{
    "code": "84270",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/84270/2014/B",
    "release_specific_url": "https://localishealth.com/cpt/84270/2018/D",
    "description": "Measures sex hormone binding globulin, the carrier protein that grips most of the testosterone and estrogen circulating in blood and keeps it from acting on tissues. Because it controls how much hormone is actually available, this result is normally read next to a total testosterone level rather than on its own. Levels drift with age, weight, thyroid function, and liver health, which is exactly why the test exists.",
    "answer": {
        "question": "Did Medicare pay separately for CPT 84270 in Q4 2018?",
        "text": "Not at a published national rate. CPT 84270 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": 14105,
        "sha256": "c6312c12acd1b8ed78b409e8508357929aa7e764e333ec568ebb9c0774b7dc4d"
    },
    "modified_at": "2026-08-04T03:08:37+00:00"
}
