{
    "code": "37242",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/37242/2019/A",
    "release_specific_url": "https://localishealth.com/cpt/37242/2019/B",
    "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 Q2 2019?",
        "text": "Medicare paid $7,622.27 for CPT 37242 in the office (non-facility) setting and $499.50 in a facility under the Q2 2019 Physician Fee Schedule, effective April 2019. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2019, when it increased 2.0%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2019,
        "quarter": "B",
        "label": "Q2 2019",
        "effective": "April 1 – June 30, 2019",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 7622.27,
        "facility": 499.5,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 9.8,
        "practice_expense_non_facility": 200.36,
        "practice_expense_facility": 2.72,
        "malpractice": 1.34
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 36.0391,
    "source": {
        "label": "Physician relative value file (Q2 2019)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu19b.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2019/B",
        "file": "PPRRVU19_APR.csv",
        "row": 8773,
        "sha256": "b427bbfdcb61b355ba034840681873d1bd6cdcf51752bdae1bab7c5449efc971"
    },
    "modified_at": "2026-08-04T03:08:53+00:00"
}