{
    "code": "37790",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/37790/2025/A",
    "release_specific_url": "https://localishealth.com/cpt/37790/2025/C",
    "answer": {
        "question": "How much did Medicare pay for CPT 37790 in Q3 2025?",
        "text": "Medicare paid $473.23 for CPT 37790 in the office (non-facility) setting and $473.23 in a facility under the Q3 2025 Physician Fee Schedule, effective July 2025. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2025, when it decreased 2.2%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2025,
        "quarter": "C",
        "label": "Q3 2025",
        "effective": "July 1 – September 30, 2025",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 473.23,
        "facility": 473.23,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 8.43,
        "practice_expense_non_facility": 5.17,
        "practice_expense_facility": 5.17,
        "malpractice": 1.03
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 32.3465,
    "source": {
        "label": "Physician relative value file (Q3 2025)",
        "cms_url": "https://www.cms.gov/files/zip/rvu25c-updated-06/05/2025.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2025/C",
        "file": "PPRRVU2025_Jul.csv",
        "row": 4546,
        "sha256": "b7937472967288d5c4dcf43ecbc5d2d792e97d768c9f5ec9b1e88a99f3d0bbe7"
    },
    "modified_at": "2026-08-04T03:15:26+00:00"
}