# CPT 40650

> The national PFS baseline was $453.95 for CPT 40650 in the office (non-facility) setting and $310.32 in a facility under the Q1 2018 Physician Fee Schedule, effective January 2018. These are the national allowed amounts before locality (GPCI) adjustment; sequestration is excluded. Across payment localities, the office amount is $402.55–$558.30 and the facility amount is $277.59–$390.50. This is a 0.5% increase from the previous quarter.

## Selected release

- Release: Q1 2018 (2018 A)
- Effective: January 1 – March 31, 2018
- Status indicator: A
- Office (non-facility) national allowed amount: $453.95
- Facility national allowed amount: $310.32
- Sequestration: not applied

## RVUs and formula

- Work RVU: 3.78
- Office (non-facility) practice expense RVU: 8.27
- Facility practice expense RVU: 4.28
- Malpractice RVU: 0.56
- Conversion factor: 35.9996
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q1 2018)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu18ar1.zip
- Parsed file: PPRRVU18_JAN.csv, row 8,704
- Canonical page: https://localishealth.com/cpt/40650/2018/A
- Release-specific citation URL: https://localishealth.com/cpt/40650/2018/A
- Last significant update: 2026-09-14T15:22:39+00:00