# CPT 36221

> The national PFS baseline was $908.94 for CPT 36221 in the office (non-facility) setting and $189.87 in a facility under the Q4 2025 Physician Fee Schedule, effective October 2025. These are the national allowed amounts before locality (GPCI) adjustment; sequestration is excluded. Across payment localities, the office amount is $789.81–$1,237.22 and the facility amount is $167.39–$244.62. This amount has been unchanged since Q1 2025, when it decreased 6.2%.

## Selected release

- Release: Q4 2025 (2025 D)
- Effective: October 1 – December 31, 2025
- Status indicator: A
- Office (non-facility) national allowed amount: $908.94
- Facility national allowed amount: $189.87
- Sequestration: not applied

## RVUs and formula

- Work RVU: 3.92
- Office (non-facility) practice expense RVU: 23.31
- Facility practice expense RVU: 1.08
- Malpractice RVU: 0.87
- 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 (Q4 2025)
- CMS file: https://www.cms.gov/files/zip/rvu25d-updated-09/11/2025.zip
- Parsed file: PPRRVU2025_Oct.csv, row 4,321
- Canonical page: https://localishealth.com/cpt/36221/2025/A
- Release-specific citation URL: https://localishealth.com/cpt/36221/2025/D
- Last significant update: 2026-08-04T03:15:45+00:00