{
    "code": "0904T",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/0904T/2025/A",
    "release_specific_url": "https://localishealth.com/cpt/0904T/2026/B",
    "answer": {
        "question": "What is the Medicare allowed amount for CPT 0904T?",
        "text": "CPT 0904T carries status C (carrier-priced) in the Q2 2026 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 $6.61–$10.29 across 43 localities; enter a ZIP for the exact local amount."
    },
    "release": {
        "schedule": "pfs",
        "year": 2026,
        "quarter": "B",
        "label": "Q2 2026",
        "effective": "April 1 – June 30, 2026",
        "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": 33.4009,
    "source": {
        "label": "Physician relative value file (Q2 2026)",
        "cms_url": "https://www.cms.gov/files/zip/rvu26b-updated-05-01-2026.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2026/B",
        "file": "PPRRVU2026_Apr_nonQPP.csv",
        "row": 928,
        "sha256": "afc9cf9fe60742518cf6aaccd507edc035052ab9ab1be48644be39f38fceec48"
    },
    "modified_at": "2026-09-14T06:28:28+00:00"
}