Medicare Reimbursement for CPT 22850

This page shows the estimated Medicare Physician Fee Schedule (PFS) allowed amount for procedure code 22850, both at the national level and adjusted for your locality. Amounts are shown separately for non-facility (e.g., office) and facility (e.g., hospital) settings, since practice expense inputs can differ by place of service.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$716.78	$716.78
ALASKA* (AK)	$850.74	$850.74
ALABAMA (AL)	$636.08	$636.08
ARKANSAS (AR)	$626.20	$626.20
ARIZONA (AZ)	$693.11	$693.11
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$810.95	$810.95
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$822.42	$822.42
OXNARD-THOUSAND OAKS-VENTURA (CA)	$741.81	$741.81
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$750.39	$750.39
NAPA (CA)	$781.78	$781.78
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$814.37	$814.37
VALLEJO (CA)	$776.85	$776.85
BAKERSFIELD (CA)	$712.02	$712.02
CHICO (CA)	$704.04	$704.04
FRESNO (CA)	$704.04	$704.04
HANFORD-CORCORAN (CA)	$704.04	$704.04
MADERA (CA)	$704.04	$704.04
MERCED (CA)	$704.04	$704.04
MODESTO (CA)	$704.04	$704.04
REDDING (CA)	$704.04	$704.04
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$736.23	$736.23
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$729.99	$729.99
SALINAS (CA)	$727.20	$727.20
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$836.39	$836.39
SANTA CRUZ-WATSONVILLE (CA)	$740.62	$740.62
SANTA ROSA-PETALUMA (CA)	$747.35	$747.35
STOCKTON (CA)	$704.04	$704.04
VISALIA (CA)	$704.04	$704.04
YUBA CITY (CA)	$704.04	$704.04
EL CENTRO (CA)	$704.54	$704.54
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$738.46	$738.46
SAN LUIS OBISPO-PASO ROBLES (CA)	$716.80	$716.80
SANTA MARIA-SANTA BARBARA (CA)	$728.32	$728.32
REST OF CALIFORNIA (CA)	$704.04	$704.04
COLORADO (CO)	$717.58	$717.58
CONNECTICUT (CT)	$767.13	$767.13
DC + MD/VA SUBURBS (DC)	$798.20	$798.20
DELAWARE (DE)	$704.67	$704.67
FORT LAUDERDALE (FL)	$801.87	$801.87
MIAMI (FL)	$882.66	$882.66
REST OF FLORIDA (FL)	$754.30	$754.30
ATLANTA (GA)	$742.70	$742.70
REST OF GEORGIA (GA)	$704.05	$704.05
HAWAII, GUAM (HI)	$715.09	$715.09
IOWA (IA)	$630.95	$630.95
IDAHO (ID)	$640.07	$640.07
EAST ST. LOUIS (IL)	$795.00	$795.00
SUBURBAN CHICAGO (IL)	$804.64	$804.64
CHICAGO (IL)	$850.70	$850.70
REST OF ILLINOIS (IL)	$747.58	$747.58
INDIANA (IN)	$643.46	$643.46
KANSAS (KS)	$638.44	$638.44
KENTUCKY (KY)	$675.32	$675.32
NEW ORLEANS (LA)	$712.96	$712.96
REST OF LOUISIANA (LA)	$678.45	$678.45
METROPOLITAN BOSTON (MA)	$776.37	$776.37
REST OF MASSACHUSETTS (MA)	$717.21	$717.21
BALTIMORE/SURR. CNTYS (MD)	$767.38	$767.38
REST OF MARYLAND (MD)	$715.29	$715.29
SOUTHERN MAINE (ME)	$677.02	$677.02
REST OF MAINE (ME)	$655.05	$655.05
DETROIT (MI)	$775.37	$775.37
REST OF MICHIGAN (MI)	$703.95	$703.95
MINNESOTA (MN)	$654.61	$654.61
METROPOLITAN ST. LOUIS (MO)	$702.75	$702.75
METROPOLITAN KANSAS CITY (MO)	$696.38	$696.38
REST OF MISSOURI (MO)	$673.24	$673.24
MISSISSIPPI (MS)	$649.32	$649.32
MONTANA** (MT)	$716.58	$716.58
NORTH CAROLINA (NC)	$660.62	$660.62
NORTH DAKOTA** (ND)	$657.06	$657.06
NEBRASKA (NE)	$631.41	$631.41
NEW HAMPSHIRE (NH)	$716.38	$716.38
NORTHERN NJ (NJ)	$791.21	$791.21
REST OF NEW JERSEY (NJ)	$766.61	$766.61
NEW MEXICO (NM)	$712.37	$712.37
NEVADA** (NV)	$700.29	$700.29
MANHATTAN (NY)	$844.20	$844.20
NYC SUBURBS/LONG ISLAND (NY)	$879.46	$879.46
POUGHKPSIE/N NYC SUBURBS (NY)	$780.46	$780.46
QUEENS (NY)	$835.66	$835.66
REST OF NEW YORK (NY)	$672.09	$672.09
OHIO (OH)	$691.78	$691.78
OKLAHOMA (OK)	$662.63	$662.63
PORTLAND (OR)	$729.08	$729.08
REST OF OREGON (OR)	$685.74	$685.74
METROPOLITAN PHILADELPHIA (PA)	$754.10	$754.10
REST OF PENNSYLVANIA (PA)	$686.93	$686.93
PUERTO RICO (PR)	$718.54	$718.54
RHODE ISLAND (RI)	$721.79	$721.79
SOUTH CAROLINA (SC)	$679.16	$679.16
SOUTH DAKOTA** (SD)	$650.03	$650.03
TENNESSEE (TN)	$643.24	$643.24
BRAZORIA (TX)	$694.55	$694.55
DALLAS (TX)	$704.20	$704.20
GALVESTON (TX)	$699.97	$699.97
HOUSTON (TX)	$755.07	$755.07
BEAUMONT (TX)	$682.95	$682.95
FORT WORTH (TX)	$702.54	$702.54
AUSTIN (TX)	$723.16	$723.16
REST OF TEXAS (TX)	$691.90	$691.90
UTAH (UT)	$688.73	$688.73
VIRGINIA (VA)	$682.18	$682.18
VIRGIN ISLANDS (VI)	$718.54	$718.54
VERMONT (VT)	$664.15	$664.15
SEATTLE (KING CNTY) (WA)	$781.70	$781.70
REST OF WASHINGTON (WA)	$712.63	$712.63
WISCONSIN (WI)	$634.75	$634.75
WEST VIRGINIA (WV)	$721.26	$721.26
WYOMING** (WY)	$690.64	$690.64

