PFS Explorer

Search codes

Search for a command to run...

78456

ActiveGlobal n/a

Acute venous thrombus image

2026 Medicare payment

Estimated allowed amounts. Pick a locality or enter a ZIP; toggle modifiers to see how the payment rules change the number.

Show values as
Component
LineQtyNon-facility (office)Facility (hospital/ASC)
784561$284.24$284.24
Conversion factor: Locality: national average GPCIs

RVU breakdown (national)

Relative value units before geographic adjustment. Payment = (work×GPCIw + PE×GPCIpe + MP×GPCImp) × CF

RowWork RVUPE RVU (office)PE RVU (facility)MP RVUTotal (office)
78456-260.980.360.360.031.37
784560.987.457.450.088.51
78456-TC0.007.097.090.057.14

Payment policy for 78456

CMS's indicator fields, translated. These control which modifiers are payable and how.

Professional/technical (PC/TC)

pctc=1

Diagnostic test

Has professional (-26) and technical (-TC) components, each priced separately.

Multiple procedures

mult_surg=6

Cardio TC reduction

Technical component of subsequent diagnostic cardiovascular services reduced 25%.

Bilateral (modifier 50)

bilt_surg=9

Not applicable

The bilateral concept does not apply.

Assistant surgeon (80/81/82)

asst_surg=9

Not applicable

The assistant-at-surgery concept does not apply.

Co-surgeons (modifier 62)

co_surg=9

Not applicable

The co-surgeon concept does not apply.

Team surgery (modifier 66)

team_surg=9

Not applicable

The team-surgery concept does not apply.

Source: pfs.data.cms.gov "Indicators for 2026", retrieved 2026-07-16; conversion factors $33.4009 / $33.5675 (QP) per CMS-1832-F. Estimated amounts — not billing or coding advice.

Was this page useful?