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CPT code 78472: Cardiac blood-pool imaging, single planar equilibrium study2026 Medicare rate & RVUs in New Mexico

Reports a single planar gated blood-pool study used to assess ventricular function, including ejection fraction, with equilibrium radionuclide imaging.

CMS RVU26DEffective Oct 1, 2026One payment locality8.4K Medicare services in 2024

In New Mexico, Medicare pays $193.62 for 78472 in the office.

$193.62Office (non-facility)
Not available in this settingHospital or facility
−6.7%vs the national office rate ($207.42)

Check a contract rate as a % of Medicare · 78472 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 78472 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 78472 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 78472 covers

This nuclear medicine study tracks radiolabeled blood through the heart to assess ventricular function, commonly including ejection fraction and wall motion. A nuclear medicine technologist performs the acquisition, and a qualified physician interprets it. It is used in settings such as cardiac evaluation and monitoring ventricular function before or during potentially cardiotoxic chemotherapy.

Report this code for one planar gated-equilibrium study; use the multiple-study sibling when the service includes multiple studies. The record should support the acquisition method and study count, along with the clinical reason and interpretation. The code has professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies equipment and staff, and no component modifier represents the global service. The cardiovascular diagnostic multiple procedure reduction applies to the technical component.

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 78472

Across 109 of 109 payment localities, the office rate for 78472 runs from $181.78 in Arkansas to $286.03 in San Benito County, CA. New Mexico pays $193.62. The RVUs are the same everywhere; the geographic indexes change the dollars.

78472 in New Mexico vs other payment areas
  1. New Mexico · this page$193.62
  2. Los Angeles, CA · California$239.44+$45.82
  3. Washington, DC area · District of Columbia$240.19+$46.57
  4. Miami, FL · Florida$218.59+$24.97
  5. Chicago, IL · Illinois$211.97+$18.35
  6. Manhattan, NY · New York$239.01+$45.39
  7. Alaska · Alaska$233.48+$39.86

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

Every other payment area

78472 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$184.67—
ArkansasArkansas$181.78—
ArizonaArizona$201.68—
Bakersfield, CACalifornia$223.56—
Chico, CACalifornia$223.30—
El Centro, CACalifornia$223.32—
Fresno, CACalifornia$223.30—
Hanford, CACalifornia$223.30—

78472 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.

$181.78

$254.67

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

View every state and territory as a table
78472 office rate range by state
State / territoryOffice rate rangeLocalities
AK$233.481
AL$184.671
AR$181.781
AZ$201.681
CA$223.30–$286.0329
CO$218.271
CT$221.921
DC$240.191
DE$205.241
FL$201.17–$218.593
GA$189.28–$210.822
GU$229.951
HI$229.951
IA$191.131
ID$192.201
IL$193.90–$214.374
IN$193.441
KS$189.521
KY$188.021
LA$187.45–$197.592
MA$216.54–$241.942
MD$209.59–$240.193
ME$192.59–$204.882
MI$192.74–$203.212
MN$210.551
MO$183.52–$199.143
MS$182.721
MT$207.411
NC$194.891
ND$205.831
NE$192.461
NH$214.171
NJ$224.85–$237.252
NM$193.621
NV$207.151
NY$197.99–$244.405
OH$192.421
OK$188.351
OR$205.94–$226.422
PA$193.11–$215.592
PR$209.281
RI$213.441
SC$193.891
SD$205.651
TN$190.471
TX$191.69–$217.198
UT$196.791
VA$203.70–$240.192
VI$209.281
VT$204.371
WA$216.35–$247.732
WI$198.321
WV$185.951
WY$206.721

See 78472 in every payment locality

How the 78472 rate is calculated

Each of 78472’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 · 78472

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.96

0.96 RVUs× 1.000 GPCI

Practice expense5.17

5.17 RVUs× 1.000 GPCI

Malpractice0.08

0.08 RVUs× 1.000 GPCI

Adjusted RVUs

6.2100

Conversion factor

$33.4009

Medicare rate

$207.42

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

9,398

Code
78472
Physician work
0.96
Practice expense
5.17
Malpractice
0.08

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 78472 in New Mexico
ComponentRVULocality factorAdjusted
Physician work0.96× 1.0000.9600
Practice expense5.17× 0.9174.7409
Malpractice0.08× 1.2010.0961
Total RVUs5.7970
Conversion factor× 33.4009

Office rate, New Mexico$193.62

Office: (0.96 × 1 + 5.17 × 0.917 + 0.08 × 1.201) × $33.4009 = $193.62

Open 78472 in the RVU calculator

Payment rules and modifiers for 78472

The CMS indicators that decide how 78472 is paid alongside other services.

CMS payment indicators · 78472

Cardiac blood-pool imaging, single planar equilibrium study

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

78472 without 26 · national office

$207.42

Cardiac blood-pool imaging, single planar equilibrium study

78472-26 · Professional component

$44.76

Pays only the interpretation and report.

When to use modifier 26

Codes related to 78472

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

Codes related to 78472
CodeHow it relatesOffice range, New Mexico
Same family
78473Gated heart imaging, multiple studiesPlanar gated-equilibrium blood-pool imaging for multiple studies rather than a single study.$249.73
Used instead
78481Cardiac function imaging, single first-pass studyUses first-pass blood-pool imaging for a single study instead of the equilibrium method.$151.99
78483First-pass cardiac imaging, multiple studiesUses first-pass blood-pool imaging for multiple studies.$205.95
78494Cardiac blood-pool imaging, gated SPECTGated-equilibrium blood-pool imaging performed with SPECT rather than planar acquisition.$197.64

How 78472 has changed in New Mexico

78472 · Office / nonfacility

$193.62

Effective 2026-10-01

The base rate is $8.22 higher than on 2025-10-01, moving from $185.40 to $193.62 (4.4%).

