# CPT 45915

> The national PFS baseline is $403.48 for CPT 45915 in the office (non-facility) setting and $231.80 in a facility under the Q3 2026 Physician Fee Schedule, effective July 2026. These are the national allowed amounts before locality (GPCI) adjustment; sequestration is excluded. Across payment localities, the office amount is $354.11–$528.57 and the facility amount is $206.64–$281.41. This price has been unchanged since Q1 2026, when it increased 16.7%.

## Selected release

- Release: Q3 2026 (2026 C)
- Effective: July 1 – September 30, 2026
- Status indicator: A
- Office (non-facility) national allowed amount: $403.48
- Facility national allowed amount: $231.80
- Sequestration: not applied

## RVUs and formula

- Work RVU: 3.11
- Office (non-facility) practice expense RVU: 8.35
- Facility practice expense RVU: 3.21
- Malpractice RVU: 0.62
- Conversion factor: 33.4009
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## NCCI edits

- Never-billable pair count: 227
- Modifier-allowed pair count: 169
- MUE units per patient per date of service: not published
- Complete list: https://localishealth.com/cpt/45915/ncci-edits.txt

## Source and citation

- Source: Physician relative value file (Q3 2026)
- CMS file: https://www.cms.gov/files/zip/rvu26c-updated-06-30-2026.zip
- Parsed file: PPRRVU2026_Jul_nonQPP.csv, row 5,507
- Canonical page: https://localishealth.com/cpt/45915
- Release-specific citation URL: https://localishealth.com/cpt/45915/2026/C
- Last significant update: 2026-08-11T00:15:57+00:00