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CPT code 78432: Myocardial PET, two radiopharmaceuticals2026 Medicare rate & RVUs

Myocardial PET imaging with two radiopharmaceuticals is reported for the two-tracer cardiac imaging protocol, with professional, technical, or global service reporting.

CMS RVU26DEffective Oct 1, 2026109 payment localities69 Medicare services in 2024

Medicare rate · 78432

Myocardial PET, two radiopharmaceuticals

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for 78432 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 78432 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 78432 covers

This CPT service is PET imaging of the myocardium using two radiopharmaceuticals. Cardiac imaging or nuclear medicine services perform the technical imaging, and a physician interprets the study. It is reported for the two-tracer myocardial PET protocol. The two-tracer feature distinguishes it from nearby myocardial PET codes describing other study protocols. The technical service includes imaging equipment and staff, while the professional service is the interpretation.

Medicare assigns physician fee schedule status C (carrier priced): CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim. Modifier 26 identifies the professional interpretation; modifier TC identifies the technical service. Reporting the code without either modifier represents the global service. Code 78433 is the corresponding two-tracer myocardial PET code with CT.

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 78432 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

78432 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

78432 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
78432 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 78432 rate is calculated

Each of 78432’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 · 78432

RVUs × geographic indexes × conversion factor

Office or facility?

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 78432

The CMS indicators that decide how 78432 is paid alongside other services.

CMS payment indicators · 78432

Myocardial PET, two radiopharmaceuticals

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

78432 without 26 · national facility

$0.00

Myocardial PET, two radiopharmaceuticals

78432-26 · Professional component

$95.19

Pays only the interpretation and report.

When to use modifier 26

78432 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 78432

    Myocardial PET, two radiopharmaceuticals0 wRVU

    Not priced

  • 78433

    Myocardial PET, two radiopharmaceuticals0 wRVU

    Not priced

  • 78431

    Cardiac PET, rest and stress with CT0 wRVU

    Not priced

  • 78430

    Myocardial PET, rest and stress with CT0 wRVU

    Not priced

How to choose

78433Myocardial PETTwo radiopharmaceuticals
Both identify two-tracer myocardial PET imaging. Code 78433 identifies the corresponding study with CT.
78431Cardiac PETRest and stress with CT
Code 78431 identifies myocardial PET imaging at rest and stress with CT. This code is distinguished by its two-radiopharmaceutical protocol.
78430Myocardial PETRest and stress with CT
Code 78430 identifies myocardial PET rest/stress imaging with CT. This code is identified by its two-radiopharmaceutical protocol.

Codes related to 78432

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 78432
CodeHow it relatesNational office range
Same family
78433Myocardial PET, two radiopharmaceuticalsTwo-tracer myocardial PET imaging with CT.No office rate
78431Cardiac PET, rest and stress with CTMyocardial PET imaging at rest and stress with CT.No office rate
78430Myocardial PET, rest and stress with CTMyocardial PET rest/stress imaging with CT.No office rate
78429Cardiac PET, single metabolic study with CTOne-study myocardial PET imaging with CT.No office rate

78432 billing questions

When should this code be chosen over 78433?

This code identifies two-tracer myocardial PET imaging; 78433 identifies the corresponding study with CT.

Which modifier identifies the physician interpretation?

Modifier 26 identifies the professional interpretation.

Which modifier identifies the technical service?

Modifier TC identifies the technical service, including equipment and staff.

How does this differ from 78431?

Code 78431 identifies myocardial PET imaging at rest and stress with CT. This code is identified by its two-radiopharmaceutical protocol.

How does Medicare set payment for this code?

Its physician fee schedule status is C, or carrier priced. CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim.

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

Open CMS sourceHow we calculate rates

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