# CPT 49451

> The national PFS baseline was $737.00 for CPT 49451 in the office (non-facility) setting and $94.42 in a facility under the Q4 2019 Physician Fee Schedule, effective October 2019. These are the national allowed amounts before locality (GPCI) adjustment; sequestration is excluded. Across payment localities, the office amount is $643.94–$973.66 and the facility amount is $87.52–$128.21. This amount has been unchanged since Q1 2019, when it decreased 1.0%.

## Selected release

- Release: Q4 2019 (2019 D)
- Effective: October 1 – December 31, 2019
- Status indicator: A
- Office (non-facility) national allowed amount: $737.00
- Facility national allowed amount: $94.42
- Sequestration: not applied

## RVUs and formula

- Work RVU: 1.84
- Office (non-facility) practice expense RVU: 18.43
- Facility practice expense RVU: 0.60
- Malpractice RVU: 0.18
- Conversion factor: 36.0391
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q4 2019)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu19d.zip
- Parsed file: PPRRVU19_OCT.csv, row 10,005
- Canonical page: https://localishealth.com/cpt/49451/2019/A
- Release-specific citation URL: https://localishealth.com/cpt/49451/2019/D
- Last significant update: 2026-08-04T03:09:13+00:00