	$331.31	$331.31

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Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 13 units per patient per day — Date of Service Edit: Clinical. 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's PFS amount is built from three Relative Value Units (RVUs) — physician work, practice expense (PE), and malpractice (MP) — assigned to each code. Each RVU component is adjusted by a locality-specific Geographic Practice Cost Index (GPCI) to reflect regional cost differences, then the adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce a dollar amount. Practice expense RVUs typically differ between non-facility (e.g., office) and facility (e.g., hospital) settings because overhead costs differ, though for this code the non-facility and facility PE RVU inputs are the same, so the two estimated amounts shown are equal. The conversion factor is updated each year through rulemaking and budget-neutrality adjustments.

RVUs — work 6.27, practice expense 2.11 (non-facility) / 2.11 (facility), malpractice 2.08 — × 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 Part B deductible is met; the beneficiary or secondary insurer is responsible for the remainder.
Actual payment can vary by locality, applicable modifiers, multiple-procedure or bilateral reductions, sequestration, and annual budget-neutrality adjustments.
This code may be classified as an add-on or have billing rules (e.g., it may only be reportable with a primary procedure); confirm current NCCI edits and coverage policy with your Medicare Administrative Contractor (MAC).
Always verify the current-year fee schedule and your specific locality amount before billing or appealing a denial.

Frequently asked

Why does the amount shown use 'non-facility' and 'facility' columns?

Medicare pays differently depending on where the service is performed because practice expense costs differ between office-based (non-facility) and hospital/ASC-based (facility) settings. For this code, the practice expense RVU inputs are identical in both settings, so the estimated amounts are the same.

Why is the CPT descriptor not shown on this page?

CPT code descriptors are copyrighted and licensed by the American Medical Association (AMA). CareNiva displays only the code and its Medicare pricing inputs, not the proprietary descriptor text.

Will my locality's payment match the national amount shown?

Not necessarily. The national amount uses a standard GPCI baseline; your actual locality's GPCI values will adjust the work, PE, and MP RVU components, which can raise or lower the final allowed amount.

Does this amount reflect what the patient or secondary payer will owe?

No. This page shows the Medicare-allowed amount only. Beneficiary cost-sharing (typically 20% coinsurance after the deductible) and any secondary insurance payment are calculated separately.

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.