# CPT 90865

> The national PFS baseline was $170.68 for CPT 90865 in the office (non-facility) setting and $114.57 in a facility under the Q2 2026 Physician Fee Schedule, effective April 2026. These are the national allowed amounts before locality (GPCI) adjustment; sequestration is excluded. Across payment localities, the office amount is $158.49–$220.80 and the facility amount is $110.29–$161.04. This price has been unchanged since Q1 2026, when it increased 9.7%.

## Selected release

- Release: Q2 2026 (2026 B)
- Effective: April 1 – June 30, 2026
- Status indicator: A
- Office (non-facility) national allowed amount: $170.68
- Facility national allowed amount: $114.57
- Sequestration: not applied

## RVUs and formula

- Work RVU: 2.84
- Office (non-facility) practice expense RVU: 2.14
- Facility practice expense RVU: 0.46
- Malpractice RVU: 0.13
- Conversion factor: 33.4009
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q2 2026)
- CMS file: https://www.cms.gov/files/zip/rvu26b-updated-05-01-2026.zip
- Parsed file: PPRRVU2026_Apr_nonQPP.csv, row 11,440
- Canonical page: https://localishealth.com/cpt/90865/2026/A
- Release-specific citation URL: https://localishealth.com/cpt/90865/2026/B
- Last significant update: 2026-08-04T03:16:20+00:00