CPT code 78832: Tumor SPECT/CT, two or more areas2026 Medicare rate & RVUs in Alaska

Reports radiopharmaceutical tumor localization using SPECT with CT when imaging covers two or more anatomical areas in the same study.

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

In Alaska, Medicare pays $869.33 for 78832 in the office.

$869.33Office (non-facility)
Not available in this settingHospital or facility
+9.9%vs the national office rate ($790.93)

Check a contract rate as a % of Medicare · 78832 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 78832 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alaska
  2. What 78832 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 78832 covers

This service combines SPECT imaging after radiopharmaceutical administration with CT images that help localize uptake anatomically. Nuclear medicine departments use it to evaluate suspected or known tumor-related radiopharmaceutical uptake across two or more areas, such as the chest and pelvis. A nuclear medicine physician interprets the images, while imaging staff perform the acquisition in a hospital or outpatient imaging center.

Select this code when the study includes SPECT with CT and covers two or more areas; a single area belongs to a different code in the family. The report should identify the radiopharmaceutical, the areas imaged, the SPECT/CT acquisition, and the findings. CMS recognizes professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and billing without either modifier represents the global service.

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 Alaska compares for 78832

Across 109 of 109 payment localities, the office rate for 78832 runs from $687.09 in Arkansas to $1,112.12 in San Benito County, CA. Alaska pays $869.33. The RVUs are the same everywhere; the geographic indexes change the dollars.

78832 in Alaska vs other payment areas
  1. Alaska · this page$869.33
  2. Los Angeles, CA · California$922.74+$53.41
  3. Washington, DC area · District of Columbia$922.76+$53.43
  4. Miami, FL · Florida$829.47−$39.86
  5. Chicago, IL · Illinois$802.78−$66.55
  6. Manhattan, NY · New York$914.84+$45.51
  7. Alabama · Alabama$698.85−$170.48

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

Every other payment area

78832 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$687.09—
ArizonaArizona$767.88—
Bakersfield, CACalifornia$858.61—
Chico, CACalifornia$858.03—
El Centro, CACalifornia$858.06—
Fresno, CACalifornia$858.03—
Hanford, CACalifornia$858.03—
Madera, CACalifornia$858.03—

78832 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.

$687.09

$985.07

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

View every state and territory as a table
78832 office rate range by state
State / territoryOffice rate rangeLocalities
AK$869.331
AL$698.851
AR$687.091
AZ$767.881
CA$858.03–$1,112.1229
CO$836.261
CT$848.691
DC$922.761
DE$782.081
FL$762.46–$829.473
GA$714.78–$803.802
GU$886.461
HI$886.461
IA$726.471
ID$730.501
IL$732.05–$815.384
IN$735.591
KS$719.241
KY$710.971
LA$708.37–$749.522
MA$828.76–$931.972
MD$799.72–$922.763
ME$731.40–$782.272
MI$729.44–$770.012
MN$807.461
MO$692.00–$756.593
MS$689.871
MT$790.921
NC$740.811
ND$787.361
NE$732.081
NH$819.531
NJ$860.13–$910.222
NM$732.731
NV$790.651
NY$753.36–$935.795
OH$728.711
OK$713.001
OR$786.28–$869.952
PA$731.91–$822.692
PR$798.721
RI$815.221
SC$735.631
SD$786.941
TN$723.011
TX$726.09–$831.908
UT$747.371
VA$777.00–$922.762
VI$798.721
VT$780.811
WA$828.33–$955.772
WI$756.711
WV$699.761
WY$789.371

See 78832 in every payment locality

How the 78832 rate is calculated

Each of 78832’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 · 78832

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.07

2.07 RVUs× 1.000 GPCI

Practice expense21.43

21.43 RVUs× 1.000 GPCI

Malpractice0.18

0.18 RVUs× 1.000 GPCI

Adjusted RVUs

23.6800

Conversion factor

$33.4009

Medicare rate

$790.93

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

The exact Alaska inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

9,552

Code
78832
Physician work
2.07
Practice expense
21.43
Malpractice
0.18

GPCI2026.csv

5

Locality
Alaska
Physician work
1.500
Practice expense
1.065
Malpractice
0.551
Office calculation for 78832 in Alaska
ComponentRVULocality factorAdjusted
Physician work2.07× 1.5003.1050
Practice expense21.43× 1.06522.8229
Malpractice0.18× 0.5510.0992
Total RVUs26.0271
Conversion factor× 33.4009

Office rate, Alaska$869.33

Office: (2.07 × 1.5 + 21.43 × 1.065 + 0.18 × 0.551) × $33.4009 = $869.33

Open 78832 in the RVU calculator

Payment rules and modifiers for 78832

The CMS indicators that decide how 78832 is paid alongside other services.

