{
    "code": "94012",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/94012/2017/A",
    "release_specific_url": "https://localishealth.com/cpt/94012/2017/D",
    "answer": {
        "question": "How much did Medicare pay for CPT 94012 in Q4 2017?",
        "text": "Medicare paid $150.73 for CPT 94012 in the office (non-facility) setting and $150.73 in a facility under the Q4 2017 Physician Fee Schedule, effective October 2017. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2017, when it decreased 5.4%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2017,
        "quarter": "D",
        "label": "Q4 2017",
        "effective": "October 1 – December 31, 2017",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 150.73,
        "facility": 150.73,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 2.85,
        "practice_expense_non_facility": 1.18,
        "practice_expense_facility": 1.18,
        "malpractice": 0.17
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.8887,
    "source": {
        "label": "Physician relative value file (Q4 2017)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu17d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2017/D",
        "file": "PPRRVU17_OCT.csv",
        "row": 15752,
        "sha256": "4ec25bedea18799c66d10002a3731757548ccfd70e37379c856bb8a1fafe8da4"
    },
    "modified_at": "2026-08-04T03:07:59+00:00"
}
