{
    "code": "0235T",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/0235T/2013/A",
    "release_specific_url": "https://localishealth.com/cpt/0235T/2023/D",
    "answer": {
        "question": "What is the Medicare allowed amount for CPT 0235T?",
        "text": "CPT 0235T carries status C (carrier-priced) in the Q4 2023 release, so there is no single national rate—Medicare contractors publish their own amounts. Your Medicare Administrative Contractor prices this code case by case, usually after reviewing documentation. Contractor-published amounts on file range $8,486.79–$9,300.72 across 3 localities; enter a ZIP for the exact local amount."
    },
    "release": {
        "schedule": "pfs",
        "year": 2023,
        "quarter": "D",
        "label": "Q4 2023",
        "effective": "October 1 – December 31, 2023",
        "revision": 1
    },
    "status": {
        "code": "C",
        "non_facility_payable": false,
        "facility_payable": false
    },
    "national_rates_usd": {
        "office_non_facility": null,
        "facility": null,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": null,
        "practice_expense_non_facility": null,
        "practice_expense_facility": null,
        "malpractice": null
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 33.8872,
    "source": {
        "label": "Physician relative value file (Q4 2023)",
        "cms_url": "https://www.cms.gov/files/zip/rvu23d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2023/D",
        "file": "PPRRVU23_OCT.csv",
        "row": 5880,
        "sha256": "6558dc4fa634f462f996db05a7e6af5cbe365e93e508b8e24d1cbfb1f610dcbd"
    },
    "modified_at": "2026-08-07T22:19:29+00:00"
}