# CPT 12031

> Medicare paid $268.39 for CPT 12031 in the office (non-facility) setting and $152.83 in a facility under the Q1 2023 Physician Fee Schedule, effective January 2023. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. Across payment localities, the office amount is $235.84–$350.05 and the facility amount is $137.27–$191.01. This is a 1.8% decrease from the previous quarter.

## Selected release

- Release: Q1 2023 (2023 A)
- Effective: January 1 – March 31, 2023
- Status indicator: A
- Office (non-facility) national allowed amount: $268.39
- Facility national allowed amount: $152.83
- Sequestration: not applied

## RVUs and formula

- Work RVU: 2.00
- Office (non-facility) practice expense RVU: 5.67
- Facility practice expense RVU: 2.26
- Malpractice RVU: 0.25
- 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 (Q1 2023)
- CMS file: https://www.cms.gov/files/zip/rvu23a-updated-01/31/2023.zip
- Parsed file: PPRRVU23_JAN.csv, row 6,474
- Canonical page: https://localishealth.com/cpt/12031/2023/A
- Release-specific citation URL: https://localishealth.com/cpt/12031/2023/A
- Last significant update: 2026-08-04T03:12:22+00:00