# CPT 95836

> The national PFS baseline is $107.22 for CPT 95836 in the office (non-facility) setting and $88.51 in a facility under the Q3 2026 Physician Fee Schedule, effective July 2026. These are the national allowed amounts before locality (GPCI) adjustment; sequestration is excluded. Across payment localities, the office amount is $99.35–$139.48 and the facility amount is $83.28–$119.56. This price has been unchanged since Q1 2026, when it increased 5.2%.

## Selected release

- Release: Q3 2026 (2026 C)
- Effective: July 1 – September 30, 2026
- Status indicator: A
- Office (non-facility) national allowed amount: $107.22
- Facility national allowed amount: $88.51
- Sequestration: not applied

## RVUs and formula

- Work RVU: 1.93
- Office (non-facility) practice expense RVU: 1.12
- Facility practice expense RVU: 0.56
- Malpractice RVU: 0.16
- Conversion factor: 33.4009
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## NCCI edits

- Never-billable pair count: 33
- Modifier-allowed pair count: 1
- MUE units per patient per date of service: not published
- Complete list: https://localishealth.com/cpt/95836/ncci-edits.txt

## Source and citation

- Source: Physician relative value file (Q3 2026)
- CMS file: https://www.cms.gov/files/zip/rvu26c-updated-06-30-2026.zip
- Parsed file: PPRRVU2026_Jul_nonQPP.csv, row 12,511
- Canonical page: https://localishealth.com/cpt/95836
- Release-specific citation URL: https://localishealth.com/cpt/95836/2026/C
- Last significant update: 2026-08-11T00:15:57+00:00