{
    "code": "90836",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/90836/2025/A",
    "release_specific_url": "https://localishealth.com/cpt/90836/2025/A",
    "answer": {
        "question": "What was the Medicare allowed amount for CPT 90836 in Q1 2025?",
        "text": "The national PFS baseline was $92.51 for CPT 90836 in the office (non-facility) setting and $81.84 in a facility under the Q1 2025 Physician Fee Schedule, effective January 2025. These are the national allowed amounts before locality (GPCI) adjustment; sequestration is excluded. Across payment localities, the office amount is $88.09–$126.93 and the facility amount is $78.91–$115.39. This is a 1.8% increase from the previous quarter."
    },
    "release": {
        "schedule": "pfs",
        "year": 2025,
        "quarter": "A",
        "label": "Q1 2025",
        "effective": "January 1 – March 31, 2025",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 92.51,
        "facility": 81.84,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 2.08,
        "practice_expense_non_facility": 0.7,
        "practice_expense_facility": 0.37,
        "malpractice": 0.08
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 32.3465,
    "source": {
        "label": "Physician relative value file (Q1 2025)",
        "cms_url": "https://www.cms.gov/files/zip/rvu25a-updated-01/10/2025.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2025/A",
        "file": "PPRRVU25_JAN.csv",
        "row": 17240,
        "sha256": "c0539b47cbc042fd1b69798e6dd911219f4893bb5be793ae1d1771e7a7151a54"
    },
    "modified_at": "2026-08-04T03:14:43+00:00"
}