{
    "code": "73564",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/73564/2019/A",
    "release_specific_url": "https://localishealth.com/cpt/73564/2019/B",
    "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 Q2 2019?",
        "text": "Medicare paid $42.17 for CPT 73564 in the office (non-facility) setting and $42.17 in a facility under the Q2 2019 Physician Fee Schedule, effective April 2019. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2019, when it increased 4.6%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2019,
        "quarter": "B",
        "label": "Q2 2019",
        "effective": "April 1 – June 30, 2019",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 42.17,
        "facility": 42.17,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.22,
        "practice_expense_non_facility": 0.93,
        "practice_expense_facility": 0.93,
        "malpractice": 0.02
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 36.0391,
    "source": {
        "label": "Physician relative value file (Q2 2019)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu19b.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2019/B",
        "file": "PPRRVU19_APR.csv",
        "row": 12264,
        "sha256": "b427bbfdcb61b355ba034840681873d1bd6cdcf51752bdae1bab7c5449efc971"
    },
    "modified_at": "2026-08-04T03:08:53+00:00"
}