{
    "code": "55870",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/55870/2024/A",
    "release_specific_url": "https://localishealth.com/cpt/55870/2024/A",
    "answer": {
        "question": "How much did Medicare pay for CPT 55870 in Q1 2024?",
        "text": "Medicare paid $178.42 for CPT 55870 in the office (non-facility) setting and $140.47 in a facility under the Q1 2024 Physician Fee Schedule, effective January 2024. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 0.5% increase from the previous quarter."
    },
    "release": {
        "schedule": "pfs",
        "year": 2024,
        "quarter": "A",
        "label": "Q1 2024",
        "effective": "January 1 – March 31, 2024",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 178.42,
        "facility": 140.47,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 2.58,
        "practice_expense_non_facility": 2.46,
        "practice_expense_facility": 1.32,
        "malpractice": 0.32
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 33.2875,
    "source": {
        "label": "Physician relative value file (Q1 2024)",
        "cms_url": "https://www.cms.gov/files/zip/rvu24ar-posted-04/01/2024.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2024/A",
        "file": "PPRRVU24_JAN.csv",
        "row": 11821,
        "sha256": "b6c71c98c3e26e2b217817da7000cc3516dc360a1c74d5ffd8f46bfa835f9741"
    },
    "modified_at": "2026-08-04T03:13:31+00:00"
}