fee_components
Submitted arguments
{
"code": "72131"
}Native result and verdict
{
"does_not_license": {
"reading": "NO READING IS ATTACHED. These fields carry no interpretation, and this world does not supply one unasked. To obtain a reading, and to find out whether what you are about to write is supported, call judgement_check with receipt \"r241\" and the claims you intend to make. A claim written without checking it is a claim this world did not license.\n\nIf you can write your claim as an expression over the figures above, for example {\"op\": \"<=\", \"left\": \"components[0].fac_total_rvu\", \"right\": 12, \"scope\": \"marginal\"}, call claim_check with the same receipt instead. It decides by entailment over those figures and never reads your sentence, so it answers the same way in any language. The two checks are alternatives and neither falls back to the other."
},
"kind": "served",
"licence": {
"coverage_database": "Contains information from the CMS Medicare Coverage Database.",
"cpt": "CPT is copyright the American Medical Association. Served under a distribution licence.",
"linkback": "https://hammer.ai/coverage-intelligence",
"terms": "https://hammer.ai/terms"
},
"payload": {
"basis": "measured",
"basis_detail": {
"inputs": [
{
"basis": "measured",
"name": "physician_fee_schedule",
"source": "Medicare Physician Fee Schedule, Relative Value File, read 2026-08-21, archive sha256 91b9bdd5459bc4c19d4f8203410b29a672db37def2e70f01ef627b8b18fc7482"
}
],
"rule": "A figure computed from inputs of more than one basis carries the weakest basis among them, strongest to weakest being measured, then cited, then assumption, so a figure is never stronger than the weakest input that produced it."
},
"code": "72131",
"components": [
{
"fac_total_rvu": 3.89,
"is": "the whole service, the interpretation and the equipment together, billed as the code with no modifier",
"modifier": "",
"nonfac_total_rvu": 3.89,
"part": "global",
"status_code": {
"definition_not_read": "This world has not read CMS's definition of this letter and will not invent one. RVU26AR.pdf, inside the archive named in this answer's provenance, is CMS's own documentation and is what would settle it.",
"letter": "A"
},
"work_rvu": 0.98
},
{
"fac_total_rvu": 1.39,
"is": "the interpretation, the physician's reading of the study, billed with modifier 26",
"modifier": "26",
"nonfac_total_rvu": 1.39,
"part": "professional",
"status_code": {
"definition_not_read": "This world has not read CMS's definition of this letter and will not invent one. RVU26AR.pdf, inside the archive named in this answer's provenance, is CMS's own documentation and is what would settle it.",
"letter": "A"
},
"work_rvu": 0.98
},
{
"fac_total_rvu": 2.5,
"is": "the equipment, the supplies and the staff who run the study, billed with modifier TC",
"modifier": "TC",
"nonfac_total_rvu": 2.5,
"part": "technical",
"status_code": {
"definition_not_read": "This world has not read CMS's definition of this letter and will not invent one. RVU26AR.pdf, inside the archive named in this answer's provenance, is CMS's own documentation and is what would settle it.",
"letter": "A"
},
"work_rvu": 0.0
}
],
"description": "Ct lumbar spine w/o dye",
"do_not_sum": "The row with no modifier is the whole service and already contains both components. Adding the professional row or the technical row to it counts the same work twice. This tool serves the rows as the schedule states them and computes no total of its own.",
"not_a_price": "A relative value is not a payment. Turning relative values into dollars needs the annual conversion factor and a locality-specific geographic adjustment, and this world holds neither, so no dollar figure is served here and none is derivable from this answer.",
"not_a_specialty_rule": "The fee schedule does not carry which specialty may furnish the professional component. A split says the interpretation is separately billable, never who may bill it; interpretation_requirement and a payer's own policy are what settle that.",
"pctc_indicator": {
"definition": "Diagnostic Tests for Radiology Services. Identifies codes that describe diagnostic tests.",
"definition_source": "RVU26AR.pdf, inside the archive named in this answer's provenance, which is CMS's own documentation for the Relative Value File and is the citation for this definition.",
"value": "1"
},
"receipt": "r241",
"schedule_frontier": {
"archive_sha256": "91b9bdd5459bc4c19d4f8203410b29a672db37def2e70f01ef627b8b18fc7482",
"codes_read": [
"0002M",
"0003M",
"81517",
"0014M",
"91200",
"76981",
"76982",
"76983",
"80076",
"0689T",
"0690T",
"76705",
"99473",
"99474",
"93784",
"93786",
"93788",
"93790",
"99091",
"99453",
"99454",
"99457",
"99458",
"3074F",
"3075F",
"3077F",
"3078F",
"3079F",
"3080F",
"99213",
"99214",
"99215",
"99495",
"99496",
"99490",
"99491",
"99487",
"93306",
"93307",
"93308",
"93000",
"93010",
"83880",
"93797",
"93798",
"G0422",
"G0423",
"80061",
"83718",
"80048",
"80053",
"82043",
"84443",
"83036",
"93880",
"93975",
"76770",
"27235",
"27236",
"27244",
"27245",
"27125",
"27130",
"27447",
"99283",
"99284",
"99285",
"73502",
"73521",
"72131",
"70450",
"22633",
"22612",
"63047",
"63030",
"63005",
"22551",
"97110",
"97112",
"97116",
"97140",
"97530",
"97535",
"97750",
"97161",
"97162",
"97163",
"97164",
"97012",
"97014",
"G0283",
"97032",
"97035",
"98975",
"98976",
"98977",
"98978",
"98979",
"98980",
"98981",
"98984",
"98985",
"0320U",
"0319U",
"0540U",
"81479",
"50200",
"50370",
"50360",
"50365",
"90935",
"90937",
"90945",
"90960",
"90961"
],
"conversion_factor_held": false,
"definitions_this_world_has_read": {
"pctc_indicators": [
"1"
],
"status_codes": [
"C"
]
},
"field_definitions": "RVU26AR.pdf inside the same archive is CMS's own documentation and is the citation for the status code and PC/TC indicator definitions",
"programme": "Medicare. A commercial payer's own fee schedule is a different document and this world has not read one.",
"schedule": "Medicare Physician Fee Schedule, Relative Value File",
"source": "https://www.cms.gov/files/zip/rvu26a.zip",
"this_code_was_read": true,
"vintage": "2026-08-21",
"vintage_is_its_own_clock": "This is the date this world read the Relative Value File. It is not the rate extract's month and it is not the NCCI quarter; three clocks run in this world and every answer names the one it used."
},
"world_version": "hammer-coverage-intelligence:2026-10-01+2"
},
"receipt": "r241",
"session": "553921bdf1072fd0dd637bfa82ca2548",
"tool": "fee_components",
"world": {
"build": 2,
"description": "What payers publish that they pay, code by code, and what may be said with it.",
"name": "hammer-coverage-intelligence",
"vintage": "2026-10-01"
}
}Permanent saved result
Read this evidence receipt
claim_check
judgement_check