CPT code 79200: Radiopharmaceutical therapy, intra-arterial administration2026 Medicare rate & RVUs in Kentucky
Report this service for therapeutic administration of a radiopharmaceutical into an artery, rather than by oral, intravenous, or intracavitary route.
In Kentucky, Medicare pays $123.34 for 79200 in the office.
Check a contract rate as a % of Medicare · 79200 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 79200 covers
This service represents therapeutic delivery of a radioactive drug directly into an artery. It is associated with targeted treatment in which the agent is administered through an arterial route; nuclear medicine physicians and physicians performing image-guided arterial procedures may be involved. The code identifies the administration route, not simply the presence of a radioactive substance or a diagnostic nuclear medicine study.
Choose the code when the documented therapeutic administration is intra-arterial, and retain the treatment record showing the radiopharmaceutical and route. CMS identifies separately billable professional and technical components: modifier 26 represents the professional interpretation, modifier TC represents equipment and staff, and reporting without either modifier represents the global service. CMS lists both modifiers as separately priced. Do not select this code for oral, intravenous, intracavitary, or intra-arterial particulate administration when a more specific route or technique code describes the 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 Kentucky compares for 79200
Across 109 of 109 payment localities, the office rate for 79200 runs from $120.75 in Arkansas to $166.41 in Alaska. Kentucky pays $123.34. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Kentucky · this page$123.34
- Los Angeles, CA · California$144.43+$21.09
- Washington, DC area · District of Columbia$145.70+$22.36
- Miami, FL · Florida$135.78+$12.44
- Chicago, IL · Illinois$133.53+$10.19
- Manhattan, NY · New York$146.11+$22.77
- Alaska · Alaska$166.41+$43.07
Other areas in Kentucky first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $121.86 | — |
| ArkansasArkansas | $120.75 | — |
| ArizonaArizona | $128.37 | — |
| Bakersfield, CACalifornia | $137.33 | — |
| Chico, CACalifornia | $137.08 | — |
| El Centro, CACalifornia | $137.09 | — |
| Fresno, CACalifornia | $137.08 | — |
| Hanford, CACalifornia | $137.08 | — |
| Madera, CACalifornia | $137.08 | — |
| Merced, CACalifornia | $137.08 | — |
| Modesto, CACalifornia | $137.08 | — |
| Napa, CACalifornia | $154.25 | — |
| Oxnard, CACalifornia | $143.45 | — |
| Redding, CACalifornia | $137.08 | — |
| Rest of CaliforniaCalifornia | $137.08 | — |
| Riverside, CACalifornia | $137.67 | — |
| Sacramento, CACalifornia | $142.61 | — |
| Salinas, CACalifornia | $142.03 | — |
| San Diego, CACalifornia | $144.35 | — |
| Marin County, CACalifornia | $162.14 | — |
| San Francisco, CACalifornia | $162.09 | — |
| San Benito County, CACalifornia | $165.30 | — |
| Santa Clara County, CACalifornia | $165.06 | — |
| San Luis Obispo, CACalifornia | $139.84 | — |
| Santa Cruz, CACalifornia | $144.97 | — |
| Santa Maria, CACalifornia | $142.28 | — |
| Santa Rosa, CACalifornia | $146.39 | — |
| Stockton, CACalifornia | $137.08 | — |
| Vallejo, CACalifornia | $154.17 | — |
| Visalia, CACalifornia | $137.08 | — |
| Yuba City, CACalifornia | $137.08 | — |
| ColoradoColorado | $135.11 | — |
| ConnecticutConnecticut | $137.18 | — |
| DelawareDelaware | $129.98 | — |
| Fort Lauderdale, FLFlorida | $132.78 | — |
| Rest of FloridaFlorida | $128.62 | — |
| Atlanta, GAGeorgia | $132.15 | — |
| Rest of GeorgiaGeorgia | $123.99 | — |
| Hawaii, Guam, HIHawaii | $138.68 | — |
| IowaIowa | $124.14 | — |
| IdahoIdaho | $124.59 | — |
| East St. Louis, ILIllinois | $127.16 | — |
| Rest of IllinoisIllinois | $125.96 | — |
| Suburban Chicago, ILIllinois | $134.07 | — |
| IndianaIndiana | $125.06 | — |
| KansasKansas | $123.61 | — |
| New Orleans, LALouisiana | $127.04 | — |
| Rest of LouisianaLouisiana | $123.15 | — |
| Metropolitan Boston, MAMassachusetts | $145.51 | — |
| Rest of MassachusettsMassachusetts | $134.69 | — |
| Baltimore area, MDMaryland | $136.71 | — |
| Rest of MarylandMaryland | $131.88 | — |
| Rest of MaineMaine | $124.84 | — |
| Southern Maine, MEMaine | $129.40 | — |
| Detroit, MIMichigan | $129.50 | — |
| Rest of MichiganMichigan | $125.23 | — |
| MinnesotaMinnesota | $131.28 | — |
| Metropolitan Kansas City, MOMissouri | $126.65 | — |
| Metropolitan St. Louis, MOMissouri | $127.52 | — |
| Rest of MissouriMissouri | $121.70 | — |
| MississippiMississippi | $121.25 | — |
| MontanaMontana | $130.59 | — |
| North CarolinaNorth Carolina | $125.70 | — |
| North DakotaNorth Dakota | $129.61 | — |
| NebraskaNebraska | $124.62 | — |
| New HampshireNew Hampshire | $133.02 | — |
| Northern New JerseyNew Jersey | $145.05 | — |
| Rest of New JerseyNew Jersey | $139.25 | — |
| New MexicoNew Mexico | $125.61 | — |
| NevadaNevada | $130.38 | — |
| NYC suburbs and Long Island, NYNew York | $148.30 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $139.96 | — |
| Queens, NYNew York | $147.15 | — |
| Rest of New YorkNew York | $126.90 | — |
| OhioOhio | $125.03 | — |
| OklahomaOklahoma | $123.36 | — |
| Portland, OROregon | $138.33 | — |
| Rest of OregonOregon | $129.84 | — |
| Metropolitan Philadelphia, PAPennsylvania | $134.72 | — |
| Rest of PennsylvaniaPennsylvania | $125.25 | — |
| Puerto RicoPuerto Rico | $131.28 | — |
| Rhode IslandRhode Island | $133.76 | — |
| South CarolinaSouth Carolina | $125.47 | — |
| South DakotaSouth Dakota | $129.49 | — |
| TennesseeTennessee | $123.99 | — |
| Austin, TXTexas | $134.26 | — |
| Beaumont, TXTexas | $124.71 | — |
| Brazoria, TXTexas | $130.17 | — |
| Dallas, TXTexas | $130.69 | — |
| Fort Worth, TXTexas | $130.07 | — |
| Galveston, TXTexas | $130.38 | — |
| Houston, TXTexas | $131.29 | — |
| Rest of TexasTexas | $127.16 | — |
| UtahUtah | $126.58 | — |
| VirginiaVirginia | $129.02 | — |
| Virgin Islands, VIUnited States Virgin Islands | $131.28 | — |
| VermontVermont | $129.13