Medicare Reimbursement for CPT 22808
CPT 22808 is a physician procedure code reported for Medicare billing purposes; the full clinical descriptor is licensed by the AMA and not reproduced here. This page shows the Medicare Physician Fee Schedule (PFS) estimated allowed amount at the national level and, where available, by locality, broken out by non-facility and facility settings. Amounts shown are estimates derived from the standard Medicare pricing formula, not a guarantee of payment.
Medicare allowed amount (2026)
| Locality | Non-facility | Facility |
|---|---|---|
| National (unadjusted) | $1754.55 | $1754.55 |
| ALASKA* (AK) | $2112.52 | $2112.52 |
| ALABAMA (AL) | $1559.58 | $1559.58 |
| ARKANSAS (AR) | $1535.92 | $1535.92 |
| ARIZONA (AZ) | $1695.88 | $1695.88 |
| SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA) | $1912.41 | $1912.41 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA) | $1936.32 | $1936.32 |
| OXNARD-THOUSAND OAKS-VENTURA (CA) | $1777.40 | $1777.40 |
| LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA) | $1801.25 | $1801.25 |
| NAPA (CA) | $1854.37 | $1854.37 |
| SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA) | $1922.06 | $1922.06 |
| VALLEJO (CA) | $1840.47 | $1840.47 |
| BAKERSFIELD (CA) | $1715.91 | $1715.91 |
| CHICO (CA) | $1693.42 | $1693.42 |
| FRESNO (CA) | $1693.42 | $1693.42 |
| HANFORD-CORCORAN (CA) | $1693.42 | $1693.42 |
| MADERA (CA) | $1693.42 | $1693.42 |
| MERCED (CA) | $1693.42 | $1693.42 |
| MODESTO (CA) | $1693.42 | $1693.42 |
| REDDING (CA) | $1693.42 | $1693.42 |
| RIVERSIDE-SAN BERNARDINO-ONTARIO (CA) | $1784.20 | $1784.20 |
| SACRAMENTO-ROSEVILLE-FOLSOM (CA) | $1748.97 | $1748.97 |
| SALINAS (CA) | $1742.19 | $1742.19 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA) | $1975.73 | $1975.73 |
| SANTA CRUZ-WATSONVILLE (CA) | $1765.44 | $1765.44 |
| SANTA ROSA-PETALUMA (CA) | $1780.98 | $1780.98 |
| STOCKTON (CA) | $1693.42 | $1693.42 |
| VISALIA (CA) | $1693.42 | $1693.42 |
| YUBA CITY (CA) | $1693.42 | $1693.42 |
| EL CENTRO (CA) | $1694.83 | $1694.83 |
| SAN DIEGO-CHULA VISTA-CARLSBAD (CA) | $1764.28 | $1764.28 |
| SAN LUIS OBISPO-PASO ROBLES (CA) | $1718.15 | $1718.15 |
| SANTA MARIA-SANTA BARBARA (CA) | $1743.53 | $1743.53 |
| REST OF CALIFORNIA (CA) | $1693.42 | $1693.42 |
| COLORADO (CO) | $1740.01 | $1740.01 |
| CONNECTICUT (CT) | $1876.30 | $1876.30 |
| DC + MD/VA SUBURBS (DC) | $1937.35 | $1937.35 |
| DELAWARE (DE) | $1723.49 | $1723.49 |
| FORT LAUDERDALE (FL) | $1991.15 | $1991.15 |
| MIAMI (FL) | $2211.72 | $2211.72 |
| REST OF FLORIDA (FL) | $1871.88 | $1871.88 |
| ATLANTA (GA) | $1823.44 | $1823.44 |
| REST OF GEORGIA (GA) | $1746.88 | $1746.88 |
| HAWAII, GUAM (HI) | $1713.96 | $1713.96 |
| IOWA (IA) | $1534.67 | $1534.67 |
| IDAHO (ID) | $1559.09 | $1559.09 |
| EAST ST. LOUIS (IL) | $1996.08 | $1996.08 |
| SUBURBAN CHICAGO (IL) | $1995.27 | $1995.27 |
| CHICAGO (IL) | $2130.92 | $2130.92 |
| REST OF ILLINOIS (IL) | $1864.16 | $1864.16 |
| INDIANA (IN) | $1566.81 | $1566.81 |
| KANSAS (KS) | $1558.68 | $1558.68 |
| KENTUCKY (KY) | $1666.60 | $1666.60 |
| NEW ORLEANS (LA) | $1759.18 | $1759.18 |
| REST OF LOUISIANA (LA) | $1676.50 | $1676.50 |
| METROPOLITAN BOSTON (MA) | $1871.67 | $1871.67 |
| REST OF MASSACHUSETTS (MA) | $1741.80 | $1741.80 |
| BALTIMORE/SURR. CNTYS (MD) | $1878.08 | $1878.08 |
| REST OF MARYLAND (MD) | $1747.16 | $1747.16 |
| SOUTHERN MAINE (ME) | $1644.73 | $1644.73 |
| REST OF MAINE (ME) | $1601.35 | $1601.35 |
| DETROIT (MI) | $1928.95 | $1928.95 |
| REST OF MICHIGAN (MI) | $1741.09 | $1741.09 |
| MINNESOTA (MN) | $1571.59 | $1571.59 |
| METROPOLITAN ST. LOUIS (MO) | $1727.51 | $1727.51 |
| METROPOLITAN KANSAS CITY (MO) | $1712.94 | $1712.94 |
| REST OF MISSOURI (MO) | $1667.80 | $1667.80 |
| MISSISSIPPI (MS) | $1600.59 | $1600.59 |
| MONTANA** (MT) | $1753.98 | $1753.98 |
| NORTH CAROLINA (NC) | $1613.64 | $1613.64 |
| NORTH DAKOTA** (ND) | $1586.11 | $1586.11 |
| NEBRASKA (NE) | $1533.88 | $1533.88 |
| NEW HAMPSHIRE (NH) | $1742.68 | $1742.68 |
| NORTHERN NJ (NJ) | $1922.29 | $1922.29 |
| REST OF NEW JERSEY (NJ) | $1870.80 | $1870.80 |
| NEW MEXICO (NM) | $1763.81 | $1763.81 |
| NEVADA** (NV) | $1707.77 | $1707.77 |
| MANHATTAN (NY) | $2071.23 | $2071.23 |
