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CPT code 78802: Tumor imaging, whole body, single day2026 Medicare rate & RVUs in Connecticut

Reports single-day whole-body nuclear medicine imaging to localize radiopharmaceutical-avid tumor activity, rather than imaging limited regions or using a multi-day protocol.

CMS RVU26DEffective Oct 1, 2026One payment locality5.7K Medicare services in 2024

In Connecticut, Medicare pays $289.89 for 78802 in the office.

$289.89Office (non-facility)
Not available in this settingHospital or facility
+7.3%vs the national office rate ($270.21)

Check a contract rate as a % of Medicare · 78802 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 78802 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 78802 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 78802 covers

This code describes a nuclear medicine study in which a radiopharmaceutical is used to identify tumor-related activity throughout the body, with imaging performed on a single day. A nuclear medicine technologist acquires the images, and a qualified interpreting physician evaluates and reports the findings. The service is typically performed in a hospital or outpatient nuclear medicine department for tumor localization or assessment.

Select this code when the documented study covers the whole body and imaging occurs on one day; imaging limited to selected areas, SPECT, or a multi-day schedule points to a different code. The report should support the radiopharmaceutical study, whole-body coverage, imaging date, and interpretation. The injection procedure is represented separately by 78808 when performed and reportable. The service may be billed globally, or split between the interpretation with modifier 26 and the equipment and staff with modifier TC. CMS diagnostic imaging multiple procedure reduction applies to both the technical and professional components.

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 Connecticut compares for 78802

Across 109 of 109 payment localities, the office rate for 78802 runs from $234.87 in Arkansas to $378.58 in San Benito County, CA. Connecticut pays $289.89. The RVUs are the same everywhere; the geographic indexes change the dollars.

78802 in Connecticut vs other payment areas
  1. Connecticut · this page$289.89
  2. Los Angeles, CA · California$314.58+$24.69
  3. Washington, DC area · District of Columbia$314.91+$25.02
  4. Miami, FL · Florida$284.20−$5.69
  5. Chicago, IL · Illinois$275.06−$14.83
  6. Manhattan, NY · New York$312.57+$22.68
  7. Alaska · Alaska$297.74+$7.85

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

Every other payment area

78802 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$238.87—
ArkansasArkansas$234.87—
ArizonaArizona$262.34—
Bakersfield, CACalifornia$292.85—
Chico, CACalifornia$292.60—
El Centro, CACalifornia$292.61—
Fresno, CACalifornia$292.60—
Hanford, CACalifornia$292.60—

78802 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.

$234.87

$335.59

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

View every state and territory as a table
78802 office rate range by state
State / territoryOffice rate rangeLocalities
AK$297.741
AL$238.871
AR$234.871
AZ$262.341
CA$292.60–$378.5829
CO$285.401
CT$289.891
DC$314.911
DE$267.181
FL$260.93–$284.203
GA$244.65–$274.692
GU$302.171
HI$302.171
IA$248.081
ID$249.491
IL$250.71–$278.984
IN$251.211
KS$245.711
KY$243.181
LA$242.33–$256.332
MA$282.89–$317.842
MD$273.15–$314.913
ME$249.88–$267.052
MI$249.55–$263.592
MN$275.341
MO$236.82–$258.633
MS$235.951
MT$270.211
NC$253.071
ND$268.631
NE$249.961
NH$279.781
NJ$293.73–$310.672
NM$250.711
NV$270.011
NY$257.35–$319.815
OH$249.231
OK$243.781
OR$268.45–$296.752
PA$250.26–$281.102
PR$272.831
RI$278.391
SC$251.461
SD$268.441
TN$247.001
TX$248.29–$283.978
UT$255.451
VA$265.32–$314.912
VI$272.831
VT$266.481
WA$282.71–$325.842
WI$258.221
WV$239.731
WY$269.521

See 78802 in every payment locality

How the 78802 rate is calculated

Each of 78802’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 · 78802

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.78

0.78 RVUs× 1.000 GPCI

Practice expense7.23

7.23 RVUs× 1.000 GPCI

Malpractice0.08

0.08 RVUs× 1.000 GPCI

Adjusted RVUs

8.0900

Conversion factor

$33.4009

Medicare rate

$270.21

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

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

9,518

Code
78802
Physician work
0.78
Practice expense
7.23
Malpractice
0.08

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 78802 in Connecticut
ComponentRVULocality factorAdjusted
Physician work0.78× 1.0200.7956
Practice expense7.23× 1.0777.7867
Malpractice0.08× 1.2100.0968
Total RVUs8.6791
Conversion factor× 33.4009

Office rate, Connecticut$289.89

Office: (0.78 × 1.02 + 7.23 × 1.077 + 0.08 × 1.21) × $33.4009 = $289.89

Open 78802 in the RVU calculator

Payment rules and modifiers for 78802

The CMS indicators that decide how 78802 is paid alongside other services.

