# CPT 43255

> The national PFS baseline was $587.09 for CPT 43255 in the office (non-facility) setting and $191.81 in a facility under the Q2 2025 Physician Fee Schedule, effective April 2025. These are the national allowed amounts before locality (GPCI) adjustment; sequestration is excluded. Across payment localities, the office amount is $516.10–$792.01 and the facility amount is $176.44–$248.96. This price has been unchanged since Q1 2025, when it decreased 5.6%.

## Selected release

- Release: Q2 2025 (2025 B)
- Effective: April 1 – June 30, 2025
- Status indicator: A
- Office (non-facility) national allowed amount: $587.09
- Facility national allowed amount: $191.81
- Sequestration: not applied

## RVUs and formula

- Work RVU: 3.56
- Office (non-facility) practice expense RVU: 14.17
- Facility practice expense RVU: 1.95
- Malpractice RVU: 0.42
- Conversion factor: 32.3465
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q2 2025)
- CMS file: https://www.cms.gov/files/zip/rvu25b-updated-06/05/2025.zip
- Parsed file: PPRRVU25_APR.csv, row 10,997
- Canonical page: https://localishealth.com/cpt/43255/2025/A
- Release-specific citation URL: https://localishealth.com/cpt/43255/2025/B
- Last significant update: 2026-08-04T03:14:58+00:00