{
    "code": "94729",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/94729/2021/A",
    "release_specific_url": "https://localishealth.com/cpt/94729/2021/C",
    "description": "A test of how well oxygen crosses from the air sacs into the bloodstream. The patient takes in a single deep breath containing a trace of carbon monoxide, holds it for about ten seconds, then blows out; the amount of that gas absorbed shows how effectively the lung membrane and the blood supply behind it are working. It is done alongside other pulmonary function testing in the same sitting rather than on its own, so it is recorded in addition to the main breathing study.",
    "answer": {
        "question": "How much did Medicare pay for CPT 94729 in Q3 2021?",
        "text": "Medicare paid $60.37 for CPT 94729 in the office (non-facility) setting and $60.37 in a facility under the Q3 2021 Physician Fee Schedule, effective July 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 increased 5.2%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2021,
        "quarter": "C",
        "label": "Q3 2021",
        "effective": "July 1 – September 30, 2021",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 60.37,
        "facility": 60.37,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.19,
        "practice_expense_non_facility": 1.52,
        "practice_expense_facility": 1.52,
        "malpractice": 0.02
    },
    "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 (Q3 2021)",
        "cms_url": "https://www.cms.gov/files/zip/rvu21c-updated-6302021.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2021/C",
        "file": "PPRRVU21_JUL.csv",
        "row": 16690,
        "sha256": "ee14b5306942acfe4554d2d7cf3fe95d7b1a0f41fc7a0445bc2d06df857dd7b6"
    },
    "modified_at": "2026-08-04T03:10:45+00:00"
}