CMS payment indicators · 78802

Tumor imaging, whole body, single day

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures4Diagnostic imaging reduction applies to the technical component (and professional component) of additional services.
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

78802 without 26 · national office

$270.21

Tumor imaging, whole body, single day

78802-26 · Professional component

$35.74

Pays only the interpretation and report.

When to use modifier 26

Codes related to 78802

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

Codes related to 78802
CodeHow it relatesOffice range, Connecticut
Same family
78800Tumor imaging, single area, one dayTumor-localization imaging for one area on a single day.$248.91
78801Tumor imaging, two or more areas, one dayTumor-localization imaging of two or more areas on a single day.$257.65
78803Tumor SPECT, single body areaTumor-localization imaging using SPECT for one area.$359.95
78804Tumor localization, whole body, two or more daysWhole-body tumor-localization imaging performed over two or more days.$603.05
Often billed with
78808Radiopharmaceutical injection, diagnostic intravenous administrationRepresents the injection procedure for radiopharmaceutical tumor-localization imaging.$44.04

How 78802 has changed in Connecticut

78802 · Office / nonfacility

$289.89

Effective 2026-10-01

The base rate is $0.23 higher than on 2025-10-01, moving from $289.66 to $289.89 (0.1%).

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

    $289.66changed to$289.89

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.80 changed to 0.78
    • Practice expense RVU 7.37 changed to 7.23
    • Work GPCI 1.022 changed to 1.020
    • Practice expense GPCI 1.091 changed to 1.077
    • Malpractice GPCI 1.207 changed to 1.210

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $304.98changed to$289.66

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 7.56 changed to 7.37

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $300.01changed to$304.98

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $320.61changed to$300.01

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 7.76 changed to 7.56
    • Work GPCI 1.030 changed to 1.022
    • Practice expense GPCI 1.102 changed to 1.091
    • Malpractice GPCI 1.070 changed to 1.207

  5. January 1, 2023

    RVU23A

    $336.24changed to$320.61

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 7.91 changed to 7.76
    • Work GPCI 1.037 changed to 1.030
    • Practice expense GPCI 1.114 changed to 1.102
    • Malpractice GPCI 0.934 changed to 1.070

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $355.35changed to$336.24

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 8.33 changed to 7.91

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $356.22changed to$355.35

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.05 changed to 8.33
    • Work GPCI 1.029 changed to 1.037
    • Practice expense GPCI 1.113 changed to 1.114
    • Malpractice GPCI 1.094 changed to 0.934

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $369.89changed to$356.22

    • Conversion factor 36.0391 changed to 36.0896
    • Work RVU 0.86 changed to 0.80
    • Practice expense RVU 8.35 changed to 8.05
    • Work GPCI 1.021 changed to 1.029
    • Practice expense GPCI 1.112 changed to 1.113
    • Malpractice GPCI 1.255 changed to 1.094

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $377.49changed to$369.89

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 8.55 changed to 8.35

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $377.09changed to$377.49

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.53 changed to 8.55
    • Work GPCI 1.023 changed to 1.021
    • Practice expense GPCI 1.117 changed to 1.112
    • Malpractice GPCI 1.244 changed to 1.255

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $377.42changed to$377.09

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.024 changed to 1.023
    • Practice expense GPCI 1.121 changed to 1.117
    • Malpractice GPCI 1.232 changed to 1.244

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $376.81changed to$377.42

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 8.47 changed to 8.53
    • Malpractice RVU 0.09 changed to 0.08

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $374.94changed to$376.81

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $364.46changed to$374.94

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 8.25 changed to 8.47
    • Malpractice RVU 0.07 changed to 0.09
    • Practice expense GPCI 1.116 changed to 1.121
    • Malpractice GPCI 1.234 changed to 1.232

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $367.13changed to$364.46

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 8.85 changed to 8.25
    • Practice expense GPCI 1.110 changed to 1.116
    • Malpractice GPCI 1.235 changed to 1.234