| NYC SUBURBS/LONG ISLAND (NY) | $2163.61 | $2163.61 |
| POUGHKPSIE/N NYC SUBURBS (NY) | $1909.05 | $1909.05 |
| QUEENS (NY) | $2041.90 | $2041.90 |
| REST OF NEW YORK (NY) | $1641.57 | $1641.57 |
| OHIO (OH) | $1706.78 | $1706.78 |
| OKLAHOMA (OK) | $1629.77 | $1629.77 |
| PORTLAND (OR) | $1760.13 | $1760.13 |
| REST OF OREGON (OR) | $1668.03 | $1668.03 |
| METROPOLITAN PHILADELPHIA (PA) | $1848.99 | $1848.99 |
| REST OF PENNSYLVANIA (PA) | $1691.79 | $1691.79 |
| PUERTO RICO (PR) | $1756.62 | $1756.62 |
| RHODE ISLAND (RI) | $1759.92 | $1759.92 |
| SOUTH CAROLINA (SC) | $1668.30 | $1668.30 |
| SOUTH DAKOTA** (SD) | $1566.26 | $1566.26 |
| TENNESSEE (TN) | $1570.91 | $1570.91 |
| BRAZORIA (TX) | $1694.15 | $1694.15 |
| DALLAS (TX) | $1720.04 | $1720.04 |
| GALVESTON (TX) | $1708.91 | $1708.91 |
| HOUSTON (TX) | $1864.31 | $1864.31 |
| BEAUMONT (TX) | $1682.65 | $1682.65 |
| FORT WORTH (TX) | $1717.98 | $1717.98 |
| AUSTIN (TX) | $1757.37 | $1757.37 |
| REST OF TEXAS (TX) | $1697.71 | $1697.71 |
| UTAH (UT) | $1691.11 | $1691.11 |
| VIRGINIA (VA) | $1661.40 | $1661.40 |
| VIRGIN ISLANDS (VI) | $1756.62 | $1756.62 |
| VERMONT (VT) | $1608.71 | $1608.71 |
| SEATTLE (KING CNTY) (WA) | $1878.01 | $1878.01 |
| REST OF WASHINGTON (WA) | $1728.90 | $1728.90 |
| WISCONSIN (WI) | $1534.16 | $1534.16 |
| WEST VIRGINIA (WV) | $1801.42 | $1801.42 |
| WYOMING** (WY) | $1680.82 | $1680.82 |
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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's Physician Fee Schedule amount is built from three Relative Value Units (RVUs) assigned to the code: physician work, practice expense (PE), and malpractice (MP). 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 national conversion factor to produce a dollar amount. Practice-expense RVUs typically differ between non-facility (e.g., office) and facility (e.g., hospital, ASC) settings because overhead costs differ, which is why this code may show two different allowed amounts. The work and malpractice RVUs generally stay the same across settings, while the PE RVU component drives most of the site-of-service difference.
RVUs — work 26.82, practice expense 17.22 (non-facility) / 17.22 (facility), malpractice 8.49 — × the locality GPCIs × the 2026 conversion factor of $33.40.
Good to know
- All figures are estimates based on the published PFS formula, not a payment guarantee.
- Medicare typically pays 80% of the allowed amount after the patient meets their Part B deductible; the patient or secondary payer is responsible for the remainder.
- Modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can change the actual paid amount.
- Locality-specific GPCIs mean the national amount shown may differ from what your Medicare Administrative Contractor (MAC) actually pays in your area.
- Always verify current-year rates and any applicable edits with your MAC before billing or appealing a denial.
Frequently asked
Why does CPT 22808 show the same amount for facility and non-facility settings?
The amounts match when the practice-expense RVU for non-facility and facility settings is identical, meaning Medicare assumes similar overhead costs regardless of site of service for this code. If PE RVUs differ, the two amounts would diverge.
Does this page tell me what Medicare will actually pay on my claim?
No. This is a PFS estimate using national RVUs and the conversion factor. Your actual payment depends on your locality GPCIs, any modifiers, secondary payer rules, and sequestration, so the final remittance may differ.
Why would a denial or reduced payment occur even if the fee schedule shows an amount?
Fee schedule amounts assume the service is medically necessary, correctly coded, and meets coverage criteria. Denials can still occur due to documentation issues, bundling edits, frequency limits, or lack of medical necessity, independent of the listed fee.
How often do these RVUs and the conversion factor change?
CMS updates RVUs and the conversion factor annually, and mid-year adjustments can occur due to legislation or budget-neutrality corrections, so amounts should be rechecked each year.
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.
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