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

    $185.40changed to$193.62

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.98 changed to 0.96
    • Practice expense RVU 5.13 changed to 5.17
    • 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

    $194.42changed to$185.40

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.25 changed to 5.13

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $191.25changed to$194.42

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $198.69changed to$191.25

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.31 changed to 5.25
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172

  5. January 1, 2023

    RVU23A

    $205.20changed to$198.69

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.42 changed to 5.31
    • 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

    $213.78changed to$205.20

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.64 changed to 5.42

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $217.45changed to$213.78

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.45 changed to 5.64
    • 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

    $222.47changed to$217.45

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.53 changed to 5.45
    • 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

    $226.20changed to$222.47

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.65 changed to 5.53

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $224.19changed to$226.20

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.62 changed to 5.65
    • 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

    $223.34changed to$224.19

    • Conversion factor 35.8043 changed to 35.8887
    • 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

    $223.72changed to$223.34

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.07 changed to 0.08

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $222.61changed to$223.72

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $218.68changed to$222.61

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.50 changed to 5.62
    • 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

    $221.46changed to$218.68

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.96 changed to 5.50
    • 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: $221.46

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$193.62Not available in this settingRVU26D
2026-07-01$193.62Not available in this settingRVU26C
2026-04-01$193.62Not available in this settingRVU26B
2026-01-01$193.62Not available in this settingRVU26A
2025-10-01$185.40Not available in this settingRVU25D
2025-07-01$185.40Not available in this settingRVU25C
2025-04-01$185.40Not available in this settingRVU25B
2025-01-01$185.40Not available in this settingRVU25A
2024-10-01$194.42Not available in this settingRVU24D
2024-07-01$194.42Not available in this settingRVU24C
2024-04-01$194.42Not available in this settingRVU24B
2024-03-09$194.42Not available in this settingRVU24AR
2024-01-01$191.25Not available in this settingRVU24A
2023-10-01$198.69Not available in this settingRVU23D
2023-07-01$198.69Not available in this settingRVU23C
2023-04-01$198.69Not available in this settingRVU23B
2023-01-01$198.69Not available in this settingRVU23A
2022-10-01$205.20Not available in this settingRVU22D
2022-07-01$205.20Not available in this settingRVU22C
2022-04-01$205.20Not available in this settingRVU22B
2022-01-01$205.20Not available in this settingRVU22A
2021-10-01$213.78Not available in this settingRVU21D
2021-07-01$213.78Not available in this settingRVU21C
2021-04-01$213.78Not available in this settingRVU21B
2021-01-01$213.78Not available in this settingRVU21A
2020-10-01$217.45Not available in this settingRVU20D
2020-07-01$217.45Not available in this settingRVU20C
2020-04-01$217.45Not available in this settingRVU20B
2020-01-01$217.45Not available in this settingRVU20A
2019-10-01$222.47Not available in this settingRVU19D
2019-07-01$222.47Not available in this settingRVU19C
2019-04-01$222.47Not available in this settingRVU19B
2019-01-01$222.47Not available in this settingRVU19A
2018-10-01$226.20Not available in this settingRVU18D
2018-07-01$226.20Not available in this settingRVU18C
2018-04-01$226.20Not available in this settingRVU18B
2018-01-01$226.20Not available in this settingRVU18AR1
2017-10-01$224.19Not available in this settingRVU17D
2017-07-01$224.19Not available in this settingRVU17C
2017-04-01$224.19Not available in this settingRVU17B
2017-01-01$224.19Not available in this settingRVU17A
2016-10-01$223.34Not available in this settingRVU16D
2016-07-01$223.34Not available in this settingRVU16C
2016-04-01$223.34Not available in this settingRVU16B
2016-01-01$223.34Not available in this settingRVU16A
2015-10-01$223.72Not available in this settingRVU15D
2015-07-01$223.72Not available in this settingRVU15C
2015-04-01$222.61Not available in this settingRVU15B
2015-01-01$222.61Not available in this settingRVU15A
2014-10-01$218.68Not available in this settingRVU14D
2014-07-01$218.68Not available in this settingRVU14C
2014-04-01$218.68Not available in this settingRVU14B
2014-01-01$218.68Not available in this settingRVU14A
2013-10-01$221.46Not available in this settingRVU13D
2013-07-01$221.46Not available in this settingRVU13C
2013-04-01$221.46Not available in this settingRVU13B
2013-01-01$221.46Not available in this settingRVU13AR

Price 78472 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

78472 billing questions

When is 78472 selected instead of 78473?

Use 78472 for one planar gated-equilibrium study. Use 78473 when multiple studies are performed.

How does 78472 differ from first-pass imaging?

78472 describes gated-equilibrium blood-pool imaging. First-pass cardiac blood-pool imaging is reported with 78481 for a single study or 78483 for multiple studies.

Can the interpretation and technical service be billed separately?

Yes. Report modifier 26 for the professional interpretation and modifier TC for the technical service. Without either modifier, the claim represents the global service.

Which part is subject to the cardiovascular diagnostic multiple procedure reduction?

The reduction applies to the technical component of 78472. It does not apply to the professional component.

What documentation supports reporting one study?

Document the planar gated-equilibrium acquisition, the number of studies performed, the clinical indication, and the physician's interpretation.

Is 78472 a myocardial perfusion study?

No. It evaluates cardiac blood-pool movement and ventricular function; myocardial perfusion codes describe imaging of blood flow to the heart muscle.

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 78472PPRRVU2026_Oct_nonQPP.csv, line 9,398 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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