{
    "code": "96133",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/96133/2024/A",
    "release_specific_url": "https://localishealth.com/cpt/96133/2024/B",
    "description": "Additional professional interpretation time beyond the first hour of neuropsychological evaluation work, recorded in further hour-long increments alongside the base service. Complex cases - a long battery, conflicting findings, multiple medical contributors, or a detailed report for legal or disability purposes - routinely run well past a single hour. The activity is identical to the first hour; only the amount of time differs.",
    "answer": {
        "question": "How much did Medicare pay for CPT 96133 in Q2 2024?",
        "text": "Medicare paid $97.20 for CPT 96133 in the office (non-facility) setting and $75.23 in a facility under the Q2 2024 Physician Fee Schedule, effective April 2024. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2024, when it decreased 1.8%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2024,
        "quarter": "B",
        "label": "Q2 2024",
        "effective": "April 1 – June 30, 2024",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 97.2,
        "facility": 75.23,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 1.96,
        "practice_expense_non_facility": 0.91,
        "practice_expense_facility": 0.25,
        "malpractice": 0.05
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 33.2875,
    "source": {
        "label": "Physician relative value file (Q2 2024)",
        "cms_url": "https://www.cms.gov/files/zip/rvu24b-updated-03/18/2024.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2024/B",
        "file": "PPRRVU24_APR.csv",
        "row": 18144,
        "sha256": "9acf98f4d515fb61037a7404940c363a795b0209d9c64268dd8e5962fb9e4a91"
    },
    "modified_at": "2026-08-04T03:13:49+00:00"
}