{
    "code": "96375",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/96375/2016/A",
    "release_specific_url": "https://localishealth.com/cpt/96375/2016/D",
    "answer": {
        "question": "How much did Medicare pay for CPT 96375 in Q4 2016?",
        "text": "Medicare paid $22.56 for CPT 96375 in the office (non-facility) setting and $22.56 in a facility under the Q4 2016 Physician Fee Schedule, effective October 2016. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2016, when it decreased 0.4%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2016,
        "quarter": "D",
        "label": "Q4 2016",
        "effective": "October 1 – December 31, 2016",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 22.56,
        "facility": 22.56,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.1,
        "practice_expense_non_facility": 0.52,
        "practice_expense_facility": 0.52,
        "malpractice": 0.01
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.8043,
    "source": {
        "label": "Physician relative value file (Q4 2016)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2016/D",
        "file": "PPRRVU16_V0804.csv",
        "row": 15993,
        "sha256": "376b12d2df1b1c1abaed1e123e9501352bf559c75a0a4f87f52878742af491c9"
    },
    "modified_at": "2026-08-04T03:07:13+00:00"
}