# CPT 28750

> The national PFS baseline was $791.27 for CPT 28750 in the Office (non-facility) setting and $584.89 in a facility under the Q3 2023 Physician Fee Schedule, effective July 2023. These are the national allowed amounts before locality (GPCI) adjustment; sequestration is excluded. Across payment localities, the office amount is $703.82–$992.79 and the facility amount is $527.78–$740.52. This amount has been unchanged since Q1 2023, when it decreased 1.7%.

## Selected release

- Release: Q3 2023 (2023 C)
- Effective: July 1 – September 30, 2023
- Status indicator: A
- Office (non-facility) national allowed amount: $791.27
- Facility national allowed amount: $584.89
- Sequestration: not applied

## RVUs and formula

- Work RVU: 8.57
- Office (non-facility) practice expense RVU: 13.65
- Facility practice expense RVU: 7.56
- Malpractice RVU: 1.13
- 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 (Q3 2023)
- CMS file: https://www.cms.gov/files/zip/rvu23c.zip
- Parsed file: PPRRVU23_JUL.csv, row 8,423
- Canonical page: https://localishealth.com/cpt/28750/2023/A
- Release-specific citation URL: https://localishealth.com/cpt/28750/2023/C
- Last significant update: 2026-08-04T03:12:57+00:00