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $367.13

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$289.89Not available in this settingRVU26D
2026-07-01$289.89Not available in this settingRVU26C
2026-04-01$289.89Not available in this settingRVU26B
2026-01-01$289.89Not available in this settingRVU26A
2025-10-01$289.66Not available in this settingRVU25D
2025-07-01$289.66Not available in this settingRVU25C
2025-04-01$289.66Not available in this settingRVU25B
2025-01-01$289.66Not available in this settingRVU25A
2024-10-01$304.98Not available in this settingRVU24D
2024-07-01$304.98Not available in this settingRVU24C
2024-04-01$304.98Not available in this settingRVU24B
2024-03-09$304.98Not available in this settingRVU24AR
2024-01-01$300.01Not available in this settingRVU24A
2023-10-01$320.61Not available in this settingRVU23D
2023-07-01$320.61Not available in this settingRVU23C
2023-04-01$320.61Not available in this settingRVU23B
2023-01-01$320.61Not available in this settingRVU23A
2022-10-01$336.24Not available in this settingRVU22D
2022-07-01$336.24Not available in this settingRVU22C
2022-04-01$336.24Not available in this settingRVU22B
2022-01-01$336.24Not available in this settingRVU22A
2021-10-01$355.35Not available in this settingRVU21D
2021-07-01$355.35Not available in this settingRVU21C
2021-04-01$355.35Not available in this settingRVU21B
2021-01-01$355.35Not available in this settingRVU21A
2020-10-01$356.22Not available in this settingRVU20D
2020-07-01$356.22Not available in this settingRVU20C
2020-04-01$356.22Not available in this settingRVU20B
2020-01-01$356.22Not available in this settingRVU20A
2019-10-01$369.89Not available in this settingRVU19D
2019-07-01$369.89Not available in this settingRVU19C
2019-04-01$369.89Not available in this settingRVU19B
2019-01-01$369.89Not available in this settingRVU19A
2018-10-01$377.49Not available in this settingRVU18D
2018-07-01$377.49Not available in this settingRVU18C
2018-04-01$377.49Not available in this settingRVU18B
2018-01-01$377.49Not available in this settingRVU18AR1
2017-10-01$377.09Not available in this settingRVU17D
2017-07-01$377.09Not available in this settingRVU17C
2017-04-01$377.09Not available in this settingRVU17B
2017-01-01$377.09Not available in this settingRVU17A
2016-10-01$377.42Not available in this settingRVU16D
2016-07-01$377.42Not available in this settingRVU16C
2016-04-01$377.42Not available in this settingRVU16B
2016-01-01$377.42Not available in this settingRVU16A
2015-10-01$376.81Not available in this settingRVU15D
2015-07-01$376.81Not available in this settingRVU15C
2015-04-01$374.94Not available in this settingRVU15B
2015-01-01$374.94Not available in this settingRVU15A
2014-10-01$364.46Not available in this settingRVU14D
2014-07-01$364.46Not available in this settingRVU14C
2014-04-01$364.46Not available in this settingRVU14B
2014-01-01$364.46Not available in this settingRVU14A
2013-10-01$367.13Not available in this settingRVU13D
2013-07-01$367.13Not available in this settingRVU13C
2013-04-01$367.13Not available in this settingRVU13B
2013-01-01$367.13Not available in this settingRVU13AR

Price 78802 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

78802 billing questions

How does 78802 differ from imaging of multiple body areas?

Use 78802 for a whole-body study performed on one day. Imaging of two or more selected areas is represented by 78801 rather than whole-body coverage.

When should 78804 be used instead?

78804 describes whole-body imaging performed over two or more days. The imaging schedule, not simply the number of images, distinguishes it from 78802.

Is the radiopharmaceutical injection included?

The injection procedure is represented by 78808 when performed and reportable. Document the injection separately from the imaging and interpretation.

When should modifier 26 or TC be reported?

Use modifier 26 for the professional interpretation and modifier TC for the technical service, including equipment and staff. Without either modifier, the claim represents the global service.

Does the multiple procedure reduction affect both components?

Yes. CMS diagnostic imaging multiple procedure reduction applies to both the technical and professional components.

What documentation supports 78802?

Record the radiopharmaceutical study, whole-body coverage, the date imaging was performed, and the physician's interpretation. The documentation should distinguish a single-day whole-body protocol from a limited-area or multi-day study.

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 78802PPRRVU2026_Oct_nonQPP.csv, line 9,518 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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