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CPT 87623

Priced under CLFS

87623 · PFS Q4 2015 · Historical

Status X is not separately payable under the PFS.

View applicable payment rules
View CMS source and method

Not at a published national rate. CPT 87623 carries status X (statutory exclusion) in the Q4 2015 release. The statutory definition of physician services does not include this item. Treat the blank amount as unpriced, not as $0.

PFS status evidence

Physician relative value file (Q4 2015) · rvu15d.zip (PPRRVU15_OCT05_V1001.csv row 14,136)
Inspect PFS status evidence
Code
87623
Release
Q4 2015, revision 1
Result
Priced under CLFS

Citations

  • Establishes the PFS status (X) and the resulting pathway for this code: priced under clfs.

    Physician relative value file (PPRRVU)

    Q4 2015 · revision 1

    Latest revision of this release

    Release period: October 1 – December 31, 2015

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

    Record details PPRRVU15_OCT05_V1001.csv in rvu15d.zip (row 14,136)
    hcpcs (col 1)
    87623
    modifier (col 2)
    blank
    status_code (col 4)
    X

    SHA-256: 302a55af716b26df5b42e80da7b2bd7cf5268007658df88133553f5e4e75523f

    Original source file

Compact facts

Why is there no national PFS amount for 87623?

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

Review the applicable inputs and payment rules. Each link opens the supporting detail on this page.

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.

Payment rules

Global period: what 87623'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

Enter a second CPT or HCPCS code billed on the same date of service. We'll check the current NCCI procedure-to-procedure edit between it and 87623.

See every current NCCI pair for 87623 →

Common payment questions Copy link

Why would a Medicare claim for 87623 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.

History

Rate history by release Copy link

National non-facility amount for 87623 across quarterly releases.

Release Status Non-facility Facility
Q4 2026 takes effect Oct 1, 2026 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.

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Source & method

Show sources

This page uses CMS's Medicare Physician Fee Schedule Q4 2015 release (effective October 2015). National baselines use GPCI 1.000 and exclude sequestration. Status and payment instructions determine whether a national amount is established; blank RVUs stay blank. Releases are immutable: historical evidence remains tied to the specified release. Our methodology covers the depth: sourcing, parsing, versioning, and how we cross-check claims before they ship.

Physician relative value file (Q4 2015) · rvu15d.zip (PPRRVU15_OCT05_V1001.csv row 14,136)

Use the (i) buttons next to each amount above for the exact row, columns, and math.

Cite this rate

This citation identifies the source release, so its evidence remains reproducible after a newer release lands.

CPT 87623 National PFS baseline: No national PFS rate (Q4 2015; participating; whole service; GPCI 1.000; sequestration excluded). Localis. https://localishealth.com/cpt/87623/2015/D