CPT code 78483: First-pass cardiac imaging, multiple studies2026 Medicare rate & RVUs in Montana

Reports multiple first-pass radionuclide cardiac studies used to assess ventricular function, wall motion, or shunting at rest and/or during stress.

CMS RVU26DEffective Oct 1, 2026One payment locality110 Medicare services in 2024

In Montana, Medicare pays $219.44 for 78483 in the office.

$219.44Office (non-facility)
Not available in this settingHospital or facility
+0.0%vs the national office rate ($219.44)

Check a contract rate as a % of Medicare · 78483 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 78483 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 78483 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 78483 covers

This nuclear cardiology study uses rapid sequential imaging after a radionuclide bolus to capture its passage through the heart. It can provide information about ventricular ejection fraction and wall motion and, when evaluated, right ventricular function or an intracardiac shunt. A nuclear medicine or cardiology imaging team typically performs the acquisition in a hospital or other diagnostic imaging setting, with a qualified physician interpreting the study. Multiple studies may include rest and stress acquisitions, using exercise or pharmacologic stress when performed.

Report 78483 when the service includes multiple first-pass studies; use the single-study code 78481 when only one study is performed. Documentation should identify the number and circumstances of the acquisitions, such as rest or stress, and the findings interpreted. The global service is billed without a component modifier. Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service, including equipment and staff. 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 Montana compares for 78483

Across 109 of 109 payment localities, the office rate for 78483 runs from $194.32 in Arkansas to $298.16 in San Benito County, CA. Montana pays $219.44. The RVUs are the same everywhere; the geographic indexes change the dollars.

78483 in Montana vs other payment areas
  1. Montana · this page$219.44
  2. Los Angeles, CA · California$251.43+$31.99
  3. Washington, DC area · District of Columbia$252.41+$32.97
  4. Miami, FL · Florida$230.46+$11.02
  5. Chicago, IL · Illinois$224.08+$4.64
  6. Manhattan, NY · New York$251.45+$32.01
  7. Alaska · Alaska$253.11+$33.67

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

Every other payment area

78483 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$197.16—
ArkansasArkansas$194.32—
ArizonaArizona$213.82—
Bakersfield, CACalifornia$235.53—
Chico, CACalifornia$235.24—
El Centro, CACalifornia$235.25—
Fresno, CACalifornia$235.24—
Hanford, CACalifornia$235.24—

78483 rates by state

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

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.

$194.32

$266.70

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

View every state and territory as a table
78483 office rate range by state
State / territoryOffice rate rangeLocalities
AK$253.111
AL$197.161
AR$194.321
AZ$213.821
CA$235.24–$298.1629
CO$230.251
CT$233.971
DC$252.411
DE$217.381
FL$213.35–$230.463
GA$201.70–$222.832
GU$241.471
HI$241.471
IA$203.471
ID$204.521
IL$206.24–$226.404
IN$205.731
KS$201.891
KY$200.461
LA$199.90–$209.842
MA$228.62–$253.902
MD$221.73–$252.413
ME$204.91–$216.942
MI$205.08–$215.362
MN$222.461
MO$196.05–$211.343
MS$195.251
MT$219.441
NC$207.161
ND$217.861
NE$204.771
NH$226.041
NJ$237.16–$249.682
NM$205.951
NV$219.171
NY$210.20–$256.735
OH$204.761
OK$200.761
OR$217.97–$238.282
PA$205.44–$227.752
PR$221.261
RI$225.641
SC$206.201
SD$217.671
TN$202.831
TX$204.04–$229.048
UT$209.031
VA$215.79–$252.412
VI$221.261
VT$216.431
WA$228.38–$259.712
WI$210.501
WV$198.461
WY$218.751

See 78483 in every payment locality

How the 78483 rate is calculated

Each of 78483’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 · 78483

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.43

1.43 RVUs× 1.000 GPCI

Practice expense5.06

5.06 RVUs× 1.000 GPCI

Malpractice0.08

0.08 RVUs× 1.000 GPCI

Adjusted RVUs

6.5700

Conversion factor

$33.4009

Medicare rate

$219.44

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

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

9,407

Code
78483
Physician work
1.43
Practice expense
5.06
Malpractice
0.08

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Office calculation for 78483 in Montana
ComponentRVULocality factorAdjusted
Physician work1.43× 1.0001.4300
Practice expense5.06× 1.0005.0600
Malpractice0.08× 0.9980.0798
Total RVUs6.5698
Conversion factor× 33.4009

Office rate, Montana$219.44

Office: (1.43 × 1 + 5.06 × 1 + 0.08 × 0.998) × $33.4009 = $219.44

Open 78483 in the RVU calculator

Payment rules and modifiers for 78483

The CMS indicators that decide how 78483 is paid alongside other services.

CMS payment indicators · 78483

First-pass cardiac imaging, multiple 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

78483 without 26 · national office

$219.44

First-pass cardiac imaging, multiple studies

78483-26 · Professional component

$67.14

Pays only the interpretation and report.

When to use modifier 26

How 78483 has changed in Montana

78483 · Office / nonfacility

$219.44

Effective 2026-10-01

The base rate is $8.27 higher than on 2025-10-01, moving from $211.17 to $219.44 (3.9%).

