# CPT 98968

> The national PFS baseline was $39.43 for CPT 98968 in the office (non-facility) setting and $38.03 in a facility under the Q1 2021 Physician Fee Schedule, effective January 2021. These are the national allowed amounts before locality (GPCI) adjustment; sequestration is excluded. Across payment localities, the office amount is $36.73–$53.20 and the facility amount is $35.55–$51.64. This is a 4.2% decrease from the previous quarter.

## Selected release

- Release: Q1 2021 (2021 A)
- Effective: January 1 – March 31, 2021
- Status indicator: A
- Office (non-facility) national allowed amount: $39.43
- Facility national allowed amount: $38.03
- Sequestration: not applied

## RVUs and formula

- Work RVU: 0.75
- Office (non-facility) practice expense RVU: 0.33
- Facility practice expense RVU: 0.29
- Malpractice RVU: 0.05
- Conversion factor: 34.8931
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q1 2021)
- CMS file: https://www.cms.gov/files/zip/rvu21a-updated-01052021.zip
- Parsed file: PPRRVU21_JAN.csv, row 17,097
- Canonical page: https://localishealth.com/cpt/98968/2021/A
- Release-specific citation URL: https://localishealth.com/cpt/98968/2021/A
- Last significant update: 2026-08-04T03:10:16+00:00