78434 Aqmbf pet rest & rx stress
What 78434 is
CMS fee schedule short descriptor: Aqmbf pet rest & rx stress.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 78434 (CY2026)
This code has no Physician Fee Schedule rate: Carrier-priced - the Medicare contractor sets the price. It may be paid under a different fee schedule (clinical laboratory, DMEPOS, anesthesia) or not paid at all - check the relevant CMS schedule.
Medically Unlikely Edit (MUE)
Medicare caps 78434 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 78434? These codes are bundled into it
78434 is a Column 1 code in 24 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
0694T | 3d vol img&rcnstj brst/ax | 1 - modifier may bypass | Check pair |
0708T | Id ca immntx prep & 1st njx | 1 - modifier may bypass | Check pair |
0709T | Id ca immntx each addl njx | 1 - modifier may bypass | Check pair |
36000 | Place needle in vein | 1 - modifier may bypass | Check pair |
36005 | Injection ext venography | 1 - modifier may bypass | Check pair |
36410 | Vnpnxr 3yr/> phy/qhp dx/ther | 1 - modifier may bypass | Check pair |
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
76376 | 3d render w/intrp postproces | 1 - modifier may bypass | Check pair |
76377 | 3d render w/intrp postproces | 1 - modifier may bypass | Check pair |
77790 | Radiation handling | 0 - no modifier bypass | Check pair |
78445 | Vascular flow imaging | 0 - no modifier bypass | Check pair |
78491 | Myocrd img pet 1std rst/strs | 0 - no modifier bypass | Check pair |
96360 | Hydration iv infusion init | 1 - modifier may bypass | Check pair |
96365 | Ther/proph/diag iv inf init | 1 - modifier may bypass | Check pair |
96372 | Ther/proph/diag inj sc/im | 1 - modifier may bypass | Check pair |
96374 | Ther/proph/diag inj iv push | 1 - modifier may bypass | Check pair |
96375 | Tx/pro/dx inj new drug addon | 1 - modifier may bypass | Check pair |
96376 | Tx/pro/dx inj same drug adon | 1 - modifier may bypass | Check pair |
96377 | Applicaton on-body injector | 1 - modifier may bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
A9500 | Tc99m sestamibi | 1 - modifier may bypass | Check pair |
A9502 | Tc99m tetrofosmin | 1 - modifier may bypass | Check pair |
A9505 | Tl201 thallium | 1 - modifier may bypass | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.