CPT 78815 Medicare Fee Schedule 2026
Medicare's 2026 national payment for CPT 78815 is $109.56 in a non-facility setting ($109.56 in a facility), up 0.5% from $109.01 in 2025.
- Non-facility
- $109.56
- Facility
- $109.56
- vs. 2025
- +0.5%
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| Code | Date | State | Locality | Carrier | Non-Facility Fee | Facility Fee | Description |
|---|---|---|---|---|---|---|---|
| 78815 | 10/2026 | N/A | 00 | 00000 | $109.56 | $109.56 | Pet Scan With Ct Scan, A Pet (Positron Emission Tomography) Scan Creates Images By Detecting A Radioactive Substance That Has Been Given By Mouth Or Iv. A Ct (Computed Tomography) Scan May Be Superimposed For Enhanced Views. |
| 78815 | 7/2026 | N/A | 00 | 00000 | $109.56 | $109.56 | Pet Scan With Ct Scan, A Pet (Positron Emission Tomography) Scan Creates Images By Detecting A Radioactive Substance That Has Been Given By Mouth Or Iv. A Ct (Computed Tomography) Scan May Be Superimposed For Enhanced Views. |
| 78815 | 4/2026 | N/A | 00 | 00000 | $109.56 | $109.56 | Pet Scan With Ct Scan, A Pet (Positron Emission Tomography) Scan Creates Images By Detecting A Radioactive Substance That Has Been Given By Mouth Or Iv. A Ct (Computed Tomography) Scan May Be Superimposed For Enhanced Views. |
| 78815 | 1/2026 | N/A | 00 | 00000 | $109.56 | $109.56 | Pet Scan With Ct Scan, A Pet (Positron Emission Tomography) Scan Creates Images By Detecting A Radioactive Substance That Has Been Given By Mouth Or Iv. A Ct (Computed Tomography) Scan May Be Superimposed For Enhanced Views. |
| 78815 | 10/2025 | N/A | 00 | 00000 | $109.01 | $109.01 | Pet Scan With Ct Scan, A Pet (Positron Emission Tomography) Scan Creates Images By Detecting A Radioactive Substance That Has Been Given By Mouth Or Iv. A Ct (Computed Tomography) Scan May Be Superimposed For Enhanced Views. |
| 78815 | 7/2025 | N/A | 00 | 00000 | $109.01 | $109.01 | Pet Scan With Ct Scan, A Pet (Positron Emission Tomography) Scan Creates Images By Detecting A Radioactive Substance That Has Been Given By Mouth Or Iv. A Ct (Computed Tomography) Scan May Be Superimposed For Enhanced Views. |
| 78815 | 4/2025 | N/A | 00 | 00000 | $109.01 | $109.01 | Pet Scan With Ct Scan, A Pet (Positron Emission Tomography) Scan Creates Images By Detecting A Radioactive Substance That Has Been Given By Mouth Or Iv. A Ct (Computed Tomography) Scan May Be Superimposed For Enhanced Views. |
| 78815 | 1/2025 | N/A | 00 | 00000 | $109.01 | $109.01 | Pet Scan With Ct Scan, A Pet (Positron Emission Tomography) Scan Creates Images By Detecting A Radioactive Substance That Has Been Given By Mouth Or Iv. A Ct (Computed Tomography) Scan May Be Superimposed For Enhanced Views. |
78815 national rate by year
Each row is the latest CMS file published that year. Change is against the year before.
| CMS file | Non-facility | Facility | Change |
|---|---|---|---|
| October 2026 | $109.56 | $109.56 | +0.5% |
| October 2025 | $109.01 | $109.01 | -1.7% |
| March 2024 | $110.85 | $110.85 | -2.6% |
| January 2023 | $113.86 | $113.86 | -1.5% |
| July 2022 | $115.59 | $115.59 | - |
This is the national amount before geographic adjustment. Medicare multiplies each relative value unit by its locality's geographic practice cost index, so a practice's own allowed amount can be higher or lower; pick a state above to see its localities. The facility amount applies when the service is performed in a hospital or other facility setting.
Commercial payers publish their negotiated rates for 78815 in transparency files. See how those compare with Medicare's rate.
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See what state Medicaid programs pay for 78815
50 state Medicaid agencies publish their own physician fee schedule. The 78815 page shows real published rates for several of them free, with effective dates and official sources.
17,674 codes and 974,327 published rates, taken from the files the state agencies publish themselves.
Related codes
Methodology
Rates are sourced directly from CMS Physician Fee Schedule files, indexed quarterly. Non-facility and facility prices are calculated using the published GPCI for each locality and the year's conversion factor.
View CMS Physician Fee Schedule