Medicare Reimbursement for CPT 22810

CPT 22810 is a surgical procedure code billed under the Medicare Physician Fee Schedule (PFS). This page shows the estimated national Medicare allowed amount for this code, along with how that amount is built from its relative value units (RVUs), and how it can vary by locality and by site of service (non-facility vs. facility).

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$1795.97	$1795.97
ALASKA* (AK)	$2246.45	$2246.45
ALABAMA (AL)	$1632.09	$1632.09
ARKANSAS (AR)	$1612.11	$1612.11
ARIZONA (AZ)	$1747.37	$1747.37
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$1993.71	$1993.71
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$2020.62	$2020.62
OXNARD-THOUSAND OAKS-VENTURA (CA)	$1842.57	$1842.57
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$1865.43	$1865.43
NAPA (CA)	$1928.31	$1928.31
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$2001.15	$2001.15
VALLEJO (CA)	$1917.59	$1917.59
BAKERSFIELD (CA)	$1782.85	$1782.85
CHICO (CA)	$1764.83	$1764.83
FRESNO (CA)	$1764.83	$1764.83
HANFORD-CORCORAN (CA)	$1764.83	$1764.83
MADERA (CA)	$1764.83	$1764.83
MERCED (CA)	$1764.83	$1764.83
MODESTO (CA)	$1764.83	$1764.83
REDDING (CA)	$1764.83	$1764.83
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$1835.21	$1835.21
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$1821.27	$1821.27
SALINAS (CA)	$1813.93	$1813.93
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$2051.03	$2051.03
SANTA CRUZ-WATSONVILLE (CA)	$1834.56	$1834.56
SANTA ROSA-PETALUMA (CA)	$1850.96	$1850.96
STOCKTON (CA)	$1764.83	$1764.83
VISALIA (CA)	$1764.83	$1764.83
YUBA CITY (CA)	$1764.83	$1764.83
EL CENTRO (CA)	$1765.92	$1765.92
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$1834.62	$1834.62
SAN LUIS OBISPO-PASO ROBLES (CA)	$1788.54	$1788.54
SANTA MARIA-SANTA BARBARA (CA)	$1814.72	$1814.72
REST OF CALIFORNIA (CA)	$1764.83	$1764.83
COLORADO (CO)	$1795.66	$1795.66
CONNECTICUT (CT)	$1904.89	$1904.89
DC + MD/VA SUBURBS (DC)	$1974.24	$1974.24
DELAWARE (DE)	$1772.38	$1772.38
FORT LAUDERDALE (FL)	$1979.91	$1979.91
MIAMI (FL)	$2153.08	$2153.08
REST OF FLORIDA (FL)	$1881.75	$1881.75
ATLANTA (GA)	$1851.84	$1851.84
REST OF GEORGIA (GA)	$1778.41	$1778.41
HAWAII, GUAM (HI)	$1779.41	$1779.41
IOWA (IA)	$1617.17	$1617.17
IDAHO (ID)	$1636.56	$1636.56
EAST ST. LOUIS (IL)	$1973.69	$1973.69
SUBURBAN CHICAGO (IL)	$1986.93	$1986.93
CHICAGO (IL)	$2089.22	$2089.22
REST OF ILLINOIS (IL)	$1871.16	$1871.16
INDIANA (IN)	$1643.26	$1643.26
KANSAS (KS)	$1634.51	$1634.51
KENTUCKY (KY)	$1716.16	$1716.16
NEW ORLEANS (LA)	$1793.18	$1793.18
REST OF LOUISIANA (LA)	$1723.36	$1723.36
METROPOLITAN BOSTON (MA)	$1920.94	$1920.94
REST OF MASSACHUSETTS (MA)	$1797.19	$1797.19
BALTIMORE/SURR. CNTYS (MD)	$1904.48	$1904.48
REST OF MARYLAND (MD)	$1794.90	$1794.90
SOUTHERN MAINE (ME)	$1710.28	$1710.28
REST OF MAINE (ME)	$1669.15	$1669.15
DETROIT (MI)	$1926.75	$1926.75
REST OF MICHIGAN (MI)	$1776.21	$1776.21
MINNESOTA (MN)	$1657.94	$1657.94
METROPOLITAN ST. LOUIS (MO)	$1769.93	$1769.93
METROPOLITAN KANSAS CITY (MO)	$1757.30	$1757.30
REST OF MISSOURI (MO)	$1714.18	$1714.18
MISSISSIPPI (MS)	$1662.21	$1662.21
MONTANA** (MT)	$1795.53	$1795.53
NORTH CAROLINA (NC)	$1680.04	$1680.04
NORTH DAKOTA** (ND)	$1666.01	$1666.01
NEBRASKA (NE)	$1617.43	$1617.43
NEW HAMPSHIRE (NH)	$1791.23	$1791.23
NORTHERN NJ (NJ)	$1963.70	$1963.70
REST OF NEW JERSEY (NJ)	$1908.95	$1908.95
NEW MEXICO (NM)	$1794.17	$1794.17
NEVADA** (NV)	$1759.98	$1759.98
MANHATTAN (NY)	$2079.15	$2079.15
NYC SUBURBS/LONG ISLAND (NY)	$2153.33	$2153.33
POUGHKPSIE/N NYC SUBURBS (NY)	$1940.46	$1940.46
QUEENS (NY)	$2058.68	$2058.68
REST OF NEW YORK (NY)	$1703.42	$1703.42
OHIO (OH)	$1749.74	$1749.74
OKLAHOMA (OK)	$1688.17	$1688.17
PORTLAND (OR)	$1817.58	$1817.58
REST OF OREGON (OR)	$1728.78	$1728.78
METROPOLITAN PHILADELPHIA (PA)	$1879.26	$1879.26
REST OF PENNSYLVANIA (PA)	$1738.71	$1738.71
PUERTO RICO (PR)	$1798.75	$1798.75
RHODE ISLAND (RI)	$1810.03	$1810.03
SOUTH CAROLINA (SC)	$1721.24	$1721.24
SOUTH DAKOTA** (SD)	$1650.70	$1650.70
TENNESSEE (TN)	$1644.49	$1644.49
BRAZORIA (TX)	$1751.08	$1751.08
DALLAS (TX)	$1771.93	$1771.93
GALVESTON (TX)	$1762.68	$1762.68
HOUSTON (TX)	$1882.57	$1882.57
BEAUMONT (TX)	$1730.80	$1730.80
FORT WORTH (TX)	$1769.26	$1769.26
AUSTIN (TX)	$1805.06	$1805.06
REST OF TEXAS (TX)	$1746.62	$1746.62
UTAH (UT)	$1740.56	$1740.56
VIRGINIA (VA)	$1722.27	$1722.27
VIRGIN ISLANDS (VI)	$1798.75	$1798.75
VERMONT (VT)	$1682.38	$1682.38
SEATTLE (KING CNTY) (WA)	$1932.40	$1932.40
REST OF WASHINGTON (WA)	$1786.24	$1786.24
WISCONSIN (WI)	$1621.41	$1621.41
WEST VIRGINIA (WV)	$1818.02	$1818.02
WYOMING** (WY)	$1739.08	$1739.08

