{
    "code": "37242",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/37242/2016/A",
    "release_specific_url": "https://localishealth.com/cpt/37242/2016/C",
    "description": "Deliberate blocking of an artery from the inside, using coils, plugs, particles, or liquid agents delivered through a catheter, to shut down an abnormal blood vessel. This is the version used for structural vascular problems - things like an aneurysm or pseudoaneurysm, an arteriovenous malformation, or an abnormal direct connection between an artery and a vein - as opposed to sibling codes covering embolization of veins, of tumors and ischemic organs, or of active bleeding. All the imaging used to find, map, and confirm closure of the target vessel is bundled into the single service rather than reported alongside it.",
    "answer": {
        "question": "How much did Medicare pay for CPT 37242 in Q3 2016?",
        "text": "Medicare paid $7,829.33 for CPT 37242 in the office (non-facility) setting and $517.01 in a facility under the Q3 2016 Physician Fee Schedule, effective July 2016. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2016, when it decreased 1.1%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2016,
        "quarter": "C",
        "label": "Q3 2016",
        "effective": "July 1 – September 30, 2016",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 7829.33,
        "facility": 517.01,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 10.05,
        "practice_expense_non_facility": 207.38,
        "practice_expense_facility": 3.15,
        "malpractice": 1.24
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.8043,
    "source": {
        "label": "Physician relative value file (Q3 2016)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16c.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2016/C",
        "file": "PPRRVU16_V0517.csv",
        "row": 8214,
        "sha256": "81464316ee60bdd4aa33b47a636b521a77a73481c795300cbab67f48dbe432d9"
    },
    "modified_at": "2026-08-04T03:06:56+00:00"
}