# CPT 96136

> The national PFS baseline was $40.76 for CPT 96136 in the office (non-facility) setting and $22.64 in a facility under the Q1 2025 Physician Fee Schedule, effective January 2025. These are the national allowed amounts before locality (GPCI) adjustment; sequestration is excluded. Across payment localities, the office amount is $37.21–$51.68 and the facility amount is $21.63–$31.46. This is a 2.0% decrease from the previous quarter.

## Selected release

- Release: Q1 2025 (2025 A)
- Effective: January 1 – March 31, 2025
- Status indicator: A
- Office (non-facility) national allowed amount: $40.76
- Facility national allowed amount: $22.64
- Sequestration: not applied

## RVUs and formula

- Work RVU: 0.55
- Office (non-facility) practice expense RVU: 0.68
- Facility practice expense RVU: 0.12
- Malpractice RVU: 0.03
- Conversion factor: 32.3465
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q1 2025)
- CMS file: https://www.cms.gov/files/zip/rvu25a-updated-01/10/2025.zip
- Parsed file: PPRRVU25_JAN.csv, row 18,462
- Canonical page: https://localishealth.com/cpt/96136/2025/A
- Release-specific citation URL: https://localishealth.com/cpt/96136/2025/A
- Last significant update: 2026-08-04T03:14:43+00:00