# CPT 53449

> The national PFS baseline is $559.47 for CPT 53449 in the Office (non-facility) setting and $559.47 in a facility under the Q4 2026 Physician Fee Schedule, effective October 2026. These are the national allowed amounts before locality (GPCI) adjustment; sequestration is excluded. Across payment localities, both settings' amount is $513.81–$722.65. This amount has been unchanged since Q1 2026, when it decreased 6.5%.

## Selected release

- Release: Q4 2026 (2026 D)
- Effective: October 1 – December 31, 2026
- Status indicator: A
- Office (non-facility) national allowed amount: $559.47
- Facility national allowed amount: $559.47
- Sequestration: not applied

## RVUs and formula

- Work RVU: 10.30
- Office (non-facility) practice expense RVU: 5.12
- Facility practice expense RVU: 5.12
- Malpractice RVU: 1.33
- 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: 78
- Modifier-allowed pair count: 151
- MUE units per patient per date of service: 1
- Complete list: https://localishealth.com/cpt/53449/ncci-edits.txt

## Source and citation

- Source: Physician relative value file (Q4 2026)
- CMS file: https://www.cms.gov/files/zip/rvu26d-updated-08-26-2026.zip
- Parsed file: PPRRVU2026_Oct_nonQPP.csv, row 6,206
- Canonical page: https://localishealth.com/cpt/53449
- Release-specific citation URL: https://localishealth.com/cpt/53449/2026/D
- Last significant update: 2026-09-01T06:33:29+00:00