CPT code 78832: Tumor SPECT/CT, two or more areas2026 Medicare rate & RVUs in Montana
Reports radiopharmaceutical tumor localization using SPECT with CT when imaging covers two or more anatomical areas in the same study.
In Montana, Medicare pays $790.92 for 78832 in the office.
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.
On this page 11 sections
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 Montana 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. Montana pays $790.92. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$790.92
- Los Angeles, CA · California$922.74+$131.82
- Washington, DC area · District of Columbia$922.76+$131.84
- Miami, FL · Florida$829.47+$38.55
- Chicago, IL · Illinois$802.78+$11.86
- Manhattan, NY · New York$914.84+$123.92
- Alaska · Alaska$869.33+$78.41
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $698.85 | — |
| 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 | — |
| Merced, CACalifornia | $858.03 | — |
| Modesto, CACalifornia | $858.03 | — |
| Napa, CACalifornia | $1,019.95 | — |
| Oxnard, CACalifornia | $920.87 | — |
| Redding, CACalifornia | $858.03 | — |
| Rest of CaliforniaCalifornia | $858.03 | — |
| Riverside, CACalifornia | $860.01 | — |
| Sacramento, CACalifornia | $907.31 | — |
| Salinas, CACalifornia | $904.10 | — |
| San Diego, CACalifornia | $930.55 | — |
| Marin County, CACalifornia | $1,087.72 | — |
| San Francisco, CACalifornia | $1,087.51 | — |
| San Benito County, CACalifornia | $1,112.12 | — |
| Santa Clara County, CACalifornia | $1,111.29 | — |
| San Luis Obispo, CACalifornia | $888.81 | — |
| Santa Cruz, CACalifornia | $943.49 | — |
| Santa Maria, CACalifornia | $908.90 | — |
| Santa Rosa, CACalifornia | $953.42 | — |
| Stockton, CACalifornia | $858.03 | — |
| Vallejo, CACalifornia | $1,019.65 | — |
| Visalia, CACalifornia | $858.03 | — |
| Yuba City, CACalifornia | $858.03 | — |
| ColoradoColorado | $836.26 | — |
| ConnecticutConnecticut | $848.69 | — |
| DelawareDelaware | $782.08 | — |
| Fort Lauderdale, FLFlorida | $805.10 | — |
| Rest of FloridaFlorida | $762.46 | — |
| Atlanta, GAGeorgia | $803.80 | — |
| Rest of GeorgiaGeorgia | $714.78 | — |
| Hawaii, Guam, HIHawaii | $886.46 | — |
| IowaIowa | $726.47 | — |
| IdahoIdaho | $730.50 | — |
| East St. Louis, ILIllinois | $739.77 | — |
| Rest of IllinoisIllinois | $732.05 | — |
| Suburban Chicago, ILIllinois | $815.38 | — |
| IndianaIndiana | $735.59 | — |
| KansasKansas | $719.24 | — |
| KentuckyKentucky | $710.97 | — |
| New Orleans, LALouisiana | $749.52 | — |
| Rest of LouisianaLouisiana | $708.37 | — |
| Metropolitan Boston, MAMassachusetts | $931.97 | — |
| Rest of MassachusettsMassachusetts | $828.76 | — |
| Baltimore area, MDMaryland | $845.72 | — |
| Rest of MarylandMaryland | $799.72 | — |
| Rest of MaineMaine | $731.40 | — |
| Southern Maine, MEMaine | $782.27 | — |
| Detroit, MIMichigan | $770.01 | — |
| Rest of MichiganMichigan | $729.44 | — |
| MinnesotaMinnesota | $807.46 | — |
| Metropolitan Kansas City, MOMissouri | $747.13 | — |
| Metropolitan St. Louis, MOMissouri | $756.59 | — |
| Rest of MissouriMissouri | $692.00 | — |
| MississippiMississippi | $689.87 | — |
| North CarolinaNorth Carolina | $740.81 | — |
| North DakotaNorth Dakota | $787.36 | — |
| NebraskaNebraska | $732.08 | — |
| New HampshireNew Hampshire | $819.53 | — |
| Northern New JerseyNew Jersey | $910.22 | — |
