{
    "code": "70496",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/70496/2018/A",
    "release_specific_url": "https://localishealth.com/cpt/70496/2018/A",
    "description": "A CT scan of the arteries and veins inside the skull, timed so that contrast dye injected into an arm vein is filling the brain vessels at the moment the images are captured. The raw slices are then rebuilt on a workstation into three-dimensional pictures of the vessel tree, and that image processing and its interpretation are part of the service. It answers vessel questions - is one blocked, narrowed, ballooned, or bleeding - rather than the tissue questions a routine head CT answers.",
    "answer": {
        "question": "How much did Medicare pay for CPT 70496 in Q1 2018?",
        "text": "Medicare paid $298.44 for CPT 70496 in the office (non-facility) setting and $298.44 in a facility under the Q1 2018 Physician Fee Schedule, effective January 2018. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 0.4% increase from the previous quarter."
    },
    "release": {
        "schedule": "pfs",
        "year": 2018,
        "quarter": "A",
        "label": "Q1 2018",
        "effective": "January 1 – March 31, 2018",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 298.44,
        "facility": 298.44,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 1.75,
        "practice_expense_non_facility": 6.42,
        "practice_expense_facility": 6.42,
        "malpractice": 0.12
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.9996,
    "source": {
        "label": "Physician relative value file (Q1 2018)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu18ar1.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2018/A",
        "file": "PPRRVU18_JAN.csv",
        "row": 11619,
        "sha256": "b2c0cf1c065aa6f715438573eb2251381843a90991cf56818aaf33301c43c932"
    },
    "modified_at": "2026-08-04T03:08:09+00:00"
}
