# CPT 40840

> The national PFS baseline was $838.07 for CPT 40840 in the Office (non-facility) setting and $649.79 in a facility under the Q2 2018 Physician Fee Schedule, effective April 2018. These are the national allowed amounts before locality (GPCI) adjustment; sequestration is excluded. Across payment localities, the office amount is $746.02–$1,041.08 and the facility amount is $582.22–$830.78. This amount has been unchanged since Q1 2018, when it decreased 0.1%.

## Selected release

- Release: Q2 2018 (2018 B)
- Effective: April 1 – June 30, 2018
- Status indicator: R
- Office (non-facility) national allowed amount: $838.07
- Facility national allowed amount: $649.79
- Sequestration: not applied

## RVUs and formula

- Work RVU: 9.15
- Office (non-facility) practice expense RVU: 12.69
- Facility practice expense RVU: 7.46
- Malpractice RVU: 1.44
- 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 (Q2 2018)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu18b.zip
- Parsed file: PPRRVU18_APR.csv, row 8,753
- Canonical page: https://localishealth.com/cpt/40840/2018/A
- Release-specific citation URL: https://localishealth.com/cpt/40840/2018/B
- Last significant update: 2026-09-14T15:22:49+00:00