{
    "code": "87500",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/87500/2014/B",
    "release_specific_url": "https://localishealth.com/cpt/87500/2017/B",
    "description": "A molecular test that looks for the genes making enterococcus bacteria resistant to vancomycin, typically vanA or vanB. Instead of growing the organism and challenging it with antibiotics over several days, the lab copies and detects the resistance gene itself from a swab or culture and has an answer within hours. It settles one narrow question: is the resistance gene there or not.",
    "answer": {
        "question": "Did Medicare pay separately for CPT 87500 in Q2 2017?",
        "text": "Not at a published national rate. CPT 87500 carries status X (statutory exclusion) in the Q2 2017 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": 2017,
        "quarter": "B",
        "label": "Q2 2017",
        "effective": "April 1 – June 30, 2017",
        "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": 35.8887,
    "source": {
        "label": "Physician relative value file (Q2 2017)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu17b.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2017/B",
        "file": "PPRRVU17_V0209.csv",
        "row": 14459,
        "sha256": "98ce34eaa1f673ddaba572e4aa6186f4d0b1d8dc452577f68ea672cb487e34b9"
    },
    "modified_at": "2026-08-04T03:07:42+00:00"
}