{
    "code": "73564",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/73564/2018/A",
    "release_specific_url": "https://localishealth.com/cpt/73564/2018/C",
    "description": "The most thorough plain X-ray of the knee, using four or more separate angles. The extra projections map the joint from several directions, which is what an orthopedic surgeon wants when planning treatment or measuring how much cartilage is left. Shorter one-or-two-view and three-view knee studies are coded separately.",
    "answer": {
        "question": "How much did Medicare pay for CPT 73564 in Q3 2018?",
        "text": "Medicare paid $40.32 for CPT 73564 in the office (non-facility) setting and $40.32 in a facility under the Q3 2018 Physician Fee Schedule, effective July 2018. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2018, when it increased 0.3%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2018,
        "quarter": "C",
        "label": "Q3 2018",
        "effective": "July 1 – September 30, 2018",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 40.32,
        "facility": 40.32,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.22,
        "practice_expense_non_facility": 0.88,
        "practice_expense_facility": 0.88,
        "malpractice": 0.02
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.9996,
    "source": {
        "label": "Physician relative value file (Q3 2018)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu18c1.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2018/C",
        "file": "PPRRVU18_JUL.csv",
        "row": 12045,
        "sha256": "514e3c115f8e62a35eb5f78fef7ed12ed7b60b22a5fe3f3f1bb5aadf119663c5"
    },
    "modified_at": "2026-08-04T03:08:27+00:00"
}