Medicare Reimbursement for CPT 22900

CPT 22900 is a physician procedure code reported to Medicare for payment under the Physician Fee Schedule (PFS). This page shows the estimated Medicare-allowed amount nationally and by locality, broken out for non-facility and facility settings. Because CPT descriptors are licensed by the AMA, this page refers to the code generically rather than reproducing its official description.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$547.44	$547.44
ALASKA* (AK)	$666.87	$666.87
ALABAMA (AL)	$492.44	$492.44
ARKANSAS (AR)	$485.70	$485.70
ARIZONA (AZ)	$531.39	$531.39
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$621.42	$621.42
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$630.37	$630.37
OXNARD-THOUSAND OAKS-VENTURA (CA)	$568.39	$568.39
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$574.83	$574.83
NAPA (CA)	$598.88	$598.88
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$623.67	$623.67
VALLEJO (CA)	$595.64	$595.64
BAKERSFIELD (CA)	$546.93	$546.93
CHICO (CA)	$541.56	$541.56
FRESNO (CA)	$541.56	$541.56
HANFORD-CORCORAN (CA)	$541.56	$541.56
MADERA (CA)	$541.56	$541.56
MERCED (CA)	$541.56	$541.56
MODESTO (CA)	$541.56	$541.56
REDDING (CA)	$541.56	$541.56
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$562.80	$562.80
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$560.81	$560.81
SALINAS (CA)	$558.61	$558.61
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$639.56	$639.56
SANTA CRUZ-WATSONVILLE (CA)	$567.68	$567.68
SANTA ROSA-PETALUMA (CA)	$572.86	$572.86
STOCKTON (CA)	$541.56	$541.56
VISALIA (CA)	$541.56	$541.56
YUBA CITY (CA)	$541.56	$541.56
EL CENTRO (CA)	$541.89	$541.89
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$566.52	$566.52
SAN LUIS OBISPO-PASO ROBLES (CA)	$550.61	$550.61
SANTA MARIA-SANTA BARBARA (CA)	$559.27	$559.27
REST OF CALIFORNIA (CA)	$541.56	$541.56
COLORADO (CO)	$549.68	$549.68
CONNECTICUT (CT)	$582.95	$582.95
DC + MD/VA SUBURBS (DC)	$607.00	$607.00
DELAWARE (DE)	$539.59	$539.59
FORT LAUDERDALE (FL)	$603.61	$603.61
MIAMI (FL)	$657.19	$657.19
REST OF FLORIDA (FL)	$571.45	$571.45
ATLANTA (GA)	$564.91	$564.91
REST OF GEORGIA (GA)	$537.41	$537.41
HAWAII, GUAM (HI)	$548.43	$548.43
IOWA (IA)	$489.68	$489.68
IDAHO (ID)	$495.75	$495.75
EAST ST. LOUIS (IL)	$597.67	$597.67
SUBURBAN CHICAGO (IL)	$606.07	$606.07
CHICAGO (IL)	$636.03	$636.03
REST OF ILLINOIS (IL)	$566.37	$566.37
INDIANA (IN)	$498.09	$498.09
KANSAS (KS)	$494.44	$494.44
KENTUCKY (KY)	$518.46	$518.46
NEW ORLEANS (LA)	$544.02	$544.02
REST OF LOUISIANA (LA)	$520.46	$520.46
METROPOLITAN BOSTON (MA)	$592.09	$592.09
REST OF MASSACHUSETTS (MA)	$549.50	$549.50
BALTIMORE/SURR. CNTYS (MD)	$582.81	$582.81
REST OF MARYLAND (MD)	$547.25	$547.25
SOUTHERN MAINE (ME)	$521.14	$521.14
REST OF MAINE (ME)	$505.61	$505.61
DETROIT (MI)	$585.44	$585.44
REST OF MICHIGAN (MI)	$537.66	$537.66
MINNESOTA (MN)	$506.98	$506.98
METROPOLITAN ST. LOUIS (MO)	$537.47	$537.47
METROPOLITAN KANSAS CITY (MO)	$533.08	$533.08
REST OF MISSOURI (MO)	$516.68	$516.68
MISSISSIPPI (MS)	$500.93	$500.93
MONTANA** (MT)	$547.31	$547.31
NORTH CAROLINA (NC)	$509.47	$509.47
NORTH DAKOTA** (ND)	$508.16	$508.16
NEBRASKA (NE)	$490.10	$490.10
NEW HAMPSHIRE (NH)	$547.80	$547.80
NORTHERN NJ (NJ)	$602.67	$602.67
REST OF NEW JERSEY (NJ)	$584.05	$584.05
NEW MEXICO (NM)	$543.27	$543.27
NEVADA** (NV)	$536.61	$536.61
MANHATTAN (NY)	$637.62	$637.62
NYC SUBURBS/LONG ISLAND (NY)	$661.22	$661.22
POUGHKPSIE/N NYC SUBURBS (NY)	$593.51	$593.51
QUEENS (NY)	$632.31	$632.31
REST OF NEW YORK (NY)	$517.28	$517.28
OHIO (OH)	$529.66	$529.66
OKLAHOMA (OK)	$510.18	$510.18
PORTLAND (OR)	$558.20	$558.20
REST OF OREGON (OR)	$526.96	$526.96
METROPOLITAN PHILADELPHIA (PA)	$573.71	$573.71
REST OF PENNSYLVANIA (PA)	$526.55	$526.55
PUERTO RICO (PR)	$548.76	$548.76
RHODE ISLAND (RI)	$552.39	$552.39
SOUTH CAROLINA (SC)	$521.53	$521.53
SOUTH DAKOTA** (SD)	$503.53	$503.53
TENNESSEE (TN)	$497.67	$497.67
BRAZORIA (TX)	$533.16	$533.16
DALLAS (TX)	$539.65	$539.65
GALVESTON (TX)	$536.76	$536.76
HOUSTON (TX)	$573.00	$573.00
BEAUMONT (TX)	$523.81	$523.81
FORT WORTH (TX)	$538.40	$538.40
AUSTIN (TX)	$552.65	$552.65
REST OF TEXAS (TX)	$530.29	$530.29
UTAH (UT)	$528.07	$528.07
VIRGINIA (VA)	$524.42	$524.42
VIRGIN ISLANDS (VI)	$548.76	$548.76
VERMONT (VT)	$512.67	$512.67
SEATTLE (KING CNTY) (WA)	$596.65	$596.65
REST OF WASHINGTON (WA)	$546.31	$546.31
WISCONSIN (WI)	$492.84	$492.84
WEST VIRGINIA (WV)	$548.38	$548.38
WYOMING** (WY)	$530.25	$530.25