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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 pricing for this procedure code is based on three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — each adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is furnished. The adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce the allowed amount. Practice expense RVUs typically differ between non-facility and facility settings because the resources and overhead involved differ by place of service; for this code those values are reported separately above. The conversion factor and GPCIs are updated annually and can change the final amount from one year to the next even if the RVUs stay the same.

RVUs — work 9.57, practice expense 8.88 (non-facility) / 8.88 (facility), malpractice 3.01 — × 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 can differ.
Medicare typically pays 80% of the allowed amount after the patient's deductible is met; the patient or secondary payer is responsible for the rest.
Modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can change the final paid amount.
Always verify current rates and coverage rules with your Medicare Administrative Contractor (MAC) before billing or appealing a denial.

Frequently asked

Why does the amount differ between non-facility and facility settings?

Because the practice expense RVU component reflects different overhead and resource assumptions depending on whether the service is performed in a physician office versus a facility like a hospital. For this code, those inputs are shown separately above.

Will I actually be paid this exact amount?

No. This is a PFS-based estimate. Actual payment depends on your specific locality, any applicable modifiers, the patient's benefit status, and other claim-specific adjustments.

Does this reflect what the patient owes?

Not directly. Medicare generally pays 80% of the allowed amount after the deductible; the remaining 20% (plus any unmet deductible) is typically the patient's or secondary insurer's responsibility.

Why might this amount change next year?

The conversion factor and GPCIs are updated annually, and RVUs can be revised through CMS rulemaking, so the allowed amount can shift even if the code description stays the same.

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.