{
    "code": "11057",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/11057/2016/A",
    "release_specific_url": "https://localishealth.com/cpt/11057/2016/B",
    "answer": {
        "question": "How much did Medicare pay for CPT 11057 in Q2 2016?",
        "text": "Medicare paid $66.24 for CPT 11057 in the office (non-facility) setting and $30.43 in a facility under the Q2 2016 Physician Fee Schedule, effective April 2016. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2016, when it decreased 0.4%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2016,
        "quarter": "B",
        "label": "Q2 2016",
        "effective": "April 1 – June 30, 2016",
        "revision": 1
    },
    "status": {
        "code": "R",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 66.24,
        "facility": 30.43,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.65,
        "practice_expense_non_facility": 1.16,
        "practice_expense_facility": 0.16,
        "malpractice": 0.04
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.8043,
    "source": {
        "label": "Physician relative value file (Q2 2016)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16b.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2016/B",
        "file": "PPRRVU16_April_V0202.csv",
        "row": 4947,
        "sha256": "a6f009bac8359a1f7d870e6b668dd2e69d1658423373dbb0ca0c267cdae773b9"
    },
    "modified_at": "2026-08-04T03:06:42+00:00"
}