Medicare Reimbursement for CPT Code 22632

This page covers a CPT procedure code (the AMA-licensed descriptor is not reproduced here) and shows the estimated Medicare Physician Fee Schedule (PFS) allowed amount for 2026, both at the national level and adjustable by locality, with separate non-facility and facility rates.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$287.58	$287.58
ALASKA* (AK)	$349.50	$349.50
ALABAMA (AL)	$254.41	$254.41
ARKANSAS (AR)	$250.44	$250.44
ARIZONA (AZ)	$277.18	$277.18
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$293.05	$293.05
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$295.77	$295.77
OXNARD-THOUSAND OAKS-VENTURA (CA)	$280.32	$280.32
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$285.04	$285.04
NAPA (CA)	$287.25	$287.25
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$295.08	$295.08
VALLEJO (CA)	$284.32	$284.32
BAKERSFIELD (CA)	$272.98	$272.98
CHICO (CA)	$268.28	$268.28
FRESNO (CA)	$268.28	$268.28
HANFORD-CORCORAN (CA)	$268.28	$268.28
MADERA (CA)	$268.28	$268.28
MERCED (CA)	$268.28	$268.28
MODESTO (CA)	$268.28	$268.28
REDDING (CA)	$268.28	$268.28
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$287.40	$287.40
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$275.38	$275.38
SALINAS (CA)	$274.30	$274.30
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$304.08	$304.08
SANTA CRUZ-WATSONVILLE (CA)	$275.83	$275.83
SANTA ROSA-PETALUMA (CA)	$278.12	$278.12
STOCKTON (CA)	$268.28	$268.28
VISALIA (CA)	$268.28	$268.28
YUBA CITY (CA)	$268.28	$268.28
EL CENTRO (CA)	$268.58	$268.58
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$276.62	$276.62
SAN LUIS OBISPO-PASO ROBLES (CA)	$270.76	$270.76
SANTA MARIA-SANTA BARBARA (CA)	$274.19	$274.19
REST OF CALIFORNIA (CA)	$268.28	$268.28
COLORADO (CO)	$280.23	$280.23
CONNECTICUT (CT)	$307.99	$307.99
DC + MD/VA SUBURBS (DC)	$313.80	$313.80
DELAWARE (DE)	$281.70	$281.70
FORT LAUDERDALE (FL)	$336.64	$336.64
MIAMI (FL)	$381.37	$381.37
REST OF FLORIDA (FL)	$315.11	$315.11
ATLANTA (GA)	$301.03	$301.03
REST OF GEORGIA (GA)	$292.82	$292.82
HAWAII, GUAM (HI)	$270.33	$270.33
IOWA (IA)	$246.62	$246.62
IDAHO (ID)	$251.45	$251.45
EAST ST. LOUIS (IL)	$343.58	$343.58
SUBURBAN CHICAGO (IL)	$336.49	$336.49
CHICAGO (IL)	$366.49	$366.49
REST OF ILLINOIS (IL)	$316.22	$316.22
INDIANA (IN)	$252.63	$252.63
KANSAS (KS)	$252.38	$252.38
KENTUCKY (KY)	$276.09	$276.09
NEW ORLEANS (LA)	$292.30	$292.30
REST OF LOUISIANA (LA)	$278.43	$278.43
METROPOLITAN BOSTON (MA)	$299.19	$299.19
REST OF MASSACHUSETTS (MA)	$281.23	$281.23
BALTIMORE/SURR. CNTYS (MD)	$308.69	$308.69
REST OF MARYLAND (MD)	$285.07	$285.07
SOUTHERN MAINE (ME)	$265.00	$265.00
REST OF MAINE (ME)	$260.36	$260.36
DETROIT (MI)	$326.57	$326.57
REST OF MICHIGAN (MI)	$290.27	$290.27
MINNESOTA (MN)	$247.17	$247.17
METROPOLITAN ST. LOUIS (MO)	$284.93	$284.93
METROPOLITAN KANSAS CITY (MO)	$282.68	$282.68
REST OF MISSOURI (MO)	$278.05	$278.05
MISSISSIPPI (MS)	$263.95	$263.95
MONTANA** (MT)	$287.46	$287.46
NORTH CAROLINA (NC)	$262.13	$262.13
NORTH DAKOTA** (ND)	$252.07	$252.07
NEBRASKA (NE)	$245.94	$245.94
NEW HAMPSHIRE (NH)	$282.48	$282.48
NORTHERN NJ (NJ)	$311.60	$311.60
REST OF NEW JERSEY (NJ)	$305.50	$305.50
NEW MEXICO (NM)	$294.80	$294.80
NEVADA** (NV)	$277.66	$277.66
MANHATTAN (NY)	$342.86	$342.86
NYC SUBURBS/LONG ISLAND (NY)	$360.62	$360.62
POUGHKPSIE/N NYC SUBURBS (NY)	$313.28	$313.28
QUEENS (NY)	$335.41	$335.41
REST OF NEW YORK (NY)	$266.94	$266.94
OHIO (OH)	$283.03	$283.03
OKLAHOMA (OK)	$268.07	$268.07
PORTLAND (OR)	$281.41	$281.41
REST OF OREGON (OR)	$269.59	$269.59
METROPOLITAN PHILADELPHIA (PA)	$304.55	$304.55
REST OF PENNSYLVANIA (PA)	$279.56	$279.56
PUERTO RICO (PR)	$287.32	$287.32
RHODE ISLAND (RI)	$286.26	$286.26
SOUTH CAROLINA (SC)	$274.22	$274.22
SOUTH DAKOTA** (SD)	$247.88	$247.88
TENNESSEE (TN)	$254.64	$254.64
BRAZORIA (TX)	$275.27	$275.27
DALLAS (TX)	$280.39	$280.39
GALVESTON (TX)	$278.25	$278.25
HOUSTON (TX)	$311.02	$311.02
BEAUMONT (TX)	$278.14	$278.14
FORT WORTH (TX)	$280.59	$280.59
AUSTIN (TX)	$284.46	$284.46
REST OF TEXAS (TX)	$278.84	$278.84
UTAH (UT)	$278.02	$278.02
VIRGINIA (VA)	$269.02	$269.02
VIRGIN ISLANDS (VI)	$287.32	$287.32
VERMONT (VT)	$257.47	$257.47
SEATTLE (KING CNTY) (WA)	$298.26	$298.26
REST OF WASHINGTON (WA)	$278.57	$278.57
WISCONSIN (WI)	$243.78	$243.78
WEST VIRGINIA (WV)	$305.78	$305.78
WYOMING** (WY)	$272.04	$272.04

