CPT code 78830: Tumor SPECT/CT, single imaging area2026 Medicare rate & RVUs in Puerto Rico
Reports radiopharmaceutical tumor localization using SPECT and CT for one imaging area, with payment available for the professional, technical, or global service.
In Puerto Rico, Medicare pays $424.84 for 78830 in the office.
Check a contract rate as a % of Medicare · 78830 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 78830 covers
This nuclear medicine study uses a radiopharmaceutical to localize tumor-related uptake in one imaging area, combining SPECT images with CT images for anatomic correlation. A nuclear medicine technologist typically performs the acquisition, and a nuclear medicine physician interprets the study. It may be used when a radiopharmaceutical-avid tumor or lesion needs localization within a defined body region.
Select this code when the examination covers one imaging area; the number of lesions alone does not determine the area count. Document the clinical indication, radiopharmaceutical, body area imaged, SPECT/CT acquisition, and interpretation. The professional component is reported with modifier 26 for the interpretation, and the technical component with modifier TC for equipment and staff. Without either modifier, the service is billed globally.
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 Puerto Rico compares for 78830
Across 109 of 109 payment localities, the office rate for 78830 runs from $366.96 in Arkansas to $587.16 in San Benito County, CA. Puerto Rico pays $424.84. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$424.84
- Los Angeles, CA · California$488.91+$64.07
- Washington, DC area · District of Columbia$489.50+$64.66
- Miami, FL · Florida$442.08+$17.24
- Chicago, IL · Illinois$428.22+$3.38
- Manhattan, NY · New York$485.98+$61.14
- Alaska · Alaska$467.21+$42.37
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $373.06 | — |
| ArkansasArkansas | $366.96 | — |
| ArizonaArizona | $408.85 | — |
| Bakersfield, CACalifornia | $455.57 | — |
| Chico, CACalifornia | $455.18 | — |
| El Centro, CACalifornia | $455.20 | — |
| Fresno, CACalifornia | $455.18 | — |
| Hanford, CACalifornia | $455.18 | — |
| Madera, CACalifornia | $455.18 | — |
| Merced, CACalifornia | $455.18 | — |
| Modesto, CACalifornia | $455.18 | — |
| Napa, CACalifornia | $539.09 | — |
| Oxnard, CACalifornia | $487.75 | — |
| Redding, CACalifornia | $455.18 | — |
| Rest of CaliforniaCalifornia | $455.18 | — |
| Riverside, CACalifornia | $456.50 | — |
| Sacramento, CACalifornia | $480.79 | — |
| Salinas, CACalifornia | $479.07 | — |
| San Diego, CACalifornia | $492.68 | — |
| Marin County, CACalifornia | $574.33 | — |
| San Francisco, CACalifornia | $574.20 | — |
| San Benito County, CACalifornia | $587.16 | — |
| Santa Clara County, CACalifornia | $586.60 | — |
| San Luis Obispo, CACalifornia | $471.02 | — |
| Santa Cruz, CACalifornia | $499.22 | — |
| Santa Maria, CACalifornia | $481.50 | — |
| Santa Rosa, CACalifornia | $504.44 | — |
| Stockton, CACalifornia | $455.18 | — |
| Vallejo, CACalifornia | $538.89 | — |