| Rest of New JerseyNew Jersey | $860.13 | — |
| New MexicoNew Mexico | $732.73 | — |
| NevadaNevada | $790.65 | — |
| NYC suburbs and Long Island, NYNew York | $935.79 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $863.31 | — |
| Queens, NYNew York | $928.29 | — |
| Rest of New YorkNew York | $753.36 | — |
| OhioOhio | $728.71 | — |
| OklahomaOklahoma | $713.00 | — |
| Portland, OROregon | $869.95 | — |
| Rest of OregonOregon | $786.28 | — |
| Metropolitan Philadelphia, PAPennsylvania | $822.69 | — |
| Rest of PennsylvaniaPennsylvania | $731.91 | — |
| Puerto RicoPuerto Rico | $798.72 | — |
| Rhode IslandRhode Island | $815.22 | — |
| South CarolinaSouth Carolina | $735.63 | — |
| South DakotaSouth Dakota | $786.94 | — |
| TennesseeTennessee | $723.01 | — |
| Austin, TXTexas | $831.90 | — |
| Beaumont, TXTexas | $726.09 | — |
| Brazoria, TXTexas | $783.72 | — |
| Dallas, TXTexas | $787.84 | — |
| Fort Worth, TXTexas | $780.76 | — |
| Galveston, TXTexas | $785.44 | — |
| Houston, TXTexas | $788.74 | — |
| Rest of TexasTexas | $753.85 | — |
| UtahUtah | $747.37 | — |
| VirginiaVirginia | $777.00 | — |
| Virgin Islands, VIUnited States Virgin Islands | $798.72 | — |
| VermontVermont | $780.81 | — |
| Rest of WashingtonWashington | $828.33 | — |
| King County, WAWashington | $955.77 | — |
| WisconsinWisconsin | $756.71 | — |
| West VirginiaWest Virginia | $699.76 | — |
| WyomingWyoming | $789.37 | — |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $869.33 | 1 |
| AL | $698.85 | 1 |
| AR | $687.09 | 1 |
| AZ | $767.88 | 1 |
| CA | $858.03–$1,112.12 | 29 |
| CO | $836.26 | 1 |
| CT | $848.69 | 1 |
| DC | $922.76 | 1 |
| DE | $782.08 | 1 |
| FL | $762.46–$829.47 | 3 |
| GA | $714.78–$803.80 | 2 |
| GU | $886.46 | 1 |
| HI | $886.46 | 1 |
| IA | $726.47 | 1 |
| ID | $730.50 | 1 |
| IL | $732.05–$815.38 | 4 |
| IN | $735.59 | 1 |
| KS | $719.24 | 1 |
| KY | $710.97 | 1 |
| LA | $708.37–$749.52 | 2 |
| MA | $828.76–$931.97 | 2 |
| MD | $799.72–$922.76 | 3 |
| ME | $731.40–$782.27 | 2 |
| MI | $729.44–$770.01 | 2 |
| MN | $807.46 | 1 |
| MO | $692.00–$756.59 | 3 |
| MS | $689.87 | 1 |
| MT | $790.92 | 1 |
| NC | $740.81 | 1 |
| ND | $787.36 | 1 |
| NE | $732.08 | 1 |
| NH | $819.53 | 1 |
| NJ | $860.13–$910.22 | 2 |
| NM | $732.73 | 1 |
| NV | $790.65 | 1 |
| NY | $753.36–$935.79 | 5 |
| OH | $728.71 | 1 |
| OK | $713.00 | 1 |
| OR | $786.28–$869.95 | 2 |
| PA | $731.91–$822.69 | 2 |
| PR | $798.72 | 1 |
| RI | $815.22 | 1 |
| SC | $735.63 | 1 |
| SD | $786.94 | 1 |
| TN | $723.01 | 1 |
| TX | $726.09–$831.90 | 8 |
| UT | $747.37 | 1 |
| VA | $777.00–$922.76 | 2 |
| VI | $798.72 | 1 |
| VT | $780.81 | 1 |
| WA | $828.33–$955.77 | 2 |
| WI | $756.71 | 1 |
| WV | $699.76 | 1 |
| WY | $789.37 | 1 |
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
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 Montana 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
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.07 | × 1.000 | 2.0700 |
| Practice expense | 21.43 | × 1.000 | 21.4300 |
| Malpractice | 0.18 | × 0.998 | 0.1796 |
| Total RVUs | 23.6796 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Montana$790.92
Office: (2.07 × 1 + 21.43 × 1 + 0.18 × 0.998) × $33.4009 = $790.92
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
| 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
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.