CMS payment indicators · 78832

Tumor SPECT/CT, two or more areas

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
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

78832 without 26 · national office

$790.93

Tumor SPECT/CT, two or more areas

78832-26 · Professional component

$93.86

Pays only the interpretation and report.

When to use modifier 26

How 78832 has changed in Alaska

78832 · Office / nonfacility

$869.33

Effective 2026-10-01

The base rate is $3.51 higher than on 2025-10-01, moving from $865.82 to $869.33 (0.4%).

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

    $865.82changed to$869.33

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.12 changed to 2.07
    • Practice expense RVU 21.71 changed to 21.43
    • Malpractice RVU 0.20 changed to 0.18
    • Practice expense GPCI 1.081 changed to 1.065
    • Malpractice GPCI 0.592 changed to 0.551

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $913.67changed to$865.82

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 22.34 changed to 21.71

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $898.76changed to$913.67

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $969.94changed to$898.76

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 23.02 changed to 22.34
    • Practice expense GPCI 1.100 changed to 1.081
    • Malpractice GPCI 0.603 changed to 0.592
  5. January 1, 2023

    RVU23A

    $1031.42changed to$969.94

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 23.71 changed to 23.02
    • Malpractice RVU 0.19 changed to 0.20
    • Practice expense GPCI 1.118 changed to 1.100
    • Malpractice GPCI 0.614 changed to 0.603

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1085.61changed to$1031.42

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 24.88 changed to 23.71

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $1094.68changed to$1085.61

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 24.18 changed to 24.88
    • Malpractice RVU 0.18 changed to 0.19
    • Malpractice GPCI 0.661 changed to 0.614

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    No ratechanged to$1094.68

    Held through RVU20B, RVU20C, RVU20D.

  9. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$869.33Not available in this settingRVU26D
2026-07-01$869.33Not available in this settingRVU26C
2026-04-01$869.33Not available in this settingRVU26B
2026-01-01$869.33Not available in this settingRVU26A
2025-10-01$865.82Not available in this settingRVU25D
2025-07-01$865.82Not available in this settingRVU25C
2025-04-01$865.82Not available in this settingRVU25B
2025-01-01$865.82Not available in this settingRVU25A
2024-10-01$913.67Not available in this settingRVU24D
2024-07-01$913.67Not available in this settingRVU24C
2024-04-01$913.67Not available in this settingRVU24B
2024-03-09$913.67Not available in this settingRVU24AR
2024-01-01$898.76Not available in this settingRVU24A
2023-10-01$969.94Not available in this settingRVU23D
2023-07-01$969.94Not available in this settingRVU23C
2023-04-01$969.94Not available in this settingRVU23B
2023-01-01$969.94Not available in this settingRVU23A
2022-10-01$1,031.42Not available in this settingRVU22D
2022-07-01$1,031.42Not available in this settingRVU22C
2022-04-01$1,031.42Not available in this settingRVU22B
2022-01-01$1,031.42Not available in this settingRVU22A
2021-10-01$1,085.61Not available in this settingRVU21D
2021-07-01$1,085.61Not available in this settingRVU21C
2021-04-01$1,085.61Not available in this settingRVU21B
2021-01-01$1,085.61Not available in this settingRVU21A
2020-10-01$1,094.68Not available in this settingRVU20D
2020-07-01$1,094.68Not available in this settingRVU20C
2020-04-01$1,094.68Not available in this settingRVU20B
2020-01-01$1,094.68Not available in this settingRVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 78832 for an earlier date of service

Where the Alaska rate applies

Alaska is a Medicare payment area, not a city. Our Census mapping connects it to 355 cities and communities in Alaska. Some span more than one payment area; confirm with the service ZIP.

  • Adak
  • Akhiok
  • Akiachak
  • Akiak
  • Akutan
  • Alakanuk
  • Alatna
  • Alcan Border

Browse all communities in Alaska

78832 billing questions

When should this be chosen over 78830?

Use 78832 for SPECT with CT covering two or more areas. Code 78830 describes the corresponding SPECT/CT service for a single area.

How does 78832 differ from 78831?

Both cover SPECT imaging of two or more areas, but 78832 includes CT with the SPECT study; 78831 is the SPECT code without CT.

How are the professional and technical services billed?

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

Does the number of areas mean the number of images?

No. The distinction is the anatomical coverage of the study, not the count of image frames or views. Document the areas imaged.

What documentation supports reporting 78832?

The record should support radiopharmaceutical tumor localization, SPECT with CT, the two or more areas examined, and the interpreting physician's findings.

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 78832PPRRVU2026_Oct_nonQPP.csv, line 9,552 (RVU26D)
Geographic factors for AlaskaGPCI2026.csv, line 5 (RVU26D)

Open CMS sourceHow we calculate rates

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