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

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 Queens, NY, Medicare pays $254.44 for 78483 in the office.

$254.44Office (non-facility)
Not available in this settingHospital or facility
+15.9%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 Queens, NY
  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 Queens, NY 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. Queens, NY pays $254.44. The RVUs are the same everywhere; the geographic indexes change the dollars.

78483 in Queens, NY vs other payment areas
  1. Queens, NY · this page$254.44
  2. Manhattan, NY · New York$251.45−$2.99
  3. NYC suburbs and Long Island, NY · New York$256.73+$2.29
  4. Poughkeepsie and northern NYC suburbs, NY · New York$238.21−$16.23
  5. Rest of New York · New York$210.20−$44.24
  6. Los Angeles, CA · California$251.43−$3.01
  7. Washington, DC area · District of Columbia$252.41−$2.03

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

Every other payment area

78483 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$230.46—
Chicago, ILIllinois$224.08—
AlaskaAlaska$253.11—
AlabamaAlabama$197.16—
ArkansasArkansas$194.32—
ArizonaArizona$213.82—
Bakersfield, CACalifornia$235.53—
Chico, CACalifornia$235.24—

78483 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.

$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 Queens, NY 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

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 78483 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work1.43× 1.0641.5215
Practice expense5.06× 1.1825.9809
Malpractice0.08× 1.4420.1154
Total RVUs7.6178
Conversion factor× 33.4009

Office rate, Queens, NY$254.44

Office: (1.43 × 1.064 + 5.06 × 1.182 + 0.08 × 1.442) × $33.4009 = $254.44

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

Codes related to 78483

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

Codes related to 78483
CodeHow it relatesOffice range, Queens, NY
Same family
78481Cardiac function imaging, single first-pass studySingle-study first-pass cardiac imaging; 78483 describes multiple studies.$188.52
Used instead
78472Cardiac blood-pool imaging, single planar equilibrium studyGated equilibrium imaging for a single study rather than first-pass imaging.$242.08
78473Gated heart imaging, multiple studiesMultiple gated equilibrium studies use a different cardiac imaging technique.$310.76

How 78483 has changed in Queens, NY

78483 · Office / nonfacility

$254.44

Effective 2026-10-01

The base rate is $7.52 higher than on 2025-10-01, moving from $246.92 to $254.44 (3.0%).

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

    $246.92changed to$254.44

    • 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
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $259.36changed to$246.92

    • 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

    $255.13changed to$259.36

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $270.78changed to$255.13

    • 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
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462

  5. January 1, 2023

    RVU23A

    $289.36changed to$270.78

    • 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
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $300.76changed to$289.36

    • 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

    $296.78changed to$300.76

    • 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
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $290.19changed to$296.78

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.28 changed to 5.34
    • Work GPCI 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $300.14changed to$290.19

    • 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

    $299.31changed to$300.14

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $296.79changed to$299.31

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.46 changed to 5.50
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $291.56changed to$296.79

    • 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

    $290.11changed to$291.56

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $288.61changed to$290.11

    • 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
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $293.80changed to$288.61

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.82 changed to 5.31
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $293.80

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$254.44Not available in this settingRVU26D
2026-07-01$254.44Not available in this settingRVU26C
2026-04-01$254.44Not available in this settingRVU26B
2026-01-01$254.44Not available in this settingRVU26A
2025-10-01$246.92Not available in this settingRVU25D
2025-07-01$246.92Not available in this settingRVU25C
2025-04-01$246.92Not available in this settingRVU25B
2025-01-01$246.92Not available in this settingRVU25A
2024-10-01$259.36Not available in this settingRVU24D
2024-07-01$259.36Not available in this settingRVU24C
2024-04-01$259.36Not available in this settingRVU24B
2024-03-09$259.36Not available in this settingRVU24AR
2024-01-01$255.13Not available in this settingRVU24A
2023-10-01$270.78Not available in this settingRVU23D
2023-07-01$270.78Not available in this settingRVU23C
2023-04-01$270.78Not available in this settingRVU23B
2023-01-01$270.78Not available in this settingRVU23A
2022-10-01$289.36Not available in this settingRVU22D
2022-07-01$289.36Not available in this settingRVU22C
2022-04-01$289.36Not available in this settingRVU22B
2022-01-01$289.36Not available in this settingRVU22A
2021-10-01$300.76Not available in this settingRVU21D
2021-07-01$300.76Not available in this settingRVU21C
2021-04-01$300.76Not available in this settingRVU21B
2021-01-01$300.76Not available in this settingRVU21A
2020-10-01$296.78Not available in this settingRVU20D
2020-07-01$296.78Not available in this settingRVU20C
2020-04-01$296.78Not available in this settingRVU20B
2020-01-01$296.78Not available in this settingRVU20A
2019-10-01$290.19Not available in this settingRVU19D
2019-07-01$290.19Not available in this settingRVU19C
2019-04-01$290.19Not available in this settingRVU19B
2019-01-01$290.19Not available in this settingRVU19A
2018-10-01$300.14Not available in this settingRVU18D
2018-07-01$300.14Not available in this settingRVU18C
2018-04-01$300.14Not available in this settingRVU18B
2018-01-01$300.14Not available in this settingRVU18AR1
2017-10-01$299.31Not available in this settingRVU17D
2017-07-01$299.31Not available in this settingRVU17C
2017-04-01$299.31Not available in this settingRVU17B
2017-01-01$299.31Not available in this settingRVU17A
2016-10-01$296.79Not available in this settingRVU16D
2016-07-01$296.79Not available in this settingRVU16C
2016-04-01$296.79Not available in this settingRVU16B
2016-01-01$296.79Not available in this settingRVU16A
2015-10-01$291.56Not available in this settingRVU15D
2015-07-01$291.56Not available in this settingRVU15C
2015-04-01$290.11Not available in this settingRVU15B
2015-01-01$290.11Not available in this settingRVU15A
2014-10-01$288.61Not available in this settingRVU14D
2014-07-01$288.61Not available in this settingRVU14C
2014-04-01$288.61Not available in this settingRVU14B
2014-01-01$288.61Not available in this settingRVU14A
2013-10-01$293.80Not available in this settingRVU13D
2013-07-01$293.80Not available in this settingRVU13C
2013-04-01$293.80Not available in this settingRVU13B
2013-01-01$293.80Not available in this settingRVU13AR

Price 78483 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

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 Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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