{
    "code": "43213",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/43213/2017/A",
    "release_specific_url": "https://localishealth.com/cpt/43213/2017/C",
    "answer": {
        "question": "How much did Medicare pay for CPT 43213 in Q3 2017?",
        "text": "Medicare paid $1,172.12 for CPT 43213 in the office (non-facility) setting and $272.40 in a facility under the Q3 2017 Physician Fee Schedule, effective July 2017. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2017, when it decreased 5.8%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2017,
        "quarter": "C",
        "label": "Q3 2017",
        "effective": "July 1 – September 30, 2017",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 1172.12,
        "facility": 272.4,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 4.63,
        "practice_expense_non_facility": 27.38,
        "practice_expense_facility": 2.31,
        "malpractice": 0.65
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.8887,
    "source": {
        "label": "Physician relative value file (Q3 2017)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu17c.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2017/C",
        "file": "PPRRVU17_JULY_V0503.csv",
        "row": 8886,
        "sha256": "900a883af582a5aea1ddfbf94ff14f240d036b71a2c76cfeb2f699e487fef5ce"
    },
    "modified_at": "2026-08-04T03:07:49+00:00"
}