{
    "code": "83695",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/83695/2014/B",
    "release_specific_url": "https://localishealth.com/cpt/83695/2018/D",
    "description": "Measures lipoprotein(a), a variant of LDL cholesterol that carries an extra protein making it unusually good at lodging in artery walls and at encouraging clot formation. Unlike ordinary cholesterol numbers, the level is set largely by inherited genetics and barely moves with diet, exercise, or standard statin treatment, so it is generally checked once rather than tracked over time. It helps account for cardiovascular risk that a routine lipid panel leaves unexplained.",
    "answer": {
        "question": "Did Medicare pay separately for CPT 83695 in Q4 2018?",
        "text": "Not at a published national rate. CPT 83695 carries status X (statutory exclusion) in the Q4 2018 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": 2018,
        "quarter": "D",
        "label": "Q4 2018",
        "effective": "October 1 – December 31, 2018",
        "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": 35.9996,
    "source": {
        "label": "Physician relative value file (Q4 2018)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu18d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2018/D",
        "file": "PPRRVU18_OCT.csv",
        "row": 14004,
        "sha256": "c6312c12acd1b8ed78b409e8508357929aa7e764e333ec568ebb9c0774b7dc4d"
    },
    "modified_at": "2026-08-04T03:08:37+00:00"
}