# CPT 12011

> Medicare paid $114.54 for CPT 12011 in the office (non-facility) setting and $55.58 in a facility under the Q4 2023 Physician Fee Schedule, effective October 2023. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. Across payment localities, the office amount is $100.59–$144.48 and the facility amount is $49.53–$72.27. This price has been unchanged since Q1 2023, when it decreased 1.2%.

## Selected release

- Release: Q4 2023 (2023 D)
- Effective: October 1 – December 31, 2023
- Status indicator: A
- Office (non-facility) national allowed amount: $114.54
- Facility national allowed amount: $55.58
- Sequestration: not applied

## RVUs and formula

- Work RVU: 1.07
- Office (non-facility) practice expense RVU: 2.11
- Facility practice expense RVU: 0.37
- Malpractice RVU: 0.20
- Conversion factor: 33.8872
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q4 2023)
- CMS file: https://www.cms.gov/files/zip/rvu23d.zip
- Parsed file: PPRRVU23_OCT.csv, row 6,621
- Canonical page: https://localishealth.com/cpt/12011/2023/A
- Release-specific citation URL: https://localishealth.com/cpt/12011/2023/D
- Last significant update: 2026-08-04T03:13:13+00:00