How 78832 has changed in Montana
78832 · Office / nonfacility
$790.92
Effective 2026-10-01
The base rate is $13.78 higher than on 2025-10-01, moving from $777.14 to $790.92 (1.8%).
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
$777.14changed to$790.92
- 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
- Malpractice GPCI 0.978 changed to 0.998
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$820.72changed to$777.14
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 22.34 changed to 21.71
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$807.33changed to$820.72
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$858.55changed to$807.33
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 23.02 changed to 22.34
January 1, 2023
RVU23A
$900.30changed to$858.55
- 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
- Malpractice GPCI 0.977 changed to 0.978
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$948.59changed to$900.30
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 24.88 changed to 23.71
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$957.63changed to$948.59
- 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 1.304 changed to 0.977
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
No ratechanged to$957.63
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 | $790.92 | Not available in this setting | RVU26D |
| 2026-07-01 | $790.92 | Not available in this setting | RVU26C |
| 2026-04-01 | $790.92 | Not available in this setting | RVU26B |
| 2026-01-01 | $790.92 | Not available in this setting | RVU26A |
| 2025-10-01 | $777.14 | Not available in this setting | RVU25D |
| 2025-07-01 | $777.14 | Not available in this setting | RVU25C |
| 2025-04-01 | $777.14 | Not available in this setting | RVU25B |
| 2025-01-01 | $777.14 | Not available in this setting | RVU25A |
| 2024-10-01 | $820.72 | Not available in this setting | RVU24D |
| 2024-07-01 | $820.72 | Not available in this setting | RVU24C |
| 2024-04-01 | $820.72 | Not available in this setting | RVU24B |
| 2024-03-09 | $820.72 | Not available in this setting | RVU24AR |
| 2024-01-01 | $807.33 | Not available in this setting | RVU24A |
| 2023-10-01 | $858.55 | Not available in this setting | RVU23D |
| 2023-07-01 | $858.55 | Not available in this setting | RVU23C |
| 2023-04-01 | $858.55 | Not available in this setting | RVU23B |
| 2023-01-01 | $858.55 | Not available in this setting | RVU23A |
| 2022-10-01 | $900.30 | Not available in this setting | RVU22D |
| 2022-07-01 | $900.30 | Not available in this setting | RVU22C |
| 2022-04-01 | $900.30 | Not available in this setting | RVU22B |
| 2022-01-01 | $900.30 | Not available in this setting | RVU22A |
| 2021-10-01 | $948.59 | Not available in this setting | RVU21D |
| 2021-07-01 | $948.59 | Not available in this setting | RVU21C |
| 2021-04-01 | $948.59 | Not available in this setting | RVU21B |
| 2021-01-01 | $948.59 | Not available in this setting | RVU21A |
| 2020-10-01 | $957.63 | Not available in this setting | RVU20D |
| 2020-07-01 | $957.63 | Not available in this setting | RVU20C |
| 2020-04-01 | $957.63 | Not available in this setting | RVU20B |
| 2020-01-01 | $957.63 | 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 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
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
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