{
    "code": "94727",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/94727/2016/A",
    "release_specific_url": "https://localishealth.com/cpt/94727/2016/C",
    "description": "The same goal as the sealed-booth test - measuring total lung capacity and the air remaining after a full exhale - but reached by a different route. The patient breathes a tracer gas mixture, usually helium, or breathes pure oxygen to wash nitrogen out of the lungs, and the machine works out lung volume from how much the gas is diluted or how much nitrogen comes back. It can also show how evenly air distributes through the lungs. Because it only measures air that the tracer gas can actually reach, it can underestimate volume when airways are badly blocked.",
    "answer": {
        "question": "How much did Medicare pay for CPT 94727 in Q3 2016?",
        "text": "Medicare paid $42.61 for CPT 94727 in the office (non-facility) setting and $42.61 in a facility under the Q3 2016 Physician Fee Schedule, effective July 2016. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2016, when it decreased 0.4%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2016,
        "quarter": "C",
        "label": "Q3 2016",
        "effective": "July 1 – September 30, 2016",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 42.61,
        "facility": 42.61,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.26,
        "practice_expense_non_facility": 0.91,
        "practice_expense_facility": 0.91,
        "malpractice": 0.02
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.8043,
    "source": {
        "label": "Physician relative value file (Q3 2016)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16c.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2016/C",
        "file": "PPRRVU16_V0517.csv",
        "row": 15639,
        "sha256": "81464316ee60bdd4aa33b47a636b521a77a73481c795300cbab67f48dbe432d9"
    },
    "modified_at": "2026-08-04T03:06:56+00:00"
}