{
    "code": "78814",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/78814/2014/B",
    "release_specific_url": "https://localishealth.com/cpt/78814/2017/A",
    "description": "A PET scan performed on a combined PET/CT scanner, where the CT portion is acquired at the same sitting to correct the PET signal for body density and to pin the hot spots to precise anatomy. PET shows metabolic activity - typically glucose uptake by a radioactive sugar tracer - so tumors and other active tissue light up. Within the PET/CT group this is the limited-area member, covering a single region such as the chest, the head and neck, or one organ, as opposed to the torso-length and head-to-toe versions.",
    "answer": {
        "question": "Did Medicare pay separately for CPT 78814 in Q1 2017?",
        "text": "Not at a published national rate. CPT 78814 carries status C (carrier-priced) in the Q1 2017 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": 2017,
        "quarter": "A",
        "label": "Q1 2017",
        "effective": "January 1 – March 31, 2017",
        "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": 35.8887,
    "source": {
        "label": "Physician relative value file (Q1 2017)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu17a.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2017/A",
        "file": "PPRRVU17_V1219.csv",
        "row": 13208,
        "sha256": "fda64dc114c31e9002889c5847fcdcdc1c1ee8a1d8b26765b55e1f5da6e61bab"
    },
    "modified_at": "2026-08-04T03:07:28+00:00"
}