# CPT 21243

> The national PFS baseline was $1,575.60 for CPT 21243 in the Office (non-facility) setting and $1,575.60 in a facility under the Q3 2025 Physician Fee Schedule, effective July 2025. These are the national allowed amounts before locality (GPCI) adjustment; sequestration is excluded. Across payment localities, both settings' amount is $1,438.11–$1,995.66. This amount has been unchanged since Q1 2025, when it decreased 5.4%.

## Selected release

- Release: Q3 2025 (2025 C)
- Effective: July 1 – September 30, 2025
- Status indicator: A
- Office (non-facility) national allowed amount: $1575.60
- Facility national allowed amount: $1575.60
- Sequestration: not applied

## RVUs and formula

- Work RVU: 24.53
- Office (non-facility) practice expense RVU: 21.65
- Facility practice expense RVU: 21.65
- Malpractice RVU: 2.53
- Conversion factor: 32.3465
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q3 2025)
- CMS file: https://www.cms.gov/files/zip/rvu25c-updated-06/05/2025.zip
- Parsed file: PPRRVU2025_Jul.csv, row 1,795
- Canonical page: https://localishealth.com/cpt/21243/2025/A
- Release-specific citation URL: https://localishealth.com/cpt/21243/2025/C
- Last significant update: 2026-08-04T03:15:26+00:00