{
    "code": "Q0091",
    "coding_system": "HCPCS",
    "canonical_url": "https://localishealth.com/hcpcs/Q0091",
    "release_specific_url": "https://localishealth.com/hcpcs/Q0091/2026/D",
    "description": "Obtaining screen pap smear",
    "answer": {
        "question": "What is the Medicare allowed amount for HCPCS Q0091 in 2026?",
        "text": "The national PFS baseline is $46.09 for HCPCS Q0091 in the Office (non-facility) setting and $15.70 in a facility under the Q4 2026 Physician Fee Schedule, effective October 2026. These are the national allowed amounts before locality (GPCI) adjustment; sequestration is excluded. Across payment localities, the office amount is $40.94–$61.57 and the facility amount is $14.84–$21.43. This amount has been unchanged since Q1 2026, when it increased 6.3%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2026,
        "quarter": "D",
        "label": "Q4 2026",
        "effective": "October 1 – December 31, 2026",
        "revision": 2
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 46.09,
        "facility": 15.7,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.36,
        "practice_expense_non_facility": 0.99,
        "practice_expense_facility": 0.08,
        "malpractice": 0.03
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 33.4009,
    "ncci": {
        "release": "Q4 2026",
        "never_billable_pair_count": 1,
        "modifier_allowed_pair_count": 88,
        "mue_units_per_date_of_service": 1,
        "url": "https://localishealth.com/hcpcs/Q0091/ncci-edits",
        "complete_text_url": "https://localishealth.com/hcpcs/Q0091/ncci-edits.txt"
    },
    "source": {
        "label": "Physician relative value file (Q4 2026)",
        "cms_url": "https://www.cms.gov/files/zip/rvu26d-updated-08-26-2026.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2026/D",
        "file": "PPRRVU2026_Oct_nonQPP.csv",
        "row": 18050,
        "sha256": "4d0d3f19bd954ffc0f5b8439169d267da023d4f6911f4539bb6e98723cb1a626"
    },
    "modified_at": "2026-09-01T06:33:29+00:00"
}