CPT code 78432: Myocardial PET, two radiopharmaceuticals2026 Medicare rate & RVUs in Missouri
Myocardial PET imaging with two radiopharmaceuticals is reported for the two-tracer cardiac imaging protocol, with professional, technical, or global service reporting.
CMS doesn’t publish an office rate for 78432 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | Unavailable |
| Metropolitan St. Louis, MO | Unavailable | Unavailable |
| Rest of Missouri | Unavailable | Unavailable |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic 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.
78432 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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