Medicare Reimbursement for CPT Code 22837

This page covers a specific CPT procedure code used in physician billing (the official descriptor is not shown here due to AMA licensing restrictions). It shows the Medicare Physician Fee Schedule (PFS) estimated allowed amount at the national level and, where available, by locality, broken out for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$1662.03	$1662.03
ALASKA* (AK)	$2209.57	$2209.57
ALABAMA (AL)	$1560.69	$1560.69
ARKANSAS (AR)	$1548.28	$1548.28
ARIZONA (AZ)	$1632.41	$1632.41
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$1857.92	$1857.92
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$1884.06	$1884.06
OXNARD-THOUSAND OAKS-VENTURA (CA)	$1717.60	$1717.60
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$1738.06	$1738.06
NAPA (CA)	$1795.94	$1795.94
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$1862.11	$1862.11
VALLEJO (CA)	$1789.90	$1789.90
BAKERSFIELD (CA)	$1672.55	$1672.55
CHICO (CA)	$1661.24	$1661.24
FRESNO (CA)	$1661.24	$1661.24
HANFORD-CORCORAN (CA)	$1661.24	$1661.24
MADERA (CA)	$1661.24	$1661.24
MERCED (CA)	$1661.24	$1661.24
MODESTO (CA)	$1661.24	$1661.24
REDDING (CA)	$1661.24	$1661.24
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$1701.47	$1701.47
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$1708.85	$1708.85
SALINAS (CA)	$1701.54	$1701.54
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$1901.19	$1901.19
SANTA CRUZ-WATSONVILLE (CA)	$1711.41	$1711.41
SANTA ROSA-PETALUMA (CA)	$1726.79	$1726.79
STOCKTON (CA)	$1661.24	$1661.24
VISALIA (CA)	$1661.24	$1661.24
YUBA CITY (CA)	$1661.24	$1661.24
EL CENTRO (CA)	$1661.86	$1661.86
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$1715.28	$1715.28
SAN LUIS OBISPO-PASO ROBLES (CA)	$1677.70	$1677.70
SANTA MARIA-SANTA BARBARA (CA)	$1700.75	$1700.75
REST OF CALIFORNIA (CA)	$1661.24	$1661.24
COLORADO (CO)	$1673.41	$1673.41
CONNECTICUT (CT)	$1740.50	$1740.50
DC + MD/VA SUBURBS (DC)	$1806.51	$1806.51
DELAWARE (DE)	$1650.77	$1650.77
FORT LAUDERDALE (FL)	$1766.59	$1766.59
MIAMI (FL)	$1866.17	$1866.17
REST OF FLORIDA (FL)	$1707.18	$1707.18
ATLANTA (GA)	$1696.39	$1696.39
REST OF GEORGIA (GA)	$1644.35	$1644.35
HAWAII, GUAM (HI)	$1662.58	$1662.58
IOWA (IA)	$1555.17	$1555.17
IDAHO (ID)	$1566.45	$1566.45
EAST ST. LOUIS (IL)	$1756.38	$1756.38
SUBURBAN CHICAGO (IL)	$1775.60	$1775.60
CHICAGO (IL)	$1831.64	$1831.64
REST OF ILLINOIS (IL)	$1698.12	$1698.12
INDIANA (IN)	$1570.74	$1570.74
KANSAS (KS)	$1564.15	$1564.15
KENTUCKY (KY)	$1609.06	$1609.06
NEW ORLEANS (LA)	$1656.21	$1656.21
REST OF LOUISIANA (LA)	$1612.83	$1612.83
METROPOLITAN BOSTON (MA)	$1770.13	$1770.13
REST OF MASSACHUSETTS (MA)	$1675.79	$1675.79
BALTIMORE/SURR. CNTYS (MD)	$1737.68	$1737.68
REST OF MARYLAND (MD)	$1668.08	$1668.08
SOUTHERN MAINE (ME)	$1613.10	$1613.10
REST OF MAINE (ME)	$1584.82	$1584.82
DETROIT (MI)	$1733.18	$1733.18
REST OF MICHIGAN (MI)	$1644.63	$1644.63
MINNESOTA (MN)	$1586.36	$1586.36
METROPOLITAN ST. LOUIS (MO)	$1643.90	$1643.90
METROPOLITAN KANSAS CITY (MO)	$1635.84	$1635.84
REST OF MISSOURI (MO)	$1606.00	$1606.00
MISSISSIPPI (MS)	$1576.66	$1576.66
MONTANA** (MT)	$1661.78	$1661.78
NORTH CAROLINA (NC)	$1591.89	$1591.89
NORTH DAKOTA** (ND)	$1588.82	$1588.82
NEBRASKA (NE)	$1555.89	$1555.89
NEW HAMPSHIRE (NH)	$1662.32	$1662.32
NORTHERN NJ (NJ)	$1804.48	$1804.48
REST OF NEW JERSEY (NJ)	$1755.44	$1755.44
NEW MEXICO (NM)	$1655.03	$1655.03
NEVADA** (NV)	$1641.83	$1641.83
MANHATTAN (NY)	$1870.25	$1870.25
NYC SUBURBS/LONG ISLAND (NY)	$1913.98	$1913.98
POUGHKPSIE/N NYC SUBURBS (NY)	$1776.29	$1776.29
QUEENS (NY)	$1860.15	$1860.15
REST OF NEW YORK (NY)	$1606.29	$1606.29
OHIO (OH)	$1629.71	$1629.71
OKLAHOMA (OK)	$1593.59	$1593.59
PORTLAND (OR)	$1691.46	$1691.46
REST OF OREGON (OR)	$1623.89	$1623.89
METROPOLITAN PHILADELPHIA (PA)	$1722.32	$1722.32
REST OF PENNSYLVANIA (PA)	$1623.86	$1623.86
PUERTO RICO (PR)	$1664.39	$1664.39
RHODE ISLAND (RI)	$1683.31	$1683.31
SOUTH CAROLINA (SC)	$1614.45	$1614.45
SOUTH DAKOTA** (SD)	$1580.19	$1580.19
TENNESSEE (TN)	$1570.13	$1570.13
BRAZORIA (TX)	$1640.72	$1640.72
DALLAS (TX)	$1653.40	$1653.40
GALVESTON (TX)	$1647.40	$1647.40
HOUSTON (TX)	$1714.94	$1714.94
BEAUMONT (TX)	$1618.83	$1618.83
FORT WORTH (TX)	$1651.17	$1651.17
AUSTIN (TX)	$1672.49	$1672.49
REST OF TEXAS (TX)	$1630.55	$1630.55
UTAH (UT)	$1626.49	$1626.49
VIRGINIA (VA)	$1619.29	$1619.29
VIRGIN ISLANDS (VI)	$1664.39	$1664.39
VERMONT (VT)	$1597.32	$1597.32
SEATTLE (KING CNTY) (WA)	$1784.16	$1784.16
REST OF WASHINGTON (WA)	$1667.89	$1667.89
WISCONSIN (WI)	$1560.66	$1560.66
WEST VIRGINIA (WV)	$1665.01	$1665.01
WYOMING** (WY)	$1629.98	$1629.98

