{
    "code": "85730",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/85730/2014/B",
    "release_specific_url": "https://localishealth.com/cpt/85730/2016/A",
    "description": "Times how many seconds a plasma sample takes to clot once reagents kick off one branch of the clotting cascade. It checks the intrinsic and shared portions of that cascade, which makes it the standard test for following heparin given through a drip and for chasing down unexplained bleeding. It is normally paired with prothrombin time, which probes the other branch - together they narrow down where a clotting problem sits.",
    "answer": {
        "question": "Did Medicare pay separately for CPT 85730 in Q1 2016?",
        "text": "Not at a published national rate. CPT 85730 carries status X (statutory exclusion) in the Q1 2016 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": 2016,
        "quarter": "A",
        "label": "Q1 2016",
        "effective": "January 1 – March 31, 2016",
        "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": 35.8043,
    "source": {
        "label": "Physician relative value file (Q1 2016)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16a.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2016/A",
        "file": "PPRRVU16_V0122.csv",
        "row": 13900,
        "sha256": "e7973024293c4f8bd19119f0479a6b7bdc36435376c6b05a22fd3cd3cec5b13c"
    },
    "modified_at": "2026-08-04T03:06:29+00:00"
}