{
    "code": "93016",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/93016/2020/A",
    "release_specific_url": "https://localishealth.com/cpt/93016/2020/D",
    "description": "The supervision portion of a cardiac stress test, where the heart is pushed to work harder on a treadmill or bike, or with a drug that mimics exercise. A physician is present throughout to watch the patient, monitor symptoms and the rhythm as the workload rises, decide when to stop, and manage any problem that develops. It covers only that supervision - recording the tracing and writing the formal interpretation belong to other codes in the same family.",
    "answer": {
        "question": "How much did Medicare pay for CPT 93016 in Q4 2020?",
        "text": "Medicare paid $22.74 for CPT 93016 in the office (non-facility) setting and $22.74 in a facility under the Q4 2020 Physician Fee Schedule, effective October 2020. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2020, when it increased 0.2%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2020,
        "quarter": "D",
        "label": "Q4 2020",
        "effective": "October 1 – December 31, 2020",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 22.74,
        "facility": 22.74,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.45,
        "practice_expense_non_facility": 0.16,
        "practice_expense_facility": 0.16,
        "malpractice": 0.02
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 36.0896,
    "source": {
        "label": "Physician relative value file (Q4 2020)",
        "cms_url": "https://www.cms.gov/files/zip/rvu20d-updated-11232020.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2020/D",
        "file": "PPRRVU20_OCT.csv",
        "row": 16159,
        "sha256": "504fd19a9bc1d2eeebb290adac2d7de6c56d4e86cde7532df1862fe42494d319"
    },
    "modified_at": "2026-08-04T03:10:00+00:00"
}