{
    "code": "37243",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/37243/2015/D",
    "release_specific_url": "https://localishealth.com/cpt/37243/2015/D",
    "description": "Blocking the blood supply to a tumor or to a segment of an organ on purpose, by threading a catheter to the feeding artery and injecting particles, beads, or coils until flow stops. Starving the target of blood shrinks it, kills tumor tissue, or reduces the size of an overactive organ. Within the embolization family this is the tumor-and-organ version, distinct from the codes used for vascular malformations and aneurysms, for veins, and for stopping active bleeding. The angiographic imaging needed to map the vessels and confirm the result is included in the same service.",
    "answer": {
        "question": "How much did Medicare pay for CPT 37243 in Q4 2015?",
        "text": "Medicare paid $9,993.11 for CPT 37243 in the office (non-facility) setting and $619.49 in a facility under the Q4 2015 Physician Fee Schedule, effective October 2015. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 0.5% increase from the previous quarter."
    },
    "release": {
        "schedule": "pfs",
        "year": 2015,
        "quarter": "D",
        "label": "Q4 2015",
        "effective": "October 1 – December 31, 2015",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 9993.11,
        "facility": 619.49,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 11.99,
        "practice_expense_non_facility": 264.58,
        "practice_expense_facility": 3.72,
        "malpractice": 1.53
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.9335,
    "source": {
        "label": "Physician relative value file (Q4 2015)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu15d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2015/D",
        "file": "PPRRVU15_OCT05_V1001.csv",
        "row": 8022,
        "sha256": "302a55af716b26df5b42e80da7b2bd7cf5268007658df88133553f5e4e75523f"
    },
    "modified_at": "2026-08-04T03:06:14+00:00"
}