{
    "code": "72146",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/72146/2023/A",
    "release_specific_url": "https://localishealth.com/cpt/72146/2023/C",
    "description": "An MRI of the thoracic spine - the middle stretch of the backbone that the ribs attach to - performed without injected contrast dye. It shows the vertebrae, the discs between them, and the spinal cord as it passes through the chest. It is the mid-back counterpart to the neck and low-back MRI codes, and it is the plain version rather than the dye-enhanced one.",
    "answer": {
        "question": "How much did Medicare pay for CPT 72146 in Q3 2023?",
        "text": "Medicare paid $201.29 for CPT 72146 in the office (non-facility) setting and $201.29 in a facility under the Q3 2023 Physician Fee Schedule, effective July 2023. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2023, when it decreased 2.7%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2023,
        "quarter": "C",
        "label": "Q3 2023",
        "effective": "July 1 – September 30, 2023",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 201.29,
        "facility": 201.29,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 1.48,
        "practice_expense_non_facility": 4.36,
        "practice_expense_facility": 4.36,
        "malpractice": 0.1
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 33.8872,
    "source": {
        "label": "Physician relative value file (Q3 2023)",
        "cms_url": "https://www.cms.gov/files/zip/rvu23c.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2023/C",
        "file": "PPRRVU23_JUL.csv",
        "row": 13093,
        "sha256": "64251eae48773025b05c6e45a77e1909e7151c421fe8f346124ba9623c491e37"
    },
    "modified_at": "2026-08-04T03:12:57+00:00"
}