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Medicare Physician Fee Schedule Effective CMS RVU20B Updated

CPT 87152 Medicare payment status

CPT 87152 has no published national rate. It carries status X (statutory exclusion) in the Q2 2020 release. The statutory definition of physician services does not include this item. The blank amount means unpriced, not $0.

Priced under CLFS

87152 · PFS Q2 2020 · Historical

Status X is not separately payable under the PFS.

View applicable payment rules
View CMS source and method

CMS RVU20BApril 1 – June 30, 2020

CPT 87152 has no published national rate. It carries status X (statutory exclusion) in the Q2 2020 release. The statutory definition of physician services does not include this item. The blank amount means unpriced, not $0.

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PFS status evidence

Physician relative value file (Q2 2020) · rvu20b-updated-05012020.zip (PPRRVU20_APR.csv row 15,066)
Inspect PFS status evidence
Code
87152
Release
Q2 2020, revision 1
Result
Priced under CLFS

Citations

  • Shows this code’s PFS status (X). Result: Priced under CLFS.

    Physician relative value file (PPRRVU)CMS RVU20BApril 1 – June 30, 2020

    This PFS record alone does not establish a $0 allowance or a coverage determination. Any amount from another schedule needs its own evidence.

    PPRRVU20_APR.csv row 15,066 in rvu20b-updated-05012020.zip

    In the CMS file

    Loading rows 15,064–15,068 of PPRRVU20_APR.csv…

    Download rvu20b-updated-05012020.zip from CMS File fingerprint 672d21e247262386ad5b386092de9835fecec65fabbeaae050718f9afeef097b

Plain-text summary

Why is there no national PFS amount for 87152?

Its status indicator is X (statutory exclusion). The statutory definition of physician services does not include this item. Status X is not separately payable under the PFS.

Payment considerations Copy link

Here are the inputs and payment rules that apply to this code. Each link takes you to the detail below.

Other fee-schedule routing Applies
Other payment indicators (9)

Facility/non-facility: Not determined, Professional/technical component: Does not apply, Bilateral adjustment: Does not apply, Multiple-procedure reduction: Does not apply, Assistant/co-surgeon treatment: Does not apply, Global surgery: Does not apply, NCCI same-day edits: Not determined, MUE behavior: Not determined, Contractor pricing: Does not apply.

Why would a Medicare claim for 87152 be denied or paid less?

These come from CMS indicators on this page, not general billing advice.

  • Its status indicator is X (statutory exclusion)—The statutory definition of physician services does not include this item. See status indicators

Payer-specific coverage and documentation rules live outside these files, so a claim that clears every check here can still be denied on other grounds.

Which billing rules and modifiers apply? Copy link

Global period: what 87152's fee already covers Copy link

XXX Does not apply

The global surgery concept does not apply to this code.

Can you bill it with another code? Copy link

Check a pair of codes Copy link

Enter a second CPT or HCPCS code billed on the same date of service. We'll check the current NCCI procedure-to-procedure edit for the pair.

See every current NCCI pair for 87152 →

How has it changed? Copy link

Rate history by release Copy link

National Office (non-facility) amount for 87152 across quarterly releases.

Release Status Office Facility
Q4 2026 Oct 1, 2026 – present X — —
Q3 2026 Jul 1, 2026 – Sep 30, 2026 X — —
Q2 2026 Apr 1, 2026 – Jun 30, 2026 X — —
When does this rate change?

CMS publishes a fee schedule release every quarter (January, April, July, October), and each is versioned here. See what changed each release, or get an email when a new release moves rates.

Sources: CMS Medicare Physician Fee Schedule Relative Value Files.

Usage and related codes Copy link

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Source & method

Show sources

This page uses CMS's Medicare Physician Fee Schedule Q2 2020 release (effective April 2020). National baselines use GPCI 1.000 and exclude sequestration. Whether a national amount exists depends on the status and CMS’s payment instructions; blank RVUs are never treated as zero. Past releases are never edited, so these sources stay valid after CMS publishes a newer one. Our methodology explains sourcing, parsing, versioning, and how we cross-check claims before we publish them.

Physician relative value file (Q2 2020) · rvu20b-updated-05012020.zip (PPRRVU20_APR.csv row 15,066)

Cite this rate

The citation names the release, so anyone can check it even after CMS publishes a newer one.

CPT 87152 National PFS baseline: No national PFS rate (Q2 2020; participating; whole service; GPCI 1.000; sequestration excluded). CMS RVU20B, PPRRVU20_APR.csv row 15,066. Localis. https://localishealth.com/cpt/87152/2020/B