{
    "code": "64466",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/64466/2026/A",
    "release_specific_url": "https://localishealth.com/cpt/64466/2026/A",
    "answer": {
        "question": "What was the Medicare allowed amount for CPT 64466 in Q1 2026?",
        "text": "The national PFS baseline was $141.95 for CPT 64466 in the office (non-facility) setting and $61.46 in a facility under the Q1 2026 Physician Fee Schedule, effective January 2026. These are the national allowed amounts before locality (GPCI) adjustment; sequestration is excluded. Across payment localities, the office amount is $127.21–$184.27 and the facility amount is $57.89–$84.26. This is a 18.3% increase from the previous quarter."
    },
    "release": {
        "schedule": "pfs",
        "year": 2026,
        "quarter": "A",
        "label": "Q1 2026",
        "effective": "January 1 – March 31, 2026",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 141.95,
        "facility": 61.46,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 1.46,
        "practice_expense_non_facility": 2.65,
        "practice_expense_facility": 0.24,
        "malpractice": 0.14
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 33.4009,
    "source": {
        "label": "Physician relative value file (Q1 2026)",
        "cms_url": "https://www.cms.gov/files/zip/rvu26a-updated-12-29-2025.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2026/A",
        "file": "PPRRVU2026_Jan_nonQPP.csv",
        "row": 7020,
        "sha256": "9a15cb9cc117f079f5bbd41819bcad7c9ebf71fa8836ee186e079bc15b3269de"
    },
    "modified_at": "2026-08-04T03:16:00+00:00"
}
