{
    "code": "55700",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/55700/2016/A",
    "release_specific_url": "https://localishealth.com/cpt/55700/2016/C",
    "description": "A needle biopsy of the prostate gland — one or more tissue samples taken through a needle or punch — most often performed to evaluate for prostate cancer.",
    "answer": {
        "question": "How much did Medicare pay for CPT 55700 in Q3 2016?",
        "text": "Medicare paid $221.63 for CPT 55700 in the office (non-facility) setting and $143.58 in a facility under the Q3 2016 Physician Fee Schedule, effective July 2016. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2016, when it decreased 0.2%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2016,
        "quarter": "C",
        "label": "Q3 2016",
        "effective": "July 1 – September 30, 2016",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 221.63,
        "facility": 143.58,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 2.58,
        "practice_expense_non_facility": 3.32,
        "practice_expense_facility": 1.14,
        "malpractice": 0.29
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.8043,
    "source": {
        "label": "Physician relative value file (Q3 2016)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16c.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2016/C",
        "file": "PPRRVU16_V0517.csv",
        "row": 9901,
        "sha256": "81464316ee60bdd4aa33b47a636b521a77a73481c795300cbab67f48dbe432d9"
    },
    "modified_at": "2026-08-04T03:06:56+00:00"
}