| Visalia, CACalifornia | $455.18 | — |
| Yuba City, CACalifornia | $455.18 | — |
| ColoradoColorado | $444.13 | — |
| ConnecticutConnecticut | $451.03 | — |
| DelawareDelaware | $416.27 | — |
| Fort Lauderdale, FLFlorida | $428.88 | — |
| Rest of FloridaFlorida | $406.66 | — |
| Atlanta, GAGeorgia | $427.70 | — |
| Rest of GeorgiaGeorgia | $381.83 | — |
| Hawaii, Guam, HIHawaii | $469.64 | — |
| IowaIowa | $387.12 | — |
| IdahoIdaho | $389.27 | — |
| East St. Louis, ILIllinois | $395.44 | — |
| Rest of IllinoisIllinois | $391.06 | — |
| Suburban Chicago, ILIllinois | $434.23 | — |
| IndianaIndiana | $391.90 | — |
| KansasKansas | $383.50 | — |
| KentuckyKentucky | $379.62 | — |
| New Orleans, LALouisiana | $399.66 | — |
| Rest of LouisianaLouisiana | $378.32 | — |
| Metropolitan Boston, MAMassachusetts | $493.87 | — |
| Rest of MassachusettsMassachusetts | $440.34 | — |
| Baltimore area, MDMaryland | $449.47 | — |
| Rest of MarylandMaryland | $425.43 | — |
| Rest of MaineMaine | $389.86 | — |
| Southern Maine, MEMaine | $416.06 | — |
| Detroit, MIMichigan | $410.71 | — |
| Rest of MichiganMichigan | $389.32 | — |
| MinnesotaMinnesota | $428.71 | — |
| Metropolitan Kansas City, MOMissouri | $398.29 | — |
| Metropolitan St. Louis, MOMissouri | $403.18 | — |
| Rest of MissouriMissouri | $369.91 | — |
| MississippiMississippi | $368.60 | — |
| MontanaMontana | $420.84 | — |
| North CarolinaNorth Carolina | $394.72 | — |
| North DakotaNorth Dakota | $418.47 | — |
| NebraskaNebraska | $389.99 | — |
| New HampshireNew Hampshire | $435.46 | — |
| Northern New JerseyNew Jersey | $483.12 | — |
| Rest of New JerseyNew Jersey | $457.07 | — |
| New MexicoNew Mexico | $391.08 | — |
| NevadaNevada | $420.55 | — |
| NYC suburbs and Long Island, NYNew York | $497.02 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $458.87 | — |
| Queens, NYNew York | $492.77 | — |
| Rest of New YorkNew York | $401.24 | — |
| OhioOhio | $388.83 | — |
| OklahomaOklahoma | $380.54 | — |
| Portland, OROregon | $461.49 | — |
| Rest of OregonOregon | $418.19 | — |
| Metropolitan Philadelphia, PAPennsylvania | $437.60 | — |
| Rest of PennsylvaniaPennsylvania | $390.42 | — |
| Rhode IslandRhode Island | $433.50 | — |
| South CarolinaSouth Carolina | $392.25 | — |
| South DakotaSouth Dakota | $418.19 | — |
| TennesseeTennessee | $385.47 | — |
| Austin, TXTexas | $441.86 | — |
| Beaumont, TXTexas | $387.41 | — |
| Brazoria, TXTexas | $417.04 | — |
| Dallas, TXTexas | $419.24 | — |
| Fort Worth, TXTexas | $415.61 | — |
| Galveston, TXTexas | $417.97 | — |
| Houston, TXTexas | $420.17 | — |
| Rest of TexasTexas | $401.67 | — |
| UtahUtah | $398.34 | — |
| VirginiaVirginia | $413.41 | — |
| Virgin Islands, VIUnited States Virgin Islands | $424.84 | — |
| VermontVermont | $415.19 | — |
| Rest of WashingtonWashington | $440.05 | — |
| King County, WAWashington | $506.17 | — |
| WisconsinWisconsin | $402.60 | — |
| West VirginiaWest Virginia | $374.32 | — |
| WyomingWyoming | $419.81 | — |
78830 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.
