CPT code 78814: PET with CT, limited area2026 Medicare rate & RVUs in Maryland
Reports PET imaging of a limited body area with concurrently acquired CT for attenuation correction and anatomical localization.
CMS doesn’t publish an office rate for 78814 in Maryland.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Maryland
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Baltimore area, MD | Unavailable | Unavailable |
| Rest of Maryland | Unavailable | Unavailable |
| Washington, DC area | Unavailable | Unavailable |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic 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.
78814 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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