{
    "code": "93018",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/93018/2021/A",
    "release_specific_url": "https://localishealth.com/cpt/93018/2021/D",
    "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 Q4 2021?",
        "text": "Medicare paid $14.66 for CPT 93018 in the office (non-facility) setting and $14.66 in a facility under the Q4 2021 Physician Fee Schedule, effective October 2021. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2021, when it decreased 3.3%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2021,
        "quarter": "D",
        "label": "Q4 2021",
        "effective": "October 1 – December 31, 2021",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 14.66,
        "facility": 14.66,
        "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": 34.8931,
    "source": {
        "label": "Physician relative value file (Q4 2021)",
        "cms_url": "https://www.cms.gov/files/zip/rvu21d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2021/D",
        "file": "PPRRVU21_OCT.csv",
        "row": 16246,
        "sha256": "f1972bd23bdc51795ceba7d536bb413a0ba0b47fad8c2ed594e7ee7799877297"
    },
    "modified_at": "2026-08-04T03:10:59+00:00"
}