RadiologyStatus C
CPT Code 78491
Heart muscle PET imaging, single study at rest or stress without CT
Source: CMS 2026 Physician Fee ScheduleEffective Reviewed by the D3rx Clinical Billing Team
2026 Medicare pricing
CPT 78491 is not priced under the Medicare Physician Fee Schedule (status C). It is reimbursed under a separate CMS methodology.
Professional vs technical component
| Component | Office | Facility |
|---|---|---|
| Global (78491) | — | — |
| Professional (26) | $70.81 | $70.81 |
| Technical (TC) | — | — |
Bill modifier 26 for the interpretation only, TC for the equipment/technician only, or the bare code when you own both.
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Medical billing disclaimer
Rates shown are 2026 Physician Fee Schedule amounts and are for educational reference. Commercial payers, locality, and plan rules vary. Always verify current rates and coverage with the payer before billing. D3rx is not responsible for claim outcomes.