{
    "code": "20525",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/20525/2021/A",
    "release_specific_url": "https://localishealth.com/cpt/20525/2021/C",
    "answer": {
        "question": "What was the Medicare allowed amount for CPT 20525 in Q3 2021?",
        "text": "The national PFS baseline was $497.23 for CPT 20525 in the office (non-facility) setting and $253.32 in a facility under the Q3 2021 Physician Fee Schedule, effective July 2021. These are the national allowed amounts before locality (GPCI) adjustment; sequestration is excluded. Across payment localities, the office amount is $431.65–$630.91 and the facility amount is $225.07–$321.34. This price has been unchanged since Q1 2021, when it increased 1.3%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2021,
        "quarter": "C",
        "label": "Q3 2021",
        "effective": "July 1 – September 30, 2021",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 497.23,
        "facility": 253.32,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 3.54,
        "practice_expense_non_facility": 10.08,
        "practice_expense_facility": 3.09,
        "malpractice": 0.63
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 34.8931,
    "source": {
        "label": "Physician relative value file (Q3 2021)",
        "cms_url": "https://www.cms.gov/files/zip/rvu21c-updated-6302021.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2021/C",
        "file": "PPRRVU21_JUL.csv",
        "row": 6276,
        "sha256": "ee14b5306942acfe4554d2d7cf3fe95d7b1a0f41fc7a0445bc2d06df857dd7b6"
    },
    "modified_at": "2026-08-04T03:10:45+00:00"
}