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Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 3 units 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 Physician Fee Schedule amount is built from three Relative Value Units (RVUs) — physician work, practice expense (PE), and malpractice (MP) — assigned to each code. Each RVU component is adjusted by a Geographic Practice Cost Index (GPCI) specific to the locality where the service is billed, to account for regional cost differences. The adjusted RVUs are summed and multiplied by the annual national Conversion Factor to produce a dollar amount. Non-facility (e.g., office) and facility (e.g., hospital) settings often use different PE RVUs because practice-expense costs differ by site of service, though for some codes — including this one in the current dataset — the non-facility and facility PE RVUs are the same.

RVUs — work 8.11, practice expense 6.3 (non-facility) / 6.3 (facility), malpractice 1.98 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This is an estimate only, not a guarantee of payment or coverage.
Medicare typically pays 80% of the allowed amount after the patient meets the annual Part B deductible; the patient or secondary payer is responsible for the remainder.
Modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can change the actual paid amount.
Locality-specific GPCIs mean the national amount shown may differ from what a specific Medicare Administrative Contractor (MAC) pays.
Always verify current rates and local policies with your MAC before billing or appealing a denial.

Frequently asked

Why does the allowed amount differ by locality?

Each locality has its own GPCI values for work, practice expense, and malpractice, which adjust the RVUs to reflect local cost differences before the conversion factor is applied.

Why are the non-facility and facility amounts the same for this code?

The practice-expense RVU used to price this code is identical for both settings in the current dataset, so the calculated non-facility and facility amounts come out the same.

Does this amount reflect what Medicare will actually pay?

It reflects the Medicare-allowed amount before patient responsibility, modifiers, and claim-specific adjustments; actual payment can vary from this estimate.

Where can I find the official CPT code description?

CPT code descriptors are copyrighted by the AMA; consult your CPT codebook or a licensed coding reference for the official language.

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.