{
    "code": "56405",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/56405/2020/A",
    "release_specific_url": "https://localishealth.com/cpt/56405/2020/B",
    "answer": {
        "question": "How much did Medicare pay for CPT 56405 in Q2 2020?",
        "text": "Medicare paid $133.17 for CPT 56405 in the office (non-facility) setting and $123.79 in a facility under the Q2 2020 Physician Fee Schedule, effective April 2020. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2020, when it increased 13.7%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2020,
        "quarter": "B",
        "label": "Q2 2020",
        "effective": "April 1 – June 30, 2020",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 133.17,
        "facility": 123.79,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 1.49,
        "practice_expense_non_facility": 1.94,
        "practice_expense_facility": 1.68,
        "malpractice": 0.26
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 36.0896,
    "source": {
        "label": "Physician relative value file (Q2 2020)",
        "cms_url": "https://www.cms.gov/files/zip/rvu20b-updated-05012020.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2020/B",
        "file": "PPRRVU20_APR.csv",
        "row": 10740,
        "sha256": "672d21e247262386ad5b386092de9835fecec65fabbeaae050718f9afeef097b"
    },
    "modified_at": "2026-08-04T03:09:33+00:00"
}