CPT code 78431: Cardiac PET, rest and stress with CT2026 Medicare rate & RVUs in Virginia

CMS doesn’t publish a rate for 78431 in Virginia.

Check a contract rate as a % of Medicare · 78431 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 78431 covers

This examination uses PET to assess myocardial perfusion in separate rest and stress acquisitions, with a concurrently acquired CT used for attenuation correction. Stress may be induced by exercise or medication. Nuclear medicine or cardiology imaging teams perform the technical study, and a qualified practitioner interprets the images. This protocol distinguishes the code from a single-study PET examination and from SPECT myocardial perfusion imaging.

Medicare assigns physician fee schedule status C (carrier priced): CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim. The service has professional and technical portions: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and no modifier reports the global service. Report the code for the rest-and-stress PET myocardial perfusion examination with CT.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Virginia compares for 78431

Every other payment area

78431 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 78431 in every payment locality

How the 78431 rate is calculated

Each of 78431’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 78431

The CMS indicators that decide how 78431 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

Codes related to 78431

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 78431 has changed in Virginia

Price 78431 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates