# CPT 28750

> The national PFS baseline was $842.74 for CPT 28750 in the Office (non-facility) setting and $610.69 in a facility under the Q1 2015 Physician Fee Schedule, effective January 2015. These are the national allowed amounts before locality (GPCI) adjustment; sequestration is excluded. Across payment localities, the office amount is $666.70–$1,036.24 and the facility amount is $503.11–$779.37. This is a 0.5% increase from the previous quarter.

## Selected release

- Release: Q1 2015 (2015 A)
- Effective: January 1 – March 31, 2015
- Status indicator: A
- Office (non-facility) national allowed amount: $842.74
- Facility national allowed amount: $610.69
- Sequestration: not applied

## RVUs and formula

- Work RVU: 8.57
- Office (non-facility) practice expense RVU: 13.79
- Facility practice expense RVU: 7.30
- Malpractice RVU: 1.21
- Conversion factor: 35.7547
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q1 2015)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu15a.zip
- Parsed file: PPRRVU15_V1223c.csv, row 6,705
- Canonical page: https://localishealth.com/cpt/28750/2015/A
- Release-specific citation URL: https://localishealth.com/cpt/28750/2015/A
- Last significant update: 2026-08-04T03:05:39+00:00