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Medicare Physician Fee Schedule Effective CMS RVU20D Updated

CPT 95133 Medicare payment status

CPT 95133 has no published national rate. It carries status I (not valid) in the Q4 2020 release. Medicare uses a different code to report and pay for this service. The blank amount means unpriced, not $0.

Unable to determine from available CMS sources

95133 · PFS Q4 2020 · Historical

Status I is not separately payable under the PFS.

View applicable payment rules
View CMS source and method

CMS RVU20DOctober 1 – December 31, 2020

CPT 95133 has no published national rate. It carries status I (not valid) in the Q4 2020 release. Medicare uses a different code to report and pay for this service. The blank amount means unpriced, not $0.

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PFS status evidence

Physician relative value file (Q4 2020) · rvu20d-updated-11232020.zip (PPRRVU20_OCT.csv row 16,674)
Inspect PFS status evidence
Code
95133
Release
Q4 2020, revision 1
Result
Unable to determine from available CMS sources

Citations

  • Shows this code’s PFS status (I). Result: Unable to determine from available CMS sources.

    Physician relative value file (PPRRVU)CMS RVU20DOctober 1 – December 31, 2020

    This PFS record alone does not establish a $0 allowance or a coverage determination. Any amount from another schedule needs its own evidence.

    PPRRVU20_OCT.csv row 16,674 in rvu20d-updated-11232020.zip

    In the CMS file

    Loading rows 16,672–16,676 of PPRRVU20_OCT.csv…

    Download rvu20d-updated-11232020.zip from CMS File fingerprint 504fd19a9bc1d2eeebb290adac2d7de6c56d4e86cde7532df1862fe42494d319

Plain-text summary

Why is there no national PFS amount for 95133?

Its status indicator is I (not valid). Medicare uses a different code to report and pay for this service. Status I is not separately payable under the PFS.

Payment considerations Copy link

Here are the inputs and payment rules that apply to this code. Each link takes you to the detail below.

Other payment indicators (10)

Facility/non-facility: Not determined, Professional/technical component: Does not apply, Bilateral adjustment: Does not apply, Multiple-procedure reduction: Does not apply, Assistant/co-surgeon treatment: Does not apply, Global surgery: Does not apply, NCCI same-day edits: Not determined, MUE behavior: Not determined, Other fee-schedule routing: Does not apply, Contractor pricing: Does not apply.

Why would a Medicare claim for 95133 be denied or paid less?

These come from CMS indicators on this page, not general billing advice.

  • Its status indicator is I (not valid)—Medicare uses a different code to report and pay for this service. See status indicators

Payer-specific coverage and documentation rules live outside these files, so a claim that clears every check here can still be denied on other grounds.

Which billing rules and modifiers apply? Copy link

Global period: what 95133's fee already covers Copy link

XXX Does not apply

The global surgery concept does not apply to this code.

Can you bill it with another code? Copy link

Check a pair of codes Copy link

Enter a second CPT or HCPCS code billed on the same date of service. We'll check the current NCCI procedure-to-procedure edit for the pair.

See every current NCCI pair for 95133 →

How has it changed? Copy link

Rate history by release Copy link

National Office (non-facility) amount for 95133 across quarterly releases.

Release Status Office Facility
Q4 2026 Oct 1, 2026 – present I — —
Q3 2026 Jul 1, 2026 – Sep 30, 2026 I — —
Q2 2026 Apr 1, 2026 – Jun 30, 2026 I — —
When does this rate change?

CMS publishes a fee schedule release every quarter (January, April, July, October), and each is versioned here. See what changed each release, or get an email when a new release moves rates.

Sources: CMS Medicare Physician Fee Schedule Relative Value Files.

Usage and related codes Copy link

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Source & method

Show sources

This page uses CMS's Medicare Physician Fee Schedule Q4 2020 release (effective October 2020). National baselines use GPCI 1.000 and exclude sequestration. Whether a national amount exists depends on the status and CMS’s payment instructions; blank RVUs are never treated as zero. Past releases are never edited, so these sources stay valid after CMS publishes a newer one. Our methodology explains sourcing, parsing, versioning, and how we cross-check claims before we publish them.

Physician relative value file (Q4 2020) · rvu20d-updated-11232020.zip (PPRRVU20_OCT.csv row 16,674)

Cite this rate

The citation names the release, so anyone can check it even after CMS publishes a newer one.

CPT 95133 National PFS baseline: No national PFS rate (Q4 2020; participating; whole service; GPCI 1.000; sequestration excluded). CMS RVU20D, PPRRVU20_OCT.csv row 16,674. Localis. https://localishealth.com/cpt/95133/2020/D