{
    "code": "86960",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/86960/2014/B",
    "release_specific_url": "https://localishealth.com/cpt/86960/2019/B",
    "answer": {
        "question": "Did Medicare pay separately for CPT 86960 in Q2 2019?",
        "text": "Not at a published national rate. CPT 86960 carries status X (statutory exclusion) in the Q2 2019 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": 2019,
        "quarter": "B",
        "label": "Q2 2019",
        "effective": "April 1 – June 30, 2019",
        "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": 36.0391,
    "source": {
        "label": "Physician relative value file (Q2 2019)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu19b.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2019/B",
        "file": "PPRRVU19_APR.csv",
        "row": 14776,
        "sha256": "b427bbfdcb61b355ba034840681873d1bd6cdcf51752bdae1bab7c5449efc971"
    },
    "modified_at": "2026-08-04T03:08:53+00:00"
}