{
    "code": "87631",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/87631/2014/B",
    "release_specific_url": "https://localishealth.com/cpt/87631/2021/D",
    "description": "One molecular run that tests a single respiratory specimen - usually a nasal or nasopharyngeal swab - for several viruses at once. Rather than ordering separate tests for flu, RSV and the rest, the lab amplifies multiple viral targets in the same reaction and reports each result individually. This code covers the smallest panel size, on the order of three to five organisms; broader panels covering a dozen or more targets belong to neighboring codes.",
    "answer": {
        "question": "Did Medicare pay separately for CPT 87631 in Q4 2021?",
        "text": "Not at a published national rate. CPT 87631 carries status X (statutory exclusion) in the Q4 2021 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": 2021,
        "quarter": "D",
        "label": "Q4 2021",
        "effective": "October 1 – December 31, 2021",
        "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": 34.8931,
    "source": {
        "label": "Physician relative value file (Q4 2021)",
        "cms_url": "https://www.cms.gov/files/zip/rvu21d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2021/D",
        "file": "PPRRVU21_OCT.csv",
        "row": 15384,
        "sha256": "f1972bd23bdc51795ceba7d536bb413a0ba0b47fad8c2ed594e7ee7799877297"
    },
    "modified_at": "2026-08-04T03:10:59+00:00"
}