{
    "code": "93018",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/93018/2020/A",
    "release_specific_url": "https://localishealth.com/cpt/93018/2020/C",
    "description": "The reading portion of a cardiac stress test. A physician goes through the ECG tracings recorded at rest, at each stage of exertion, and in recovery, together with the blood pressure and heart rate response, the symptoms reported, and how much work the patient managed, then writes a formal report on whether the pattern suggests the heart muscle is not getting enough blood. Nothing about running or supervising the test itself is included here.",
    "answer": {
        "question": "How much did Medicare pay for CPT 93018 in Q3 2020?",
        "text": "Medicare paid $15.16 for CPT 93018 in the office (non-facility) setting and $15.16 in a facility under the Q3 2020 Physician Fee Schedule, effective July 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 0.1%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2020,
        "quarter": "C",
        "label": "Q3 2020",
        "effective": "July 1 – September 30, 2020",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 15.16,
        "facility": 15.16,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.3,
        "practice_expense_non_facility": 0.11,
        "practice_expense_facility": 0.11,
        "malpractice": 0.01
    },
    "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 (Q3 2020)",
        "cms_url": "https://www.cms.gov/files/zip/rvu20c-updated-06192020.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2020/C",
        "file": "PPRRVU20_V0618.csv",
        "row": 16136,
        "sha256": "ebde66539c09d959dffb822c31f25e7c77955ac2e54e8c120994bef894ac5342"
    },
    "modified_at": "2026-08-04T03:09:46+00:00"
}