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CPT code 78814: PET with CT, limited area2026 Medicare rate & RVUs

Reports PET imaging of a limited body area with concurrently acquired CT for attenuation correction and anatomical localization.

CMS RVU26DEffective Oct 1, 2026109 payment localities33.8K Medicare services in 2024

Medicare rate · 78814

PET with CT, limited area

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for 78814 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 78814 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 78814 covers

This code describes a PET examination focused on a limited body area, with CT acquired during the same imaging session for attenuation correction and anatomical localization. It is used in diagnostic imaging, including oncologic evaluation when the study is directed to a localized region. The imaging service is typically performed by a radiology or nuclear medicine team; a qualified practitioner interprets the images and reports the findings.

Medicare assigns this service physician fee schedule status C, or carrier priced: CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim. The professional interpretation may be reported with modifier 26, and the technical service, including equipment and staff, with modifier TC. Without either modifier, the code represents the global service.

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.

Where 78814 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

78814 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

78814 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
78814 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 78814 rate is calculated

Each of 78814’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.

How the rate is built · 78814

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 78814

The CMS indicators that decide how 78814 is paid alongside other services.

CMS payment indicators · 78814

PET with CT, limited area

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

78814 without 26 · national facility

$0.00

PET with CT, limited area

78814-26 · Professional component

$98.53

Pays only the interpretation and report.

When to use modifier 26

78814 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 78814

    PET with CT, limited area0 wRVU

    Not priced

  • 78811

    PET imaging, limited area0 wRVU

    Not priced

  • 78815

    PET/CT imaging, skull base to mid-thigh0 wRVU

    Not priced

  • 78816

    PET/CT imaging, whole body0 wRVU

    Not priced

How to choose

78811PET imagingLimited area
Both are limited-area PET studies. Use 78814 when CT is acquired concurrently for attenuation correction and anatomical localization; 78811 is the corresponding PET study without CT.
78815PET/CT imagingSkull base to mid-thigh
Both include PET and concurrently acquired CT, but 78815 covers the skull base through mid-thigh rather than a limited body area.
78816PET/CT imagingWhole body
78816 describes PET with CT covering the full body. Choose 78814 for an examination limited to a body area.

Codes related to 78814

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

Codes related to 78814
CodeHow it relatesNational office range
Used instead
78811PET imaging, limited areaLimited-area PET without concurrently acquired CT.No office rate
Same family
78812PET imaging, skull base to mid-thighPET without CT covering the skull base through mid-thigh.No office rate
78813Whole-body PET, without CTPET without CT covering the full body.No office rate
78815PET/CT imaging, skull base to mid-thighPET with CT covering the skull base through mid-thigh.No office rate
78816PET/CT imaging, whole bodyPET with CT covering the full body.No office rate

78814 billing questions

When should 78814 be chosen over 78811?

Use 78814 when the limited-area PET study includes concurrently acquired CT for attenuation correction and anatomical localization. Code 78811 describes limited-area PET without that CT.

How does 78814 differ from 78815?

Both describe PET with concurrently acquired CT. Choose based on the imaged extent: 78814 is limited area, while 78815 covers the skull base through mid-thigh.

Which modifiers identify the professional and technical services?

Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Reporting 78814 without either modifier represents the global service.

How does Medicare price 78814?

Its physician fee schedule status is C, or carrier priced. CMS publishes no national payment; the Medicare Administrative Contractor sets payment for each claim.

What should documentation support for this code?

Document the limited body area examined, the PET study, and the concurrent CT acquisition used for attenuation correction and anatomical localization.

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

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