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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, and malpractice. Each RVU component is adjusted by the Geographic Practice Cost Index (GPCI) values for the specific locality where the service is performed, reflecting local cost differences. The locality-adjusted RVUs are summed and then multiplied by the annual national conversion factor to produce a dollar amount. Practice-expense RVUs — and therefore the final payment — can differ between non-facility (e.g., office) and facility (e.g., hospital) settings because overhead costs differ in each setting.

RVUs — work 34.61, practice expense 11.46 (non-facility) / 11.46 (facility), malpractice 3.69 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This amount is an estimate only, not a guarantee of payment.
Medicare typically pays 80% of the allowed amount after the patient meets their annual deductible; the patient or secondary payer is generally responsible for the remainder.
Modifiers, place-of-service codes, sequestration, and annual budget-neutrality adjustments can change the actual paid amount.
Local Medicare Administrative Contractor (MAC) policies and locality-specific GPCI values may cause actual payment to differ from the national figure shown.
Always verify current-year rates and coverage rules with your MAC before billing or appealing a claim.

Frequently asked

Why does the non-facility amount differ from the facility amount for this code?

The two settings use different practice-expense RVUs because the cost of overhead (staff, supplies, equipment) is calculated differently when the service is performed in a physician's office versus a facility like a hospital, where the facility itself bears some of those costs.

Is the national amount what I'll actually be paid?

No. The national amount uses a GPCI value of 1.0 for all components as a reference point. Actual payment depends on the GPCI values for the specific locality where the service was furnished, plus any applicable modifiers or adjustments.

Why might this estimate change during the year?

CMS can apply mid-year or annual budget-neutrality adjustments, and sequestration or other statutory reductions can lower the actual paid amount relative to the published fee schedule rate.

Does this figure reflect what the patient will owe?

Not directly. This is the Medicare-allowed amount before cost-sharing. The patient's share depends on deductible status, coinsurance (typically 20%), 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.