# CPT 11422

> The national PFS baseline is $179.70 for CPT 11422 in the office (non-facility) setting and $124.25 in a facility under the Q3 2026 Physician Fee Schedule, effective July 2026. These are the national allowed amounts before locality (GPCI) adjustment; sequestration is excluded. Across payment localities, the office amount is $159.67–$234.58 and the facility amount is $112.04–$154.63. This price has been unchanged since Q1 2026, when it increased 3.1%.

## Selected release

- Release: Q3 2026 (2026 C)
- Effective: July 1 – September 30, 2026
- Status indicator: A
- Office (non-facility) national allowed amount: $179.70
- Facility national allowed amount: $124.25
- Sequestration: not applied

## RVUs and formula

- Work RVU: 1.64
- Office (non-facility) practice expense RVU: 3.53
- Facility practice expense RVU: 1.87
- Malpractice RVU: 0.21
- Conversion factor: 33.4009
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## NCCI edits

- Never-billable pair count: 66
- Modifier-allowed pair count: 215
- MUE units per patient per date of service: not published
- Complete list: https://localishealth.com/cpt/11422/ncci-edits.txt

## Source and citation

- Source: Physician relative value file (Q3 2026)
- CMS file: https://www.cms.gov/files/zip/rvu26c-updated-06-30-2026.zip
- Parsed file: PPRRVU2026_Jul_nonQPP.csv, row 1,257
- Canonical page: https://localishealth.com/cpt/11422
- Release-specific citation URL: https://localishealth.com/cpt/11422/2026/C
- Last significant update: 2026-08-11T00:15:57+00:00