Medicare Reimbursement for CPT 22848
CPT 22848 is a procedure code reported under the Medicare Physician Fee Schedule (PFS). This page shows the estimated Medicare-allowed amount for this code nationally and by locality, with separate figures for non-facility and facility settings where they differ.
Medicare allowed amount (2026)
| Locality | Non-facility | Facility |
|---|---|---|
| National (unadjusted) | $317.64 | $317.64 |
| ALASKA* (AK) | $393.27 | $393.27 |
| ALABAMA (AL) | $284.36 | $284.36 |
| ARKANSAS (AR) | $280.37 | $280.37 |
| ARIZONA (AZ) | $307.28 | $307.28 |
| SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA) | $329.19 | $329.19 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA) | $332.55 | $332.55 |
| OXNARD-THOUSAND OAKS-VENTURA (CA) | $312.93 | $312.93 |
| LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA) | $317.91 | $317.91 |
| NAPA (CA) | $321.84 | $321.84 |
| SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA) | $331.16 | $331.16 |
| VALLEJO (CA) | $318.99 | $318.99 |
| BAKERSFIELD (CA) | $304.81 | $304.81 |
| CHICO (CA) | $300.18 | $300.18 |
| FRESNO (CA) | $300.18 | $300.18 |
| HANFORD-CORCORAN (CA) | $300.18 | $300.18 |
| MADERA (CA) | $300.18 | $300.18 |
| MERCED (CA) | $300.18 | $300.18 |
| MODESTO (CA) | $300.18 | $300.18 |
| REDDING (CA) | $300.18 | $300.18 |
| RIVERSIDE-SAN BERNARDINO-ONTARIO (CA) | $318.80 | $318.80 |
| SACRAMENTO-ROSEVILLE-FOLSOM (CA) | $308.21 | $308.21 |
| SALINAS (CA) | $306.97 | $306.97 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA) | $340.63 | $340.63 |
| SANTA CRUZ-WATSONVILLE (CA) | $308.63 | $308.63 |
| SANTA ROSA-PETALUMA (CA) | $311.23 | $311.23 |
| STOCKTON (CA) | $300.18 | $300.18 |
| VISALIA (CA) | $300.18 | $300.18 |
| YUBA CITY (CA) | $300.18 | $300.18 |
| EL CENTRO (CA) | $300.47 | $300.47 |
| SAN DIEGO-CHULA VISTA-CARLSBAD (CA) | $309.51 | $309.51 |
| SAN LUIS OBISPO-PASO ROBLES (CA) | $302.95 | $302.95 |
| SANTA MARIA-SANTA BARBARA (CA) | $306.84 | $306.84 |
| REST OF CALIFORNIA (CA) | $300.18 | $300.18 |
| COLORADO (CO) | $311.38 | $311.38 |
| CONNECTICUT (CT) | $338.71 | $338.71 |
| DC + MD/VA SUBURBS (DC) | $346.22 | $346.22 |
| DELAWARE (DE) | $311.97 | $311.97 |
| FORT LAUDERDALE (FL) | $365.44 | $365.44 |
| MIAMI (FL) | $409.15 | $409.15 |
| REST OF FLORIDA (FL) | $344.04 | $344.04 |
| ATLANTA (GA) | $330.94 | $330.94 |
| REST OF GEORGIA (GA) | $321.84 | $321.84 |
| HAWAII, GUAM (HI) | $302.01 | $302.01 |
| IOWA (IA) | $277.12 | $277.12 |
| IDAHO (ID) | $281.86 | $281.86 |
| EAST ST. LOUIS (IL) | $371.42 | $371.42 |
| SUBURBAN CHICAGO (IL) | $365.62 | $365.62 |
| CHICAGO (IL) | $394.59 | $394.59 |
| REST OF ILLINOIS (IL) | $344.75 | $344.75 |
| INDIANA (IN) | $283.06 | $283.06 |
| KANSAS (KS) | $282.63 | $282.63 |
| KENTUCKY (KY) | $305.55 | $305.55 |
| NEW ORLEANS (LA) | $321.74 | $321.74 |
| REST OF LOUISIANA (LA) | $307.79 | $307.79 |
| METROPOLITAN BOSTON (MA) | $331.75 | $331.75 |
| REST OF MASSACHUSETTS (MA) | $312.38 | $312.38 |
| BALTIMORE/SURR. CNTYS (MD) | $339.24 | $339.24 |
| REST OF MARYLAND (MD) | $315.60 | $315.60 |
| SOUTHERN MAINE (ME) | $295.62 | $295.62 |
| REST OF MAINE (ME) | $290.52 | $290.52 |
| DETROIT (MI) | $355.25 | $355.25 |
| REST OF MICHIGAN (MI) | $319.53 | $319.53 |
| MINNESOTA (MN) | $278.60 | $278.60 |
| METROPOLITAN ST. LOUIS (MO) | $314.66 | $314.66 |
| METROPOLITAN KANSAS CITY (MO) | $312.37 | $312.37 |
| REST OF MISSOURI (MO) | $307.24 | $307.24 |
| MISSISSIPPI (MS) | $293.51 | $293.51 |
| MONTANA** (MT) | $317.53 | $317.53 |
| NORTH CAROLINA (NC) | $292.34 | $292.34 |
| NORTH DAKOTA** (ND) | $283.12 | $283.12 |
| NEBRASKA (NE) | $276.53 | $276.53 |
| NEW HAMPSHIRE (NH) | $313.02 | $313.02 |
| NORTHERN NJ (NJ) | $344.20 | $344.20 |
| REST OF NEW JERSEY (NJ) | $337.01 | $337.01 |
| NEW MEXICO (NM) | $323.97 | $323.97 |
| NEVADA** (NV) | $308.00 | $308.00 |
| MANHATTAN (NY) | $374.63 | $374.63 |
