{
    "code": "11010",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/11010/2018/A",
    "release_specific_url": "https://localishealth.com/cpt/11010/2018/C",
    "answer": {
        "question": "What was the Medicare allowed amount for CPT 11010 in Q3 2018?",
        "text": "The national PFS baseline was $519.47 for CPT 11010 in the office (non-facility) setting and $295.20 in a facility under the Q3 2018 Physician Fee Schedule, effective July 2018. These are the national allowed amounts before locality (GPCI) adjustment; sequestration is excluded. Across payment localities, the office amount is $456.97–$634.32 and the facility amount is $261.85–$375.58. This price has been unchanged since Q1 2018, when it increased 0.7%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2018,
        "quarter": "C",
        "label": "Q3 2018",
        "effective": "July 1 – September 30, 2018",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 519.47,
        "facility": 295.2,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 4.19,
        "practice_expense_non_facility": 9.43,
        "practice_expense_facility": 3.2,
        "malpractice": 0.81
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.9996,
    "source": {
        "label": "Physician relative value file (Q3 2018)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu18c1.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2018/C",
        "file": "PPRRVU18_JUL.csv",
        "row": 5255,
        "sha256": "514e3c115f8e62a35eb5f78fef7ed12ed7b60b22a5fe3f3f1bb5aadf119663c5"
    },
    "modified_at": "2026-09-14T15:22:58+00:00"
}