{
    "code": "84460",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/84460/2014/B",
    "release_specific_url": "https://localishealth.com/cpt/84460/2021/C",
    "description": "Measures alanine aminotransferase, an enzyme concentrated far more heavily in liver cells than anywhere else in the body. Because of that concentration, a rise points more directly at the liver than its partner enzyme AST does, which is found in muscle and heart tissue too. The two are ordinarily drawn together as part of a liver panel and read as a pair.",
    "answer": {
        "question": "Did Medicare pay separately for CPT 84460 in Q3 2021?",
        "text": "Not at a published national rate. CPT 84460 carries status X (statutory exclusion) in the Q3 2021 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": 2021,
        "quarter": "C",
        "label": "Q3 2021",
        "effective": "July 1 – September 30, 2021",
        "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": 34.8931,
    "source": {
        "label": "Physician relative value file (Q3 2021)",
        "cms_url": "https://www.cms.gov/files/zip/rvu21c-updated-6302021.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2021/C",
        "file": "PPRRVU21_JUL.csv",
        "row": 14783,
        "sha256": "ee14b5306942acfe4554d2d7cf3fe95d7b1a0f41fc7a0445bc2d06df857dd7b6"
    },
    "modified_at": "2026-08-04T03:10:45+00:00"
}