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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 allowed amount for a procedure code starts with three RVU components — physician work, practice expense, and malpractice — which reflect the relative resources needed to furnish the service. Each component is adjusted by the Geographic Practice Cost Index (GPCI) for the specific locality where the service is performed, since costs vary across the country. The adjusted RVUs are summed and multiplied by the annual national conversion factor (a dollar figure set by CMS) to produce the allowed amount. Practice expense RVUs typically differ between non-facility settings (e.g., physician office) and facility settings (e.g., hospital), because overhead costs differ; in some codes, including this one, those values happen to be the same, so the non-facility and facility amounts shown are equal.

RVUs — work 30.71, practice expense 16.51 (non-facility) / 16.51 (facility), malpractice 6.55 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This is an estimate only, not a guarantee of payment — actual reimbursement can differ.
Medicare typically pays 80% of the allowed amount after the patient meets the Part B deductible; the beneficiary or secondary insurer is generally responsible for the rest.
Modifiers, multiple-procedure reductions, bilateral or assistant-at-surgery rules, and other claim-specific factors can change the final payment.
Annual conversion factor updates, sequestration, and budget-neutrality adjustments can shift amounts year to year.
Local Medicare Administrative Contractor (MAC) policies and locality-specific GPCIs may produce amounts different from the national figure shown here.
Always verify current rates and coverage policy with your MAC before billing or appealing a denial.

Frequently asked

Why does the amount shown here differ from what my MAC actually paid?

The figures on this page are national estimates calculated with standard RVUs, GPCIs, and the conversion factor. Your MAC's actual payment reflects your specific locality, any applicable modifiers, and other claim-level adjustments.

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

Because the practice expense RVU used for this code is identical in both non-facility and facility settings, the calculated allowed amount is the same regardless of place of service.

Does this amount reflect what Medicare actually pays the provider?

No. Medicare generally pays 80% of the allowed amount after the Part B deductible is met; the remaining portion may be billed to the patient or a secondary payer, subject to program rules.

Can this amount change during the year?

Yes. CMS can issue corrections, and factors like sequestration or mid-year policy changes can affect the final paid amount even though the conversion factor is typically set annually.

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.