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CPT code 78454: Heart imaging, multiple planar studies2026 Medicare rate & RVUs in New Mexico

Reports planar nuclear imaging of myocardial perfusion across multiple studies, commonly rest and stress acquisitions, when planar rather than tomographic imaging is performed.

CMS RVU26DEffective Oct 1, 2026One payment locality4.7K Medicare services in 2024

In New Mexico, Medicare pays $355.35 for 78454 in the office.

$355.35Office (non-facility)
Not available in this settingHospital or facility
−7.0%vs the national office rate ($382.11)

Check a contract rate as a % of Medicare · 78454 nationwide

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

We’ll open 78454 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 78454 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 78454 covers

This service uses a nuclear medicine camera to produce planar images of myocardial perfusion in more than one study. A common clinical use is comparison of rest and stress images when evaluating suspected or known coronary artery disease. Nuclear medicine physicians, radiologists, and cardiology imaging teams may perform or interpret the examination in hospital or outpatient imaging settings. The defining feature is planar acquisition; SPECT myocardial imaging is coded in a different code family.

Select this code when the record supports multiple planar myocardial imaging studies, rather than a single study or tomographic imaging. Documentation should identify the imaging approach and the studies performed, with an interpretation addressing the myocardial images. The code has professional and technical components: report modifier 26 for interpretation, modifier TC for equipment and staff, or neither for the global service. CMS’s cardiovascular diagnostic multiple-procedure reduction applies to the technical component; the professional component is not subject to that reduction.

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.

How New Mexico compares for 78454

Across 109 of 109 payment localities, the office rate for 78454 runs from $332.79 in Arkansas to $532.23 in San Benito County, CA. New Mexico pays $355.35. The RVUs are the same everywhere; the geographic indexes change the dollars.

78454 in New Mexico vs other payment areas
  1. New Mexico · this page$355.35
  2. Los Angeles, CA · California$443.39+$88.04
  3. Washington, DC area · District of Columbia$444.39+$89.04
  4. Miami, FL · Florida$402.94+$47.59
  5. Chicago, IL · Illinois$390.14+$34.79
  6. Manhattan, NY · New York$441.70+$86.35
  7. Alaska · Alaska$423.57+$68.22

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

78454 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$338.37—
ArkansasArkansas$332.79—
ArizonaArizona$371.09—
Bakersfield, CACalifornia$413.14—
Chico, CACalifornia$412.71—
El Centro, CACalifornia$412.74—
Fresno, CACalifornia$412.71—
Hanford, CACalifornia$412.71—

78454 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.

$332.79

$472.47

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
78454 office rate range by state
State / territoryOffice rate rangeLocalities
AK$423.571
AL$338.371
AR$332.791
AZ$371.091
CA$412.71–$532.2329
CO$402.961
CT$409.661
DC$444.391
DE$377.851
FL$369.78–$402.943
GA$346.97–$388.522
GU$425.851
HI$425.851
IA$350.921
ID$352.951
IL$355.71–$395.034
IN$355.341
KS$347.751
KY$344.671
LA$343.54–$363.062
MA$399.54–$448.122
MD$386.16–$444.393
ME$353.64–$377.382
MI$353.68–$373.642
MN$388.491
MO$335.94–$366.103
MS$334.511
MT$382.101
NC$358.061
ND$379.331
NE$353.501
NH$395.201
NJ$415.01–$438.572
NM$355.351
NV$381.661
NY$364.03–$451.985
OH$353.111
OK$345.361
OR$379.38–$418.652
PA$354.49–$397.482
PR$385.711
RI$393.441
SC$356.051
SD$379.001
TN$349.581
TX$351.74–$401.018
UT$361.611
VA$375.06–$444.392
VI$385.711
VT$376.461
WA$399.24–$459.182
WI$364.861
WV$340.411
WY$380.891

