{
    "code": "37228",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/37228/2018/A",
    "release_specific_url": "https://localishealth.com/cpt/37228/2018/C",
    "answer": {
        "question": "How much did Medicare pay for CPT 37228 in Q3 2018?",
        "text": "Medicare paid $5,424.42 for CPT 37228 in the office (non-facility) setting and $571.67 in a facility under the Q3 2018 Physician Fee Schedule, effective July 2018. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2018, when it increased 0.3%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2018,
        "quarter": "C",
        "label": "Q3 2018",
        "effective": "July 1 – September 30, 2018",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 5424.42,
        "facility": 571.67,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 10.75,
        "practice_expense_non_facility": 137.69,
        "practice_expense_facility": 2.89,
        "malpractice": 2.24
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.9996,
    "source": {
        "label": "Physician relative value file (Q3 2018)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu18c1.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2018/C",
        "file": "PPRRVU18_JUL.csv",
        "row": 8535,
        "sha256": "514e3c115f8e62a35eb5f78fef7ed12ed7b60b22a5fe3f3f1bb5aadf119663c5"
    },
    "modified_at": "2026-08-04T03:08:27+00:00"
}