{
    "code": "78492",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/78492/2014/B",
    "release_specific_url": "https://localishealth.com/cpt/78492/2019/B",
    "description": "Blood-flow imaging of the heart muscle done with a PET scanner instead of a conventional gamma camera. A short-lived tracer such as rubidium or ammonia is injected, and PET records where it reaches the heart wall, generally with sharper images and better correction for body habitus than SPECT, plus the ability to put an actual number on blood flow. This is the multiple-study entry, meaning imaging is performed both at rest and under pharmacologic stress so the two can be compared; the companion code covers a single study alone.",
    "answer": {
        "question": "Did Medicare pay separately for CPT 78492 in Q2 2019?",
        "text": "Not at a published national rate. CPT 78492 carries status C (carrier-priced) in the Q2 2019 release. Your Medicare Administrative Contractor prices this code case by case, usually after reviewing documentation. Treat the blank amount as unpriced, not as $0."
    },
    "release": {
        "schedule": "pfs",
        "year": 2019,
        "quarter": "B",
        "label": "Q2 2019",
        "effective": "April 1 – June 30, 2019",
        "revision": 1
    },
    "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": 36.0391,
    "source": {
        "label": "Physician relative value file (Q2 2019)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu19b.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2019/B",
        "file": "PPRRVU19_APR.csv",
        "row": 13447,
        "sha256": "b427bbfdcb61b355ba034840681873d1bd6cdcf51752bdae1bab7c5449efc971"
    },
    "modified_at": "2026-08-04T03:08:53+00:00"
}