$366.96
$521.17
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $467.21 | 1 |
| AL | $373.06 | 1 |
| AR | $366.96 | 1 |
| AZ | $408.85 | 1 |
| CA | $455.18–$587.16 | 29 |
| CO | $444.13 | 1 |
| CT | $451.03 | 1 |
| DC | $489.50 | 1 |
| DE | $416.27 | 1 |
| FL | $406.66–$442.08 | 3 |
| GA | $381.83–$427.70 | 2 |
| GU | $469.64 | 1 |
| HI | $469.64 | 1 |
| IA | $387.12 | 1 |
| ID | $389.27 | 1 |
| IL | $391.06–$434.23 | 4 |
| IN | $391.90 | 1 |
| KS | $383.50 | 1 |
| KY | $379.62 | 1 |
| LA | $378.32–$399.66 | 2 |
| MA | $440.34–$493.87 | 2 |
| MD | $425.43–$489.50 | 3 |
| ME | $389.86–$416.06 | 2 |
| MI | $389.32–$410.71 | 2 |
| MN | $428.71 | 1 |
| MO | $369.91–$403.18 | 3 |
| MS | $368.60 | 1 |
| MT | $420.84 | 1 |
| NC | $394.72 | 1 |
| ND | $418.47 | 1 |
| NE | $389.99 | 1 |
| NH | $435.46 | 1 |
| NJ | $457.07–$483.12 | 2 |
| NM | $391.08 | 1 |
| NV | $420.55 | 1 |
| NY | $401.24–$497.02 | 5 |
| OH | $388.83 | 1 |
| OK | $380.54 | 1 |
| OR | $418.19–$461.49 | 2 |
| PA | $390.42–$437.60 | 2 |
| PR | $424.84 | 1 |
| RI | $433.50 | 1 |
| SC | $392.25 | 1 |
| SD | $418.19 | 1 |
| TN | $385.47 | 1 |
| TX | $387.41–$441.86 | 8 |
| UT | $398.34 | 1 |
| VA | $413.41–$489.50 | 2 |
| VI | $424.84 | 1 |
| VT | $415.19 | 1 |
| WA | $440.05–$506.17 | 2 |
| WI | $402.60 | 1 |
| WV | $374.32 | 1 |
| WY | $419.81 | 1 |
How the 78830 rate is calculated
Each of 78830’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 · 78830
RVUs × geographic indexes × conversion factor
Work1.45
1.45 RVUs× 1.000 GPCI
Practice expense11.03
11.03 RVUs× 1.000 GPCI
Malpractice0.12
0.12 RVUs× 1.000 GPCI
Adjusted RVUs
12.6000
Conversion factor
$33.4009
Medicare rate
$420.85
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Puerto Rico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
9,546
- Code
- 78830
- Physician work
- 1.45
- Practice expense
- 11.03
- Malpractice
- 0.12
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.45 | × 1.000 | 1.4500 |
| Practice expense | 11.03 | × 1.011 | 11.1513 |
| Malpractice | 0.12 | × 0.985 | 0.1182 |
| Total RVUs | 12.7195 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Puerto Rico$424.84
Office: (1.45 × 1 + 11.03 × 1.011 + 0.12 × 0.985) × $33.4009 = $424.84
Payment rules and modifiers for 78830
The CMS indicators that decide how 78830 is paid alongside other services.
CMS payment indicators · 78830
Tumor SPECT/CT, single imaging area
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
78830 without 26 · national office
$420.85
Tumor SPECT/CT, single imaging area
78830-26 · Professional component
$65.13
Pays only the interpretation and report.
How 78830 has changed in Puerto Rico
78830 · Office / nonfacility
$424.84
Effective 2026-10-01
The base rate is $9.95 higher than on 2025-10-01, moving from $414.89 to $424.84 (2.4%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$414.89changed to$424.84
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.49 changed to 1.45
- Practice expense RVU 11.16 changed to 11.03
- Malpractice RVU 0.10 changed to 0.12
- Practice expense GPCI 1.007 changed to 1.011
- Malpractice GPCI 0.982 changed to 0.985
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$437.00changed to$414.89
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 11.44 changed to 11.16
- Malpractice RVU 0.12 changed to 0.10
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$429.86changed to$437.00
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$456.88changed to$429.86
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 11.78 changed to 11.44
- Practice expense GPCI 1.008 changed to 1.007
- Malpractice GPCI 0.984 changed to 0.982
October 1, 2023
RVU23D
$453.75changed to$456.88
- Practice expense GPCI 1.000 changed to 1.008
- Malpractice GPCI 1.000 changed to 0.984
January 1, 2023
RVU23A
$477.76changed to$453.75
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 12.12 changed to 11.78
- Malpractice RVU 0.10 changed to 0.12
- Practice expense GPCI 1.008 changed to 1.000
- Malpractice GPCI 0.986 changed to 1.000
Held through RVU23B, RVU23C.
