# CPT 68816

> The national PFS baseline was $780.84 for CPT 68816 in the Office (non-facility) setting and $151.06 in a facility under the Q1 2025 Physician Fee Schedule, effective January 2025. These are the national allowed amounts before locality (GPCI) adjustment; sequestration is excluded. Across payment localities, the office amount is $674.90–$1,093.23 and the facility amount is $137.65–$189.48. This is a 7.3% decrease from the previous quarter.

## Selected release

- Release: Q1 2025 (2025 A)
- Effective: January 1 – March 31, 2025
- Status indicator: A
- Office (non-facility) national allowed amount: $780.84
- Facility national allowed amount: $151.06
- Sequestration: not applied

## RVUs and formula

- Work RVU: 2.10
- Office (non-facility) practice expense RVU: 21.88
- Facility practice expense RVU: 2.41
- Malpractice RVU: 0.16
- Conversion factor: 32.3465
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q1 2025)
- CMS file: https://www.cms.gov/files/zip/rvu25a-updated-01/10/2025.zip
- Parsed file: PPRRVU25_JAN.csv, row 13,304
- Canonical page: https://localishealth.com/cpt/68816/2025/A
- Release-specific citation URL: https://localishealth.com/cpt/68816/2025/A
- Last significant update: 2026-08-04T03:14:43+00:00