Medicare Reimbursement for CPT 22847

CPT 22847 is a surgical procedure code reported to Medicare under the Physician Fee Schedule (PFS). This page shows the estimated Medicare-allowed amount for this code nationally and, where applicable, by locality, along with how the non-facility and facility rates compare.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$687.39	$687.39
ALASKA* (AK)	$878.25	$878.25
ALABAMA (AL)	$628.06	$628.06
ARKANSAS (AR)	$620.90	$620.90
ARIZONA (AZ)	$669.20	$669.20
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$733.72	$733.72
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$742.35	$742.35
OXNARD-THOUSAND OAKS-VENTURA (CA)	$689.96	$689.96
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$699.86	$699.86
NAPA (CA)	$714.13	$714.13
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$736.97	$736.97
VALLEJO (CA)	$709.45	$709.45
BAKERSFIELD (CA)	$672.29	$672.29
CHICO (CA)	$664.42	$664.42
FRESNO (CA)	$664.42	$664.42
HANFORD-CORCORAN (CA)	$664.42	$664.42
MADERA (CA)	$664.42	$664.42
MERCED (CA)	$664.42	$664.42
MODESTO (CA)	$664.42	$664.42
REDDING (CA)	$664.42	$664.42
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$695.15	$695.15
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$682.53	$682.53
SALINAS (CA)	$679.71	$679.71
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$755.63	$755.63
SANTA CRUZ-WATSONVILLE (CA)	$683.23	$683.23
SANTA ROSA-PETALUMA (CA)	$689.13	$689.13
STOCKTON (CA)	$664.42	$664.42
VISALIA (CA)	$664.42	$664.42
YUBA CITY (CA)	$664.42	$664.42
EL CENTRO (CA)	$664.90	$664.90
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$685.13	$685.13
SAN LUIS OBISPO-PASO ROBLES (CA)	$670.57	$670.57
SANTA MARIA-SANTA BARBARA (CA)	$679.37	$679.37
REST OF CALIFORNIA (CA)	$664.42	$664.42
COLORADO (CO)	$681.01	$681.01
CONNECTICUT (CT)	$727.44	$727.44
DC + MD/VA SUBURBS (DC)	$747.87	$747.87
DELAWARE (DE)	$678.27	$678.27
FORT LAUDERDALE (FL)	$766.43	$766.43
MIAMI (FL)	$839.31	$839.31
REST OF FLORIDA (FL)	$729.15	$729.15
ATLANTA (GA)	$710.23	$710.23
REST OF GEORGIA (GA)	$690.29	$690.29
HAWAII, GUAM (HI)	$666.76	$666.76
IOWA (IA)	$617.64	$617.64
IDAHO (ID)	$625.61	$625.61
EAST ST. LOUIS (IL)	$772.82	$772.82
SUBURBAN CHICAGO (IL)	$768.14	$768.14
CHICAGO (IL)	$814.95	$814.95
REST OF ILLINOIS (IL)	$728.73	$728.73
INDIANA (IN)	$627.85	$627.85
KANSAS (KS)	$626.29	$626.29
KENTUCKY (KY)	$663.40	$663.40
NEW ORLEANS (LA)	$691.95	$691.95
REST OF LOUISIANA (LA)	$666.94	$666.94
METROPOLITAN BOSTON (MA)	$723.02	$723.02
REST OF MASSACHUSETTS (MA)	$682.76	$682.76
BALTIMORE/SURR. CNTYS (MD)	$727.65	$727.65
REST OF MARYLAND (MD)	$685.76	$685.76
SOUTHERN MAINE (ME)	$650.85	$650.85
REST OF MAINE (ME)	$639.85	$639.85
DETROIT (MI)	$747.92	$747.92
REST OF MICHIGAN (MI)	$687.28	$687.28
MINNESOTA (MN)	$624.29	$624.29
METROPOLITAN ST. LOUIS (MO)	$680.72	$680.72
METROPOLITAN KANSAS CITY (MO)	$676.47	$676.47
REST OF MISSOURI (MO)	$665.18	$665.18
MISSISSIPPI (MS)	$642.59	$642.59
MONTANA** (MT)	$687.20	$687.20
NORTH CAROLINA (NC)	$643.33	$643.33
NORTH DAKOTA** (ND)	$630.65	$630.65
NEBRASKA (NE)	$616.97	$616.97
NEW HAMPSHIRE (NH)	$681.31	$681.31
NORTHERN NJ (NJ)	$745.04	$745.04
REST OF NEW JERSEY (NJ)	$727.76	$727.76
NEW MEXICO (NM)	$694.73	$694.73
NEVADA** (NV)	$671.58	$671.58
MANHATTAN (NY)	$795.26	$795.26
NYC SUBURBS/LONG ISLAND (NY)	$825.01	$825.01
POUGHKPSIE/N NYC SUBURBS (NY)	$741.23	$741.23
QUEENS (NY)	$784.36	$784.36
REST OF NEW YORK (NY)	$651.87	$651.87
OHIO (OH)	$675.72	$675.72
OKLAHOMA (OK)	$650.79	$650.79
PORTLAND (OR)	$685.99	$685.99
REST OF OREGON (OR)	$658.45	$658.45
METROPOLITAN PHILADELPHIA (PA)	$719.77	$719.77
REST OF PENNSYLVANIA (PA)	$670.41	$670.41
PUERTO RICO (PR)	$687.53	$687.53
RHODE ISLAND (RI)	$690.32	$690.32
SOUTH CAROLINA (SC)	$662.20	$662.20
SOUTH DAKOTA** (SD)	$623.96	$623.96
TENNESSEE (TN)	$630.15	$630.15
BRAZORIA (TX)	$668.68	$668.68
DALLAS (TX)	$677.29	$677.29
GALVESTON (TX)	$673.55	$673.55
HOUSTON (TX)	$725.90	$725.90
BEAUMONT (TX)	$667.74	$667.74
FORT WORTH (TX)	$677.11	$677.11
AUSTIN (TX)	$685.69	$685.69
REST OF TEXAS (TX)	$670.83	$670.83
UTAH (UT)	$669.07	$669.07
VIRGINIA (VA)	$656.88	$656.88
VIRGIN ISLANDS (VI)	$687.53	$687.53
VERMONT (VT)	$638.77	$638.77
SEATTLE (KING CNTY) (WA)	$724.81	$724.81
REST OF WASHINGTON (WA)	$677.97	$677.97
WISCONSIN (WI)	$615.28	$615.28
WEST VIRGINIA (WV)	$709.84	$709.84
WYOMING** (WY)	$662.55	$662.55