| NYC SUBURBS/LONG ISLAND (NY) | $392.12 | $392.12 |
| POUGHKPSIE/N NYC SUBURBS (NY) | $344.75 | $344.75 |
| QUEENS (NY) | $367.55 | $367.55 |
| REST OF NEW YORK (NY) | $297.16 | $297.16 |
| OHIO (OH) | $312.50 | $312.50 |
| OKLAHOMA (OK) | $297.78 | $297.78 |
| PORTLAND (OR) | $313.04 | $313.04 |
| REST OF OREGON (OR) | $300.12 | $300.12 |
| METROPOLITAN PHILADELPHIA (PA) | $335.01 | $335.01 |
| REST OF PENNSYLVANIA (PA) | $309.16 | $309.16 |
| PUERTO RICO (PR) | $317.48 | $317.48 |
| RHODE ISLAND (RI) | $317.20 | $317.20 |
| SOUTH CAROLINA (SC) | $304.03 | $304.03 |
| SOUTH DAKOTA** (SD) | $279.05 | $279.05 |
| TENNESSEE (TN) | $284.87 | $284.87 |
| BRAZORIA (TX) | $305.84 | $305.84 |
| DALLAS (TX) | $310.89 | $310.89 |
| GALVESTON (TX) | $308.76 | $308.76 |
| HOUSTON (TX) | $340.60 | $340.60 |
| BEAUMONT (TX) | $307.71 | $307.71 |
| FORT WORTH (TX) | $311.00 | $311.00 |
| AUSTIN (TX) | $315.15 | $315.15 |
| REST OF TEXAS (TX) | $308.72 | $308.72 |
| UTAH (UT) | $307.85 | $307.85 |
| VIRGINIA (VA) | $299.46 | $299.46 |
| VIRGIN ISLANDS (VI) | $317.48 | $317.48 |
| VERMONT (VT) | $288.29 | $288.29 |
| SEATTLE (KING CNTY) (WA) | $331.39 | $331.39 |
| REST OF WASHINGTON (WA) | $309.70 | $309.70 |
| WISCONSIN (WI) | $274.72 | $274.72 |
| WEST VIRGINIA (WV) | $334.25 | $334.25 |
| WYOMING** (WY) | $302.53 | $302.53 |
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: 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 PFS payment is built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — assigned to each code. Each RVU component is adjusted by the Geographic Practice Cost Index (GPCI) values for the specific locality where the service is billed, then the adjusted RVUs are summed and multiplied by the annual national conversion factor to produce a dollar amount. Practice-expense RVUs often differ between non-facility (e.g., office) and facility (e.g., hospital) settings because overhead costs differ, which can make the allowed amount vary by place of service; for this code, the practice-expense RVU is the same in both settings, so the non-facility and facility national amounts shown are equal.
RVUs — work 5.84, practice expense 1.93 (non-facility) / 1.93 (facility), malpractice 1.74 — × 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 patient meets the annual deductible; the patient or secondary payer is generally responsible for the remainder.
- Actual payment can vary by locality GPCI values, applicable modifiers, sequestration reductions, and annual budget-neutrality adjustments.
- Always confirm the current allowed amount and any applicable edits with your Medicare Administrative Contractor (MAC).
Frequently asked
Why do non-facility and facility amounts sometimes differ for the same code?
Medicare assigns different practice-expense RVUs depending on whether the service is performed in a non-facility setting (like a physician office) or a facility setting (like a hospital), reflecting different overhead costs. For CPT 22848, these RVUs are equal, so the national amounts match in both settings.
Does the amount shown reflect what Medicare will actually pay?
No. It's an estimate based on national RVUs, GPCIs, and the conversion factor. Final payment depends on the specific locality, any modifiers used, claim-specific adjustments, and current sequestration or policy changes.
Why does the allowed amount change from year to year?
RVUs, GPCIs, and the conversion factor are updated annually (and sometimes misvalued codes are revised), which can shift the allowed amount even if the code description hasn't changed.
Can I use this figure to bill the patient directly?
No. This is a reference estimate for understanding Medicare's fee schedule methodology, not billing or coding advice. Confirm actual allowed amounts and patient liability with your MAC or billing system.
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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