# CPT 46040

> Medicare paid $557.57 for CPT 46040 in the office (non-facility) setting and $429.41 in a facility under the Q2 2024 Physician Fee Schedule, effective April 2024. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. Across payment localities, the office amount is $491.21–$706.15 and the facility amount is $381.00–$522.24. This price has been unchanged since Q1 2024, when it decreased 1.5%.

## Selected release

- Release: Q2 2024 (2024 B)
- Effective: April 1 – June 30, 2024
- Status indicator: A
- Office (non-facility) national allowed amount: $557.57
- Facility national allowed amount: $429.41
- Sequestration: not applied

## RVUs and formula

- Work RVU: 5.37
- Office (non-facility) practice expense RVU: 10.21
- Facility practice expense RVU: 6.36
- Malpractice RVU: 1.17
- Conversion factor: 33.2875
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q2 2024)
- CMS file: https://www.cms.gov/files/zip/rvu24b-updated-03/18/2024.zip
- Parsed file: PPRRVU24_APR.csv, row 11,051
- Canonical page: https://localishealth.com/cpt/46040/2024/A
- Release-specific citation URL: https://localishealth.com/cpt/46040/2024/B
- Last significant update: 2026-08-04T03:13:49+00:00