{
    "code": "G2009",
    "coding_system": "HCPCS",
    "canonical_url": "https://localishealth.com/hcpcs/G2009/2025/A",
    "release_specific_url": "https://localishealth.com/hcpcs/G2009/2025/D",
    "description": "Post-d/c h vst ext pt 60 m",
    "answer": {
        "question": "How much did Medicare pay for HCPCS G2009 in Q4 2025?",
        "text": "Medicare paid $167.55 for HCPCS G2009 in the office (non-facility) setting and $167.55 in a facility under the Q4 2025 Physician Fee Schedule, effective October 2025. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. Across payment localities, both settings' amount is $156.41–$221.94. This price has been unchanged since Q1 2025, when it decreased 3.2%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2025,
        "quarter": "D",
        "label": "Q4 2025",
        "effective": "October 1 – December 31, 2025",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 167.55,
        "facility": 167.55,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 3.28,
        "practice_expense_non_facility": 1.67,
        "practice_expense_facility": 1.67,
        "malpractice": 0.23
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 32.3465,
    "source": {
        "label": "Physician relative value file (Q4 2025)",
        "cms_url": "https://www.cms.gov/files/zip/rvu25d-updated-09/11/2025.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2025/D",
        "file": "PPRRVU2025_Oct.csv",
        "row": 15132,
        "sha256": "8af460f38bf982b79b07269fbc8b7256a8ef3bd3aa025a9c5cb71c1e52523c56"
    },
    "modified_at": "2026-08-04T03:15:45+00:00"
}