{
    "code": "82533",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/82533/2014/B",
    "release_specific_url": "https://localishealth.com/cpt/82533/2017/C",
    "description": "Measurement of total cortisol, the main stress hormone made by the adrenal glands. Cortisol follows a daily rhythm - usually highest in the early morning and lowest late at night - so the time the sample is drawn matters as much as the number itself. It is used to investigate both too much cortisol, as in Cushing syndrome, and too little, as in adrenal insufficiency, and it is often drawn repeatedly as part of stimulation or suppression testing rather than as a single standalone value.",
    "answer": {
        "question": "Did Medicare pay separately for CPT 82533 in Q3 2017?",
        "text": "Not at a published national rate. CPT 82533 carries status X (statutory exclusion) in the Q3 2017 release. The statutory definition of physician services does not include this item. Treat the blank amount as unpriced, not as $0."
    },
    "release": {
        "schedule": "pfs",
        "year": 2017,
        "quarter": "C",
        "label": "Q3 2017",
        "effective": "July 1 – September 30, 2017",
        "revision": 1
    },
    "status": {
        "code": "X",
        "non_facility_payable": false,
        "facility_payable": false
    },
    "national_rates_usd": {
        "office_non_facility": null,
        "facility": null,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": null,
        "practice_expense_non_facility": null,
        "practice_expense_facility": null,
        "malpractice": null
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.8887,
    "source": {
        "label": "Physician relative value file (Q3 2017)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu17c.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2017/C",
        "file": "PPRRVU17_JULY_V0503.csv",
        "row": 13682,
        "sha256": "900a883af582a5aea1ddfbf94ff14f240d036b71a2c76cfeb2f699e487fef5ce"
    },
    "modified_at": "2026-08-04T03:07:49+00:00"
}