{
    "code": "87811",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/87811/2021/A",
    "release_specific_url": "https://localishealth.com/cpt/87811/2022/B",
    "description": "The rapid COVID test read by eye - swab material goes onto a cassette and a visible line appears within minutes if viral proteins are present. It looks for pieces of the virus rather than its genetic material, which makes it quick and cheap but less sensitive than PCR, particularly early in illness or in someone without symptoms. A positive is generally trusted; a negative in a symptomatic person is often repeated or confirmed with a molecular test.",
    "answer": {
        "question": "Did Medicare pay separately for CPT 87811 in Q2 2022?",
        "text": "Not at a published national rate. CPT 87811 carries status X (statutory exclusion) in the Q2 2022 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": 2022,
        "quarter": "B",
        "label": "Q2 2022",
        "effective": "April 1 – June 30, 2022",
        "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": 34.6062,
    "source": {
        "label": "Physician relative value file (Q2 2022)",
        "cms_url": "https://www.cms.gov/files/zip/rvu22b.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2022/B",
        "file": "PPRRVU22_APR.csv",
        "row": 15600,
        "sha256": "7a64189403d440641280d5e90c1ebf39bbdc950a292e6d6f2a8bf8dc144ae305"
    },
    "modified_at": "2026-08-04T03:11:36+00:00"
}