# CPT 53230

> The national PFS baseline is $554.12 for CPT 53230 in the Office (non-facility) setting and $554.12 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, both settings' amount is $507.04–$712.81. This amount has been unchanged since Q1 2026, when it decreased 6.9%.

## Selected release

- Release: Q3 2026 (2026 C)
- Effective: July 1 – September 30, 2026
- Status indicator: A
- Office (non-facility) national allowed amount: $554.12
- Facility national allowed amount: $554.12
- Sequestration: not applied

## RVUs and formula

- Work RVU: 10.18
- Office (non-facility) practice expense RVU: 4.94
- Facility practice expense RVU: 4.94
- Malpractice RVU: 1.47
- 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: 82
- Modifier-allowed pair count: 164
- MUE units per patient per date of service: not published
- Complete list: https://localishealth.com/cpt/53230/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 6,123
- Canonical page: https://localishealth.com/cpt/53230
- Release-specific citation URL: https://localishealth.com/cpt/53230/2026/C
- Last significant update: 2026-08-11T00:15:57+00:00