# CPT 28226

> The national PFS baseline was $627.29 for CPT 28226 in the Office (non-facility) setting and $403.51 in a facility under the Q2 2016 Physician Fee Schedule, effective April 2016. These are the national allowed amounts before locality (GPCI) adjustment; sequestration is excluded. Across payment localities, the office amount is $477.55–$787.35 and the facility amount is $319.79–$498.97. This amount has been unchanged since Q1 2016, when it increased 37.1%.

## Selected release

- Release: Q2 2016 (2016 B)
- Effective: April 1 – June 30, 2016
- Status indicator: A
- Office (non-facility) national allowed amount: $627.29
- Facility national allowed amount: $403.51
- Sequestration: not applied

## RVUs and formula

- Work RVU: 4.67
- Office (non-facility) practice expense RVU: 11.90
- Facility practice expense RVU: 5.65
- Malpractice RVU: 0.95
- Conversion factor: 35.8043
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q2 2016)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16b.zip
- Parsed file: PPRRVU16_April_V0202.csv, row 6,793
- Canonical page: https://localishealth.com/cpt/28226/2016/A
- Release-specific citation URL: https://localishealth.com/cpt/28226/2016/B
- Last significant update: 2026-08-04T03:06:42+00:00