# CPT 43226

> Medicare paid $387.40 for CPT 43226 in the office (non-facility) setting and $142.86 in a facility under the Q1 2016 Physician Fee Schedule, effective January 2016. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. Across payment localities, the office amount is $292.52–$499.83 and the facility amount is $120.12–$185.98. This is a 1.2% decrease from the previous quarter.

## Selected release

- Release: Q1 2016 (2016 A)
- Effective: January 1 – March 31, 2016
- Status indicator: A
- Office (non-facility) national allowed amount: $387.40
- Facility national allowed amount: $142.86
- Sequestration: not applied

## RVUs and formula

- Work RVU: 2.34
- Office (non-facility) practice expense RVU: 8.12
- Facility practice expense RVU: 1.29
- Malpractice RVU: 0.36
- Conversion factor: 35.8043
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q1 2016)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16a.zip
- Parsed file: PPRRVU16_V0122.csv, row 8,687
- Canonical page: https://localishealth.com/cpt/43226/2016/A
- Release-specific citation URL: https://localishealth.com/cpt/43226/2016/A
- Last significant update: 2026-08-04T03:06:29+00:00