{
    "code": "87798",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/87798/2014/B",
    "release_specific_url": "https://localishealth.com/cpt/87798/2019/D",
    "description": "A catch-all molecular test used when a laboratory amplifies and detects the genetic material of an infectious organism that has no code of its own. The technique matches the named targets - copy a stretch of the organism's DNA or RNA until it is detectable - but the organism being looked for sits outside the specifically listed ones. Each organism sought is treated as its own test, and the target has to be named in the documentation.",
    "answer": {
        "question": "Did Medicare pay separately for CPT 87798 in Q4 2019?",
        "text": "Not at a published national rate. CPT 87798 carries status X (statutory exclusion) in the Q4 2019 release. The statutory definition of physician services does not include this item. Treat the blank amount as unpriced, not as $0."
    },
    "release": {
        "schedule": "pfs",
        "year": 2019,
        "quarter": "D",
        "label": "Q4 2019",
        "effective": "October 1 – December 31, 2019",
        "revision": 1
    },
    "status": {
        "code": "X",
        "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 (Q4 2019)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu19d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2019/D",
        "file": "PPRRVU19_OCT.csv",
        "row": 15055,
        "sha256": "4efa7bdbffa98a56affa6d5b05e25d7ac5c39f26c7b281d0c773e7e530767cae"
    },
    "modified_at": "2026-08-04T03:09:13+00:00"
}