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

    $211.17changed to$219.44

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.47 changed to 1.43
    • Practice expense RVU 4.98 changed to 5.06
    • Malpractice GPCI 0.978 changed to 0.998

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $221.63changed to$211.17

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.10 changed to 4.98
    • Malpractice RVU 0.09 changed to 0.08

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $218.01changed to$221.63

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $227.66changed to$218.01

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.17 changed to 5.10
    • Malpractice RVU 0.08 changed to 0.09
  5. January 1, 2023

    RVU23A

    $239.06changed to$227.66

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.35 changed to 5.17
    • Malpractice RVU 0.09 changed to 0.08
    • Malpractice GPCI 0.977 changed to 0.978

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $248.37changed to$239.06

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.56 changed to 5.35

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $249.54changed to$248.37

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.34 changed to 5.56
    • Malpractice RVU 0.08 changed to 0.09
    • Malpractice GPCI 1.304 changed to 0.977

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $247.97changed to$249.54

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.28 changed to 5.34
    • Malpractice GPCI 1.631 changed to 1.304

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $256.20changed to$247.97

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.50 changed to 5.28
    • Malpractice RVU 0.09 changed to 0.08

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $254.76changed to$256.20

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice GPCI 1.429 changed to 1.631

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $252.07changed to$254.76

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.46 changed to 5.50
    • Malpractice GPCI 1.226 changed to 1.429

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $248.15changed to$252.07

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.35 changed to 5.46
    • Malpractice RVU 0.07 changed to 0.09

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $246.92changed to$248.15

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $246.22changed to$246.92

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.31 changed to 5.35
    • Malpractice RVU 0.08 changed to 0.07
    • Malpractice GPCI 1.165 changed to 1.226

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $251.03changed to$246.22

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.82 changed to 5.31
    • Malpractice GPCI 1.103 changed to 1.165

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $251.03

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$219.44Not available in this settingRVU26D
2026-07-01$219.44Not available in this settingRVU26C
2026-04-01$219.44Not available in this settingRVU26B
2026-01-01$219.44Not available in this settingRVU26A
2025-10-01$211.17Not available in this settingRVU25D
2025-07-01$211.17Not available in this settingRVU25C
2025-04-01$211.17Not available in this settingRVU25B
2025-01-01$211.17Not available in this settingRVU25A
2024-10-01$221.63Not available in this settingRVU24D
2024-07-01$221.63Not available in this settingRVU24C
2024-04-01$221.63Not available in this settingRVU24B
2024-03-09$221.63Not available in this settingRVU24AR
2024-01-01$218.01Not available in this settingRVU24A
2023-10-01$227.66Not available in this settingRVU23D
2023-07-01$227.66Not available in this settingRVU23C
2023-04-01$227.66Not available in this settingRVU23B
2023-01-01$227.66Not available in this settingRVU23A
2022-10-01$239.06Not available in this settingRVU22D
2022-07-01$239.06Not available in this settingRVU22C
2022-04-01$239.06Not available in this settingRVU22B
2022-01-01$239.06Not available in this settingRVU22A
2021-10-01$248.37Not available in this settingRVU21D
2021-07-01$248.37Not available in this settingRVU21C
2021-04-01$248.37Not available in this settingRVU21B
2021-01-01$248.37Not available in this settingRVU21A
2020-10-01$249.54Not available in this settingRVU20D
2020-07-01$249.54Not available in this settingRVU20C
2020-04-01$249.54Not available in this settingRVU20B
2020-01-01$249.54Not available in this settingRVU20A
2019-10-01$247.97Not available in this settingRVU19D
2019-07-01$247.97Not available in this settingRVU19C
2019-04-01$247.97Not available in this settingRVU19B
2019-01-01$247.97Not available in this settingRVU19A
2018-10-01$256.20Not available in this settingRVU18D
2018-07-01$256.20Not available in this settingRVU18C
2018-04-01$256.20Not available in this settingRVU18B
2018-01-01$256.20Not available in this settingRVU18AR1
2017-10-01$254.76Not available in this settingRVU17D
2017-07-01$254.76Not available in this settingRVU17C
2017-04-01$254.76Not available in this settingRVU17B
2017-01-01$254.76Not available in this settingRVU17A
2016-10-01$252.07Not available in this settingRVU16D
2016-07-01$252.07Not available in this settingRVU16C
2016-04-01$252.07Not available in this settingRVU16B
2016-01-01$252.07Not available in this settingRVU16A
2015-10-01$248.15Not available in this settingRVU15D
2015-07-01$248.15Not available in this settingRVU15C
2015-04-01$246.92Not available in this settingRVU15B
2015-01-01$246.92Not available in this settingRVU15A
2014-10-01$246.22Not available in this settingRVU14D
2014-07-01$246.22Not available in this settingRVU14C
2014-04-01$246.22Not available in this settingRVU14B
2014-01-01$246.22Not available in this settingRVU14A
2013-10-01$251.03Not available in this settingRVU13D
2013-07-01$251.03Not available in this settingRVU13C
2013-04-01$251.03Not available in this settingRVU13B
2013-01-01$251.03Not available in this settingRVU13AR

Price 78483 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

78483 billing questions

When should 78483 be chosen instead of 78481?

Use 78483 for multiple first-pass studies and 78481 for a single first-pass study. The record should support the number of studies performed.

Can the interpretation and acquisition be billed separately?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Billing without either modifier represents the global service.

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

The reduction applies to the technical component of 78483.

Does a rest-and-stress protocol support 78483?

It can, when multiple first-pass studies are performed. Document the acquisitions and whether stress was exercise- or pharmacologically induced.

How does 78483 differ from gated equilibrium imaging?

78483 uses first-pass imaging as the tracer moves through the heart. Codes 78472 and 78473 describe gated equilibrium studies, a different imaging technique.

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 78483PPRRVU2026_Oct_nonQPP.csv, line 9,407 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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