# CPT 77022: MR guidance for parenchymal tissue ablation

Medicare CPT 77022 pays $191.05 in a non-facility setting and $191.05 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $181.04 in Arkansas to $259.70 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/77022-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $191.05 |
| National facility | $191.05 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $259.70 | $259.70 |
| District of Columbia | $207.48 | $207.48 |
| New York | $205.52 | $205.52 |
| New Jersey | $204.53 | $204.53 |
| California | $201.02 | $201.02 |
| Washington | $200.26 | $200.26 |
| Massachusetts | $199.49 | $199.49 |
| Connecticut | $198.88 | $198.88 |
| Florida | $198.16 | $198.16 |
| Illinois | $196.69 | $196.69 |
| Maryland | $195.36 | $195.36 |
| Rhode Island | $194.39 | $194.39 |
| Hawaii | $194.23 | $194.23 |
| Colorado | $194.03 | $194.03 |
| Oregon | $192.58 | $192.58 |
| New Hampshire | $192.01 | $192.01 |
| Pennsylvania | $191.87 | $191.87 |
| Puerto Rico | $191.45 | $191.45 |
| Virgin Islands | $191.45 | $191.45 |
| Michigan | $191.26 | $191.26 |
| Montana | $191.04 | $191.04 |
| Georgia | $190.60 | $190.60 |
| Texas | $190.58 | $190.58 |
| Delaware | $190.45 | $190.45 |
| Nevada | $189.87 | $189.87 |
| Wyoming | $189.14 | $189.14 |
| New Mexico | $188.73 | $188.73 |
| Arizona | $188.58 | $188.58 |
| West Virginia | $188.23 | $188.23 |
| Virginia | $188.11 | $188.11 |
| Utah | $187.56 | $187.56 |
| Louisiana | $187.42 | $187.42 |
| Minnesota | $187.21 | $187.21 |
| Missouri | $187.17 | $187.17 |
| Ohio | $187.13 | $187.13 |
| Vermont | $186.97 | $186.97 |
| North Dakota | $186.69 | $186.69 |
| South Carolina | $186.47 | $186.47 |
| Maine | $186.27 | $186.27 |
| South Dakota | $186.17 | $186.17 |
| Kentucky | $185.35 | $185.35 |
| North Carolina | $185.33 | $185.33 |
| Oklahoma | $184.52 | $184.52 |
| Wisconsin | $184.05 | $184.05 |
| Indiana | $183.94 | $183.94 |
| Idaho | $183.52 | $183.52 |
| Tennessee | $183.49 | $183.49 |
| Kansas | $183.02 | $183.02 |
| Nebraska | $182.96 | $182.96 |
| Mississippi | $182.77 | $182.77 |
| Iowa | $182.73 | $182.73 |
| Alabama | $182.14 | $182.14 |
| Arkansas | $181.04 | $181.04 |

## Related codes

- 76932: Ultrasound guidance for endomyocardial biopsy — https://www.med-reveal.com/rates/76932-cpt-fee-schedule
- 76936: Ultrasound guidance for vascular access compression repair — https://www.med-reveal.com/rates/76936-cpt-fee-schedule
- 76940: Ultrasound guidance for tissue ablation — https://www.med-reveal.com/rates/76940-cpt-fee-schedule
- 76941: Ultrasound guidance for intrauterine fetal transfusion or procedure — https://www.med-reveal.com/rates/76941-cpt-fee-schedule
- 76942: Ultrasound guidance for needle placement — https://www.med-reveal.com/rates/76942-cpt-fee-schedule
- 76965: Ultrasound guidance for interstitial radioelement application — https://www.med-reveal.com/rates/76965-cpt-fee-schedule
- 76975: Ultrasound guidance for gastrointestinal endoscopic procedure — https://www.med-reveal.com/rates/76975-cpt-fee-schedule
- 77001: Fluoroscopic guidance for central venous access device placement — https://www.med-reveal.com/rates/77001-cpt-fee-schedule

Commercial negotiated rates for 77022 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules