Priced under CLFS
81517 · PFS Q1 2024 · Historical
Status X is not separately payable under the PFS.
CMS RVU24AMarch 9 – March 31, 2024revision 2
PFS status evidence
Inspect PFS status evidence
- Code
- 81517
- Release
- Q1 2024, revision 2
- Result
- Priced under CLFS
Citations
-
Shows this code’s PFS status (X). Result: Priced under CLFS.
Physician relative value file (PPRRVU)CMS RVU24AMarch 9 – March 31, 2024revision 2
This PFS record alone does not establish a $0 allowance or a coverage determination. Any amount from another schedule needs its own evidence.
PPRRVU24_JAN.csv row 15,422 in rvu24ar-posted-04-01-2024.zip
In the CMS file
Loading rows 15,420–15,424 of PPRRVU24_JAN.csv…
Download rvu24ar-posted-04-01-2024.zip from CMS File fingerprint
b6c71c98c3e26e2b217817da7000cc3516dc360a1c74d5ffd8f46bfa835f9741
CPT 81517 has no published national rate. It carries status X (statutory exclusion) in the Q1 2024 release. The statutory definition of physician services does not include this item. The blank amount means unpriced, not $0.
Why is there no national PFS amount for 81517?
Its status indicator is X (statutory exclusion). The statutory definition of physician services does not include this item. Status X is not separately payable under the PFS.
Which billing rules and modifiers apply? Copy link
CMS's surgical and split-billing indicators don't adjust 81517's amount.
Global surgery period XXX (does not apply).
Why would a Medicare claim for 81517 be denied or paid less?
These come from CMS indicators on this page, not general billing advice.
- Its status indicator is X (statutory exclusion)—The statutory definition of physician services does not include this item. See status indicators
Payer-specific coverage and documentation rules live outside these files, so a claim that clears every check here can still be denied on other grounds.
CMS RVU24AMarch 9 – March 31, 2024revision 2
Can you bill it with another code? Copy link
Source & method Copy link
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01 PPRRVU24_JAN.csv · Q1 2024 (RVU24A) · row 15,422—status X, RVUs limits
- Effective
- March 9 – March 31, 2024
- Locator
- PPRRVU24_JAN.csv in rvu24ar-posted-04-01-2024.zip · row 15,422 of 18,499 · via CMS
- Fields read
-
Status X (col 4)SHA-256 b6c71c98c3e26e2b…
- Doesn’t establish
- A locality-adjusted allowed amount, or the payment after sequestration. National baselines use GPCI 1.000 and exclude sequestration.
- Note
- Whether a national amount exists depends on the status and CMS’s payment instructions; blank RVUs are never treated as zero.
-
02 Physician & Other Practitioners · CY2024—volume and who bills it limits
- Effective
- Calendar-year snapshot, on a different cycle from the Q1 2024 fee schedule
- Doesn’t establish
- Medicare Advantage, Medicaid or commercial volume.
- Note
- The dataset suppresses rows under 11 beneficiaries.
Cite this rate
CPT 81517 National PFS baseline: No national PFS rate (Q1 2024; participating physician; whole service; GPCI 1.000; sequestration excluded). CMS RVU24A, PPRRVU24_JAN.csv row 15,422. Localis. https://localishealth.com/cpt/81517/2024/A
Past releases are never edited, so the citation stays checkable after CMS publishes a newer one. Methodology · Plain-text summary · JSON
How has it changed? Copy link
— Office (non-facility) and — Facility since Mar 9, 2024.
-
Mar 9, 2024 – present
Q1 2024
Still in effect · 12 releases at this rate- Office
- —
- Facility
- —
Q1 2024 Mar 9, 2024 – Mar 31, 2024 · Q2 2024 Apr 1, 2024 – Jun 30, 2024 · Q3 2024 Jul 1, 2024 – Sep 30, 2024 · Q4 2024 Oct 1, 2024 – Dec 31, 2024 · Q1 2025 Jan 1, 2025 – Mar 31, 2025 · Q2 2025 Apr 1, 2025 – Jun 30, 2025 · Q3 2025 Jul 1, 2025 – Sep 30, 2025 · Q4 2025 Oct 1, 2025 – Dec 31, 2025 · Q1 2026 Jan 1, 2026 – Mar 31, 2026 · Q2 2026 Apr 1, 2026 – Jun 30, 2026 · Q3 2026 Jul 1, 2026 – Sep 30, 2026 · Q4 2026 Oct 1, 2026 – present
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Jan 1, 2024 – Mar 8, 2024 · Superseded revision
Q1 2024 rev 1
Revision 1, later corrected by CMS- Office
- —
- Facility
- —
National baseline (GPCI 1.000), before sequestration.
When does this rate change?
CMS publishes a fee schedule release every quarter (January, April, July, October), and each is versioned here. See what changed each release, or get an email when a new release moves rates.
Sources: CMS Medicare Physician Fee Schedule Relative Value Files.
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Usage and related codes Copy link
In CY2024, 81517 ranked #2,565 of the 7,879 CPT codes billed to Medicare that year, by patients served or total allowed dollars.
- Services
- 7,669
- Allowed
- $1.3M
- Beneficiaries
- 7,291
CY2024 Medicare fee-for-service, from the CMS Physician & Other Practitioners dataset (limits).