See 78454 in every payment locality

How the 78454 rate is calculated

Each of 78454’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 · 78454

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.31

1.31 RVUs× 1.000 GPCI

Practice expense9.99

9.99 RVUs× 1.000 GPCI

Malpractice0.14

0.14 RVUs× 1.000 GPCI

Adjusted RVUs

11.4400

Conversion factor

$33.4009

Medicare rate

$382.11

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

9,374

Code
78454
Physician work
1.31
Practice expense
9.99
Malpractice
0.14

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 78454 in New Mexico
ComponentRVULocality factorAdjusted
Physician work1.31× 1.0001.3100
Practice expense9.99× 0.9179.1608
Malpractice0.14× 1.2010.1681
Total RVUs10.6390
Conversion factor× 33.4009

Office rate, New Mexico$355.35

Office: (1.31 × 1 + 9.99 × 0.917 + 0.14 × 1.201) × $33.4009 = $355.35

Open 78454 in the RVU calculator

Payment rules and modifiers for 78454

The CMS indicators that decide how 78454 is paid alongside other services.

CMS payment indicators · 78454

Heart imaging, multiple planar studies

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures6Diagnostic cardiovascular reduction applies to the technical component.
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

78454 without 26 · national office

$382.11

Heart imaging, multiple planar studies

78454-26 · Professional component

$61.12

Pays only the interpretation and report.

When to use modifier 26

Codes related to 78454

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

Codes related to 78454
CodeHow it relatesOffice range, New Mexico
Same family
78453Heart perfusion imaging, single planar studyPlanar myocardial imaging for a single study.$244.71
Used instead
78452Nuclear stress test, SPECT, multiple perfusion studiesMultiple-study myocardial imaging using SPECT rather than planar acquisition.$397.97
78451Cardiac SPECT, single rest or stress studySingle-study myocardial imaging using SPECT rather than planar acquisition.$290.15

How 78454 has changed in New Mexico

78454 · Office / nonfacility

$355.35

Effective 2026-10-01

The base rate is $6.41 higher than on 2025-10-01, moving from $348.94 to $355.35 (1.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $348.94changed to$355.35

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.34 changed to 1.31
    • Practice expense RVU 10.25 changed to 9.99
    • Malpractice RVU 0.12 changed to 0.14
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $366.22changed to$348.94

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 10.46 changed to 10.25
    • Malpractice RVU 0.14 changed to 0.12

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $360.24changed to$366.22

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $377.71changed to$360.24

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 10.69 changed to 10.46
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172

  5. January 1, 2023

    RVU23A

    $387.21changed to$377.71

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 10.81 changed to 10.69
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $403.80changed to$387.21

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 11.29 changed to 10.81
    • Malpractice RVU 0.10 changed to 0.14

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $412.74changed to$403.80

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 10.96 changed to 11.29
    • Malpractice RVU 0.12 changed to 0.10
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $422.12changed to$412.74

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 11.10 changed to 10.96
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $429.94changed to$422.12

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 11.35 changed to 11.10

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $426.37changed to$429.94

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 11.30 changed to 11.35
    • Practice expense GPCI 0.920 changed to 0.921
    • Malpractice GPCI 1.204 changed to 1.247

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $424.12changed to$426.37

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 11.28 changed to 11.30
    • Practice expense GPCI 0.919 changed to 0.920
    • Malpractice GPCI 1.161 changed to 1.204

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $422.09changed to$424.12

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 11.21 changed to 11.28
    • Malpractice RVU 0.09 changed to 0.12

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $419.99changed to$422.09

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $413.55changed to$419.99

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 11.01 changed to 11.21
    • Practice expense GPCI 0.918 changed to 0.919
    • Malpractice GPCI 1.079 changed to 1.161

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $416.39changed to$413.55

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 11.80 changed to 11.01
    • Practice expense GPCI 0.916 changed to 0.918
    • Malpractice GPCI 0.997 changed to 1.079

