{
    "code": "53899",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/53899/2014/B",
    "release_specific_url": "https://localishealth.com/cpt/53899/2019/D",
    "answer": {
        "question": "Did Medicare pay separately for CPT 53899 in Q4 2019?",
        "text": "Not at a published national rate. CPT 53899 carries status C (carrier-priced) in the Q4 2019 release. Your Medicare Administrative Contractor prices this code case by case, usually after reviewing documentation. Treat the blank amount as unpriced, not as $0."
    },
    "release": {
        "schedule": "pfs",
        "year": 2019,
        "quarter": "D",
        "label": "Q4 2019",
        "effective": "October 1 – December 31, 2019",
        "revision": 1
    },
    "status": {
        "code": "C",
        "non_facility_payable": false,
        "facility_payable": false
    },
    "national_rates_usd": {
        "office_non_facility": null,
        "facility": null,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": null,
        "practice_expense_non_facility": null,
        "practice_expense_facility": null,
        "malpractice": null
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 36.0391,
    "source": {
        "label": "Physician relative value file (Q4 2019)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu19d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2019/D",
        "file": "PPRRVU19_OCT.csv",
        "row": 10418,
        "sha256": "4efa7bdbffa98a56affa6d5b05e25d7ac5c39f26c7b281d0c773e7e530767cae"
    },
    "modified_at": "2026-08-04T03:09:13+00:00"
}