{
    "code": "55845",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/55845/2023/A",
    "release_specific_url": "https://localishealth.com/cpt/55845/2023/D",
    "answer": {
        "question": "How much did Medicare pay for CPT 55845 in Q4 2023?",
        "text": "Medicare paid $1,355.49 for CPT 55845 in the office (non-facility) setting and $1,355.49 in a facility under the Q4 2023 Physician Fee Schedule, effective October 2023. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2023, when it decreased 1.4%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2023,
        "quarter": "D",
        "label": "Q4 2023",
        "effective": "October 1 – December 31, 2023",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 1355.49,
        "facility": 1355.49,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 25.18,
        "practice_expense_non_facility": 11.8,
        "practice_expense_facility": 11.8,
        "malpractice": 3.02
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 33.8872,
    "source": {
        "label": "Physician relative value file (Q4 2023)",
        "cms_url": "https://www.cms.gov/files/zip/rvu23d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2023/D",
        "file": "PPRRVU23_OCT.csv",
        "row": 11537,
        "sha256": "6558dc4fa634f462f996db05a7e6af5cbe365e93e508b8e24d1cbfb1f610dcbd"
    },
    "modified_at": "2026-08-04T03:13:13+00:00"
}