{
    "code": "70491",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/70491/2022/A",
    "release_specific_url": "https://localishealth.com/cpt/70491/2022/D",
    "description": "A CT scan of the soft structures of the neck - throat, voice box, salivary glands, thyroid, and the chains of lymph nodes running down each side - performed after iodinated contrast is injected into a vein. The dye makes blood vessels and abnormal tissue stand out from normal muscle and fat, which is why the contrast version is ordered far more often than the plain one for neck complaints. Separate codes cover the same scan without contrast and the scan repeated both before and after contrast.",
    "answer": {
        "question": "How much did Medicare pay for CPT 70491 in Q4 2022?",
        "text": "Medicare paid $198.99 for CPT 70491 in the office (non-facility) setting and $198.99 in a facility under the Q4 2022 Physician Fee Schedule, effective October 2022. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2022, when it decreased 2.5%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2022,
        "quarter": "D",
        "label": "Q4 2022",
        "effective": "October 1 – December 31, 2022",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 198.99,
        "facility": 198.99,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 1.38,
        "practice_expense_non_facility": 4.29,
        "practice_expense_facility": 4.29,
        "malpractice": 0.08
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 34.6062,
    "source": {
        "label": "Physician relative value file (Q4 2022)",
        "cms_url": "https://www.cms.gov/files/zip/rvu22d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2022/D",
        "file": "PPRRVU22_OCT.csv",
        "row": 12496,
        "sha256": "f8774a019545e1fd71536837b20b74674c014b1acef3435d93456857885190ab"
    },
    "modified_at": "2026-08-04T03:12:03+00:00"
}