{
    "code": "70498",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/70498/2021/A",
    "release_specific_url": "https://localishealth.com/cpt/70498/2021/D",
    "description": "A CT scan of the arteries running up the neck to the brain - mainly the carotid arteries and the vertebral arteries - captured while injected contrast dye is passing through them. As with other CT angiography, rebuilding the slices into three-dimensional vessel images and reading them is included. It is frequently done in the same sitting as the head study, since stroke workups usually need to see the whole path from the chest up into the brain.",
    "answer": {
        "question": "How much did Medicare pay for CPT 70498 in Q4 2021?",
        "text": "Medicare paid $301.83 for CPT 70498 in the office (non-facility) setting and $301.83 in a facility under the Q4 2021 Physician Fee Schedule, effective October 2021. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2021, when it increased 0.3%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2021,
        "quarter": "D",
        "label": "Q4 2021",
        "effective": "October 1 – December 31, 2021",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 301.83,
        "facility": 301.83,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 1.75,
        "practice_expense_non_facility": 6.79,
        "practice_expense_facility": 6.79,
        "malpractice": 0.11
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 34.8931,
    "source": {
        "label": "Physician relative value file (Q4 2021)",
        "cms_url": "https://www.cms.gov/files/zip/rvu21d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2021/D",
        "file": "PPRRVU21_OCT.csv",
        "row": 12246,
        "sha256": "f1972bd23bdc51795ceba7d536bb413a0ba0b47fad8c2ed594e7ee7799877297"
    },
    "modified_at": "2026-08-04T03:10:59+00:00"
}