{
    "code": "87641",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/87641/2014/B",
    "release_specific_url": "https://localishealth.com/cpt/87641/2023/D",
    "description": "A molecular test aimed specifically at methicillin-resistant Staphylococcus aureus, amplifying the genetic marker that confers the resistance rather than simply confirming staph in general. Results come back in hours, which is why hospitals lean on it for admission screening and for deciding who needs contact precautions. A positive means the strain will not respond to the usual penicillin-family antibiotics, so treatment has to go elsewhere.",
    "answer": {
        "question": "Did Medicare pay separately for CPT 87641 in Q4 2023?",
        "text": "Not at a published national rate. CPT 87641 carries status X (statutory exclusion) in the Q4 2023 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": 2023,
        "quarter": "D",
        "label": "Q4 2023",
        "effective": "October 1 – December 31, 2023",
        "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": 33.8872,
    "source": {
        "label": "Physician relative value file (Q4 2023)",
        "cms_url": "https://www.cms.gov/files/zip/rvu23d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2023/D",
        "file": "PPRRVU23_OCT.csv",
        "row": 16116,
        "sha256": "6558dc4fa634f462f996db05a7e6af5cbe365e93e508b8e24d1cbfb1f610dcbd"
    },
    "modified_at": "2026-08-04T03:13:13+00:00"
}