{
    "code": "76872",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/76872/2022/A",
    "release_specific_url": "https://localishealth.com/cpt/76872/2022/A",
    "answer": {
        "question": "How much did Medicare pay for CPT 76872 in Q1 2022?",
        "text": "Medicare paid $211.44 for CPT 76872 in the office (non-facility) setting and $211.44 in a facility under the Q1 2022 Physician Fee Schedule, effective January 2022. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 10.0% increase from the previous quarter."
    },
    "release": {
        "schedule": "pfs",
        "year": 2022,
        "quarter": "A",
        "label": "Q1 2022",
        "effective": "January 1 – March 31, 2022",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 211.44,
        "facility": 211.44,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.69,
        "practice_expense_non_facility": 5.38,
        "practice_expense_facility": 5.38,
        "malpractice": 0.04
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 34.6062,
    "source": {
        "label": "Physician relative value file (Q1 2022)",
        "cms_url": "https://www.cms.gov/files/zip/rvu22a.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2022/A",
        "file": "PPRRVU22_JAN.csv",
        "row": 13393,
        "sha256": "10258dd1f6966657ef18c0f2c85ff446c9d799406974c4b536139a327c43799e"
    },
    "modified_at": "2026-08-04T03:11:16+00:00"
}
