{
    "code": "74178",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/74178",
    "release_specific_url": "https://localishealth.com/cpt/74178/2026/D",
    "description": "Abdomen and Pelvis CT With and Without Contrast",
    "answer": {
        "question": "How much does Medicare pay for CPT 74178 in 2026?",
        "text": "Medicare pays $338.02 for CPT 74178 in the office (non-facility) setting and $338.02 in a facility under the Q4 2026 Physician Fee Schedule, effective October 2026. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. Across payment localities, both settings' amount is $297.86–$461.15. This price has been unchanged since Q1 2026, when it increased 1.6%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2026,
        "quarter": "D",
        "label": "Q4 2026",
        "effective": "October 1 – December 31, 2026",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 338.02,
        "facility": 338.02,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 1.96,
        "practice_expense_non_facility": 8.01,
        "practice_expense_facility": 8.01,
        "malpractice": 0.15
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 33.4009,
    "ncci": {
        "release": "Q3 2026",
        "never_billable_pair_count": 8,
        "modifier_allowed_pair_count": 27,
        "mue_units_per_date_of_service": null,
        "url": "https://localishealth.com/cpt/74178/ncci-edits",
        "complete_text_url": "https://localishealth.com/cpt/74178/ncci-edits.txt"
    },
    "source": {
        "label": "Physician relative value file (Q4 2026)",
        "cms_url": "https://www.cms.gov/files/zip/rvu26d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2026/D",
        "file": "PPRRVU2026_Oct_nonQPP.csv",
        "row": 8321,
        "sha256": "7b5ff4a97327358d02fd8a994a4422a929b046bc723db98ad4f36e50a85496a7"
    },
    "modified_at": "2026-08-26T06:15:42+00:00"
}