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $416.39

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$355.35Not available in this settingRVU26D
2026-07-01$355.35Not available in this settingRVU26C
2026-04-01$355.35Not available in this settingRVU26B
2026-01-01$355.35Not available in this settingRVU26A
2025-10-01$348.94Not available in this settingRVU25D
2025-07-01$348.94Not available in this settingRVU25C
2025-04-01$348.94Not available in this settingRVU25B
2025-01-01$348.94Not available in this settingRVU25A
2024-10-01$366.22Not available in this settingRVU24D
2024-07-01$366.22Not available in this settingRVU24C
2024-04-01$366.22Not available in this settingRVU24B
2024-03-09$366.22Not available in this settingRVU24AR
2024-01-01$360.24Not available in this settingRVU24A
2023-10-01$377.71Not available in this settingRVU23D
2023-07-01$377.71Not available in this settingRVU23C
2023-04-01$377.71Not available in this settingRVU23B
2023-01-01$377.71Not available in this settingRVU23A
2022-10-01$387.21Not available in this settingRVU22D
2022-07-01$387.21Not available in this settingRVU22C
2022-04-01$387.21Not available in this settingRVU22B
2022-01-01$387.21Not available in this settingRVU22A
2021-10-01$403.80Not available in this settingRVU21D
2021-07-01$403.80Not available in this settingRVU21C
2021-04-01$403.80Not available in this settingRVU21B
2021-01-01$403.80Not available in this settingRVU21A
2020-10-01$412.74Not available in this settingRVU20D
2020-07-01$412.74Not available in this settingRVU20C
2020-04-01$412.74Not available in this settingRVU20B
2020-01-01$412.74Not available in this settingRVU20A
2019-10-01$422.12Not available in this settingRVU19D
2019-07-01$422.12Not available in this settingRVU19C
2019-04-01$422.12Not available in this settingRVU19B
2019-01-01$422.12Not available in this settingRVU19A
2018-10-01$429.94Not available in this settingRVU18D
2018-07-01$429.94Not available in this settingRVU18C
2018-04-01$429.94Not available in this settingRVU18B
2018-01-01$429.94Not available in this settingRVU18AR1
2017-10-01$426.37Not available in this settingRVU17D
2017-07-01$426.37Not available in this settingRVU17C
2017-04-01$426.37Not available in this settingRVU17B
2017-01-01$426.37Not available in this settingRVU17A
2016-10-01$424.12Not available in this settingRVU16D
2016-07-01$424.12Not available in this settingRVU16C
2016-04-01$424.12Not available in this settingRVU16B
2016-01-01$424.12Not available in this settingRVU16A
2015-10-01$422.09Not available in this settingRVU15D
2015-07-01$422.09Not available in this settingRVU15C
2015-04-01$419.99Not available in this settingRVU15B
2015-01-01$419.99Not available in this settingRVU15A
2014-10-01$413.55Not available in this settingRVU14D
2014-07-01$413.55Not available in this settingRVU14C
2014-04-01$413.55Not available in this settingRVU14B
2014-01-01$413.55Not available in this settingRVU14A
2013-10-01$416.39Not available in this settingRVU13D
2013-07-01$416.39Not available in this settingRVU13C
2013-04-01$416.39Not available in this settingRVU13B
2013-01-01$416.39Not available in this settingRVU13AR

Price 78454 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

78454 billing questions

How does this differ from 78453?

Both describe planar myocardial imaging. Use 78454 for multiple studies and 78453 for a single study.

When is 78452 a better fit?

78452 describes multiple-study myocardial imaging performed with SPECT. Choose 78454 when the acquisition is planar rather than tomographic.

Does multiple studies mean multiple planar views?

No. The distinction is the number of imaging studies, not simply the number of views or projections in one study.

How should the professional and technical portions be billed?

Use modifier 26 for the professional interpretation and modifier TC for the technical service. Bill without either modifier when billing the global service.

What does the cardiovascular diagnostic multiple-procedure reduction affect?

CMS applies the reduction to the technical component. It does not apply to the professional component.

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

Show the CMS file lines behind this rate
RVUs for 78454PPRRVU2026_Oct_nonQPP.csv, line 9,374 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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