Medicare Reimbursement for CPT 22846

CPT 22846 is a physician procedure code; because CPT descriptors are proprietary to the AMA, we refer to it generically here as 'this procedure code.' This page shows the Medicare Physician Fee Schedule (PFS) allowed amount nationally and by locality, broken out for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$673.36	$673.36
ALASKA* (AK)	$823.95	$823.95
ALABAMA (AL)	$598.28	$598.28
ARKANSAS (AR)	$589.28	$589.28
ARIZONA (AZ)	$649.87	$649.87
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$690.31	$690.31
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$696.96	$696.96
OXNARD-THOUSAND OAKS-VENTURA (CA)	$658.86	$658.86
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$669.73	$669.73
NAPA (CA)	$676.03	$676.03
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$694.86	$694.86
VALLEJO (CA)	$669.47	$669.47
BAKERSFIELD (CA)	$641.68	$641.68
CHICO (CA)	$631.10	$631.10
FRESNO (CA)	$631.10	$631.10
HANFORD-CORCORAN (CA)	$631.10	$631.10
MADERA (CA)	$631.10	$631.10
MERCED (CA)	$631.10	$631.10
MODESTO (CA)	$631.10	$631.10
REDDING (CA)	$631.10	$631.10
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$673.96	$673.96
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$647.86	$647.86
SALINAS (CA)	$645.30	$645.30
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$715.57	$715.57
SANTA CRUZ-WATSONVILLE (CA)	$648.85	$648.85
SANTA ROSA-PETALUMA (CA)	$654.25	$654.25
STOCKTON (CA)	$631.10	$631.10
VISALIA (CA)	$631.10	$631.10
YUBA CITY (CA)	$631.10	$631.10
EL CENTRO (CA)	$631.77	$631.77
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$650.71	$650.71
SAN LUIS OBISPO-PASO ROBLES (CA)	$636.93	$636.93
SANTA MARIA-SANTA BARBARA (CA)	$645.03	$645.03
REST OF CALIFORNIA (CA)	$631.10	$631.10
COLORADO (CO)	$657.55	$657.55
CONNECTICUT (CT)	$720.01	$720.01
DC + MD/VA SUBURBS (DC)	$734.44	$734.44
DELAWARE (DE)	$660.23	$660.23
FORT LAUDERDALE (FL)	$783.35	$783.35
MIAMI (FL)	$883.71	$883.71
REST OF FLORIDA (FL)	$734.77	$734.77
ATLANTA (GA)	$703.66	$703.66
REST OF GEORGIA (GA)	$684.43	$684.43
HAWAII, GUAM (HI)	$635.55	$635.55
IOWA (IA)	$581.07	$581.07
IDAHO (ID)	$591.93	$591.93
EAST ST. LOUIS (IL)	$798.33	$798.33
SUBURBAN CHICAGO (IL)	$783.25	$783.25
CHICAGO (IL)	$850.32	$850.32
REST OF ILLINOIS (IL)	$736.97	$736.97
INDIANA (IN)	$594.62	$594.62
KANSAS (KS)	$593.91	$593.91
KENTUCKY (KY)	$646.92	$646.92
NEW ORLEANS (LA)	$683.58	$683.58
REST OF LOUISIANA (LA)	$652.14	$652.14
METROPOLITAN BOSTON (MA)	$701.49	$701.49
REST OF MASSACHUSETTS (MA)	$659.82	$659.82
BALTIMORE/SURR. CNTYS (MD)	$721.47	$721.47
REST OF MARYLAND (MD)	$668.04	$668.04
SOUTHERN MAINE (ME)	$622.72	$622.72
REST OF MAINE (ME)	$611.89	$611.89
DETROIT (MI)	$760.50	$760.50
REST OF MICHIGAN (MI)	$678.84	$678.84
MINNESOTA (MN)	$583.00	$583.00
METROPOLITAN ST. LOUIS (MO)	$667.12	$667.12
METROPOLITAN KANSAS CITY (MO)	$662.01	$662.01
REST OF MISSOURI (MO)	$651.17	$651.17
MISSISSIPPI (MS)	$619.55	$619.55
MONTANA** (MT)	$673.09	$673.09
NORTH CAROLINA (NC)	$615.92	$615.92
NORTH DAKOTA** (ND)	$593.80	$593.80
NEBRASKA (NE)	$579.61	$579.61
NEW HAMPSHIRE (NH)	$662.18	$662.18
NORTHERN NJ (NJ)	$729.61	$729.61
REST OF NEW JERSEY (NJ)	$714.98	$714.98
NEW MEXICO (NM)	$689.03	$689.03
NEVADA** (NV)	$651.13	$651.13
MANHATTAN (NY)	$799.66	$799.66
NYC SUBURBS/LONG ISLAND (NY)	$839.62	$839.62
POUGHKPSIE/N NYC SUBURBS (NY)	$732.54	$732.54
QUEENS (NY)	$783.09	$783.09
REST OF NEW YORK (NY)	$626.80	$626.80
OHIO (OH)	$662.64	$662.64
OKLAHOMA (OK)	$628.98	$628.98
PORTLAND (OR)	$660.59	$660.59
REST OF OREGON (OR)	$633.04	$633.04
METROPOLITAN PHILADELPHIA (PA)	$712.04	$712.04
REST OF PENNSYLVANIA (PA)	$654.88	$654.88
PUERTO RICO (PR)	$672.84	$672.84
RHODE ISLAND (RI)	$671.04	$671.04
SOUTH CAROLINA (SC)	$642.97	$642.97
SOUTH DAKOTA** (SD)	$584.43	$584.43
TENNESSEE (TN)	$599.01	$599.01
BRAZORIA (TX)	$645.91	$645.91
DALLAS (TX)	$657.43	$657.43
GALVESTON (TX)	$652.61	$652.61
HOUSTON (TX)	$726.00	$726.00
BEAUMONT (TX)	$651.65	$651.65
FORT WORTH (TX)	$657.82	$657.82
AUSTIN (TX)	$666.77	$666.77
REST OF TEXAS (TX)	$653.45	$653.45
UTAH (UT)	$651.56	$651.56
VIRGINIA (VA)	$631.68	$631.68
VIRGIN ISLANDS (VI)	$672.84	$672.84
VERMONT (VT)	$605.84	$605.84
SEATTLE (KING CNTY) (WA)	$699.83	$699.83
REST OF WASHINGTON (WA)	$653.79	$653.79
WISCONSIN (WI)	$574.98	$574.98
WEST VIRGINIA (WV)	$713.32	$713.32
WYOMING** (WY)	$638.54	$638.54