January 1, 2022
RVU22A
$508.10changed to$477.76
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 12.87 changed to 12.12
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$511.33changed to$508.10
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 12.47 changed to 12.87
- Malpractice RVU 0.11 changed to 0.10
- Malpractice GPCI 0.988 changed to 0.986
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
No ratechanged to$511.33
Held through RVU20B, RVU20C, RVU20D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $424.84 | Not available in this setting | RVU26D |
| 2026-07-01 | $424.84 | Not available in this setting | RVU26C |
| 2026-04-01 | $424.84 | Not available in this setting | RVU26B |
| 2026-01-01 | $424.84 | Not available in this setting | RVU26A |
| 2025-10-01 | $414.89 | Not available in this setting | RVU25D |
| 2025-07-01 | $414.89 | Not available in this setting | RVU25C |
| 2025-04-01 | $414.89 | Not available in this setting | RVU25B |
| 2025-01-01 | $414.89 | Not available in this setting | RVU25A |
| 2024-10-01 | $437.00 | Not available in this setting | RVU24D |
| 2024-07-01 | $437.00 | Not available in this setting | RVU24C |
| 2024-04-01 | $437.00 | Not available in this setting | RVU24B |
| 2024-03-09 | $437.00 | Not available in this setting | RVU24AR |
| 2024-01-01 | $429.86 | Not available in this setting | RVU24A |
| 2023-10-01 | $456.88 | Not available in this setting | RVU23D |
| 2023-07-01 | $453.75 | Not available in this setting | RVU23C |
| 2023-04-01 | $453.75 | Not available in this setting | RVU23B |
| 2023-01-01 | $453.75 | Not available in this setting | RVU23A |
| 2022-10-01 | $477.76 | Not available in this setting | RVU22D |
| 2022-07-01 | $477.76 | Not available in this setting | RVU22C |
| 2022-04-01 | $477.76 | Not available in this setting | RVU22B |
| 2022-01-01 | $477.76 | Not available in this setting | RVU22A |
| 2021-10-01 | $508.10 | Not available in this setting | RVU21D |
| 2021-07-01 | $508.10 | Not available in this setting | RVU21C |
| 2021-04-01 | $508.10 | Not available in this setting | RVU21B |
| 2021-01-01 | $508.10 | Not available in this setting | RVU21A |
| 2020-10-01 | $511.33 | Not available in this setting | RVU20D |
| 2020-07-01 | $511.33 | Not available in this setting | RVU20C |
| 2020-04-01 | $511.33 | Not available in this setting | RVU20B |
| 2020-01-01 | $511.33 | Not available in this setting | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
78830 billing questions
When should 78830 be used instead of 78832?
Use 78830 for one imaging area. Code 78832 is the corresponding SPECT-with-CT option when two areas are imaged.
How does 78830 differ from 78803?
Both describe tumor-localization SPECT for one area, but 78830 includes CT imaging with SPECT; 78803 is the SPECT option without CT.
Which modifier reports only the physician interpretation?
Append modifier 26 for the professional component. Modifier TC reports the technical component, while billing without either modifier represents the global service.
Does the number of lesions determine whether one or two areas are reported?
No. Choose the code based on the imaging area count, not the number of lesions seen within the area.
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
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