{
    "code": "78430",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/78430/2020/A",
    "release_specific_url": "https://localishealth.com/cpt/78430/2024/A",
    "answer": {
        "question": "What is the Medicare allowed amount for CPT 78430?",
        "text": "CPT 78430 carries status C (carrier-priced) in the Q1 2024 release, so there is no single national rate—Medicare contractors publish their own amounts. Your Medicare Administrative Contractor prices this code case by case, usually after reviewing documentation. Contractor-published amounts on file range $1,339.50–$1,642.81 across 18 localities; enter a ZIP for the exact local amount."
    },
    "release": {
        "schedule": "pfs",
        "year": 2024,
        "quarter": "A",
        "label": "Q1 2024",
        "effective": "January 1 – March 31, 2024",
        "revision": 2
    },
    "status": {
        "code": "C",
        "non_facility_payable": false,
        "facility_payable": false
    },
    "national_rates_usd": {
        "office_non_facility": null,
        "facility": null,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": null,
        "practice_expense_non_facility": null,
        "practice_expense_facility": null,
        "malpractice": null
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 33.2875,
    "source": {
        "label": "Physician relative value file (Q1 2024)",
        "cms_url": "https://www.cms.gov/files/zip/rvu24ar-posted-04/01/2024.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2024/A",
        "file": "PPRRVU24_JAN.csv",
        "row": 14738,
        "sha256": "b6c71c98c3e26e2b217817da7000cc3516dc360a1c74d5ffd8f46bfa835f9741"
    },
    "modified_at": "2026-09-14T14:04:53+00:00"
}