# CPT 31653

> The national PFS baseline was $1,197.47 for CPT 31653 in the Office (non-facility) setting and $232.25 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, the office amount is $1,042.66–$1,650.75 and the facility amount is $216.57–$310.53. This amount has been unchanged since Q1 2025, when it decreased 6.6%.

## Selected release

- Release: Q3 2025 (2025 C)
- Effective: July 1 – September 30, 2025
- Status indicator: A
- Office (non-facility) national allowed amount: $1197.47
- Facility national allowed amount: $232.25
- Sequestration: not applied

## RVUs and formula

- Work RVU: 4.96
- Office (non-facility) practice expense RVU: 31.57
- Facility practice expense RVU: 1.73
- Malpractice RVU: 0.49
- 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 3,531
- Canonical page: https://localishealth.com/cpt/31653/2025/A
- Release-specific citation URL: https://localishealth.com/cpt/31653/2025/C
- Last significant update: 2026-08-04T03:15:26+00:00