Look up another code or locality →

Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 1 unit 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 starts with three Relative Value Units (RVUs) assigned to the code — physician work, practice expense, and malpractice — which reflect the relative resources needed to furnish the service. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed, to account for regional cost differences. The adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce the allowed amount. Non-facility and facility rates can differ because the practice-expense RVU is typically lower in a facility setting, where the facility itself bills separately for overhead and supplies.

RVUs — work 12.09, practice expense 4.06 (non-facility) / 4.06 (facility), malpractice 4.01 — × 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 depends on claim-specific factors.
Medicare typically pays 80% of the allowed amount after the patient meets the Part B deductible; the patient or secondary insurer is responsible for the remainder.
Modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can all change the final paid amount.
GPCI values and the conversion factor are updated annually and can change mid-year with legislative action.
Always confirm current rates and any local coverage determinations with your Medicare Administrative Contractor (MAC) before billing.

Frequently asked

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

The practice-expense RVU component can vary by setting because overhead costs (equipment, supplies, staff time) are allocated differently when a service is performed in a facility versus a non-facility setting. Depending on the code, this can result in identical or different allowed amounts.

Does this page tell me exactly what my practice will be paid?

No. It shows the standard Medicare PFS calculation using national RVUs and locality GPCIs. Actual payment can be affected by modifiers, secondary payer coordination, contractual adjustments, and MAC-specific policies.

Why is CPT 22846's descriptor not shown?

CPT codes and descriptors are copyrighted by the American Medical Association. We display the code number and its computed PFS values but do not reproduce the licensed descriptor text.

How often do the RVUs and conversion factor change?

CMS updates RVUs and the conversion factor annually through PFS rulemaking, and can also apply mid-year adjustments due to legislation or budget-neutrality requirements.

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.