{
    "code": "37243",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/37243/2016/A",
    "release_specific_url": "https://localishealth.com/cpt/37243/2016/B",
    "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 Q2 2016?",
        "text": "Medicare paid $9,943.21 for CPT 37243 in the office (non-facility) setting and $610.11 in a facility under the Q2 2016 Physician Fee Schedule, effective April 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 0.5%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2016,
        "quarter": "B",
        "label": "Q2 2016",
        "effective": "April 1 – June 30, 2016",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 9943.21,
        "facility": 610.11,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 11.99,
        "practice_expense_non_facility": 264.52,
        "practice_expense_facility": 3.85,
        "malpractice": 1.2
    },
    "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 (Q2 2016)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16b.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2016/B",
        "file": "PPRRVU16_April_V0202.csv",
        "row": 8202,
        "sha256": "a6f009bac8359a1f7d870e6b668dd2e69d1658423373dbb0ca0c267cdae773b9"
    },
    "modified_at": "2026-08-04T03:06:42+00:00"
}