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Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 4 units 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's PFS amount is built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — each adjusted by the Geographic Practice Cost Indices (GPCIs) for the specific locality where the service is performed. The geographically adjusted RVUs are summed and multiplied by the annual national conversion factor to produce a dollar amount. Practice-expense RVUs can differ between non-facility (e.g., office) and facility (e.g., hospital) settings, which is why the two amounts may or may not match depending on the code. The conversion factor and RVUs are updated annually and can change due to legislative or budget-neutrality adjustments.

RVUs — work 5.09, practice expense 1.73 (non-facility) / 1.73 (facility), malpractice 1.79 — × 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 patient meets their deductible; the beneficiary or secondary payer is responsible for the remainder.
Modifiers, place of service, sequestration, and annual budget-neutrality adjustments can change the actual paid amount.
Always verify current rates and coverage rules with your Medicare Administrative Contractor (MAC).

Frequently asked

Why don't you show the CPT code description?

CPT code descriptors are copyrighted by the American Medical Association (AMA) and cannot be reproduced without a license, so this page refers to the code generically.

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

The two amounts depend on the practice-expense RVU assigned to each setting. If Medicare assigns the same practice-expense RVU for non-facility and facility settings for a given code, the resulting allowed amounts will be equal; otherwise they differ.

Will my actual payment match the national amount shown?

Not necessarily. The national amount uses a GPCI value of 1.0 for all components; your actual locality-adjusted payment will differ based on local GPCI values and any applicable modifiers.

Does this amount reflect what the patient will owe?

No. This page shows the Medicare-allowed amount, not patient cost-sharing. Patient responsibility depends on deductible status, coinsurance, and any secondary insurance.

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.