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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: 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 is built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — each adjusted by Geographic Practice Cost Indices (GPCIs) specific to the service locality. The adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce the allowed amount. Practice-expense RVUs can differ between non-facility (e.g., office) and facility (e.g., hospital) settings, which is why the same code may have two different allowed amounts. For this code, the practice-expense RVU is the same in both settings, so the resulting national amounts match.

RVUs — work 13.44, practice expense 4.28 (non-facility) / 4.28 (facility), malpractice 2.86 — × 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 annual Part B deductible is met; the patient or secondary insurer is generally responsible for the remainder.
Actual payment can vary by locality GPCIs, applicable modifiers, multiple-procedure or bilateral rules, sequestration, and annual budget-neutrality adjustments.
Always verify the current amount with your Medicare Administrative Contractor (MAC) before billing or appealing a denial.

Frequently asked

Why does the allowed amount change every year?

Medicare updates the conversion factor, RVUs, and GPCIs annually, and these changes are often required to keep the fee schedule budget-neutral, so the dollar amount can rise or fall from year to year.

Why is the non-facility and facility amount the same for this code?

When the practice-expense RVU is identical in both settings, the calculated allowed amount comes out the same regardless of where the service is performed.

Does this amount reflect what my specific locality will pay?

No — the national figure uses a national average; your locality's GPCIs will adjust the RVUs up or down based on regional cost differences.

Can modifiers change this amount?

Yes, modifiers such as those indicating bilateral procedures, multiple procedures, or assistant-at-surgery can increase or decrease the final payment relative to the base PFS amount shown here.

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.