# CPT 58110

> The national PFS baseline was $51.99 for CPT 58110 in the office (non-facility) setting and $41.87 in a facility under the Q4 2021 Physician Fee Schedule, effective October 2021. These are the national allowed amounts before locality (GPCI) adjustment; sequestration is excluded. Across payment localities, the office amount is $46.41–$66.10 and the facility amount is $37.44–$54.79. This price has been unchanged since Q1 2021, when it decreased 1.3%.

## Selected release

- Release: Q4 2021 (2021 D)
- Effective: October 1 – December 31, 2021
- Status indicator: A
- Office (non-facility) national allowed amount: $51.99
- Facility national allowed amount: $41.87
- Sequestration: not applied

## RVUs and formula

- Work RVU: 0.77
- Office (non-facility) practice expense RVU: 0.59
- Facility practice expense RVU: 0.30
- Malpractice RVU: 0.13
- Conversion factor: 34.8931
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q4 2021)
- CMS file: https://www.cms.gov/files/zip/rvu21d.zip
- Parsed file: PPRRVU21_OCT.csv, row 10,987
- Canonical page: https://localishealth.com/cpt/58110/2021/A
- Release-specific citation URL: https://localishealth.com/cpt/58110/2021/D
- Last significant update: 2026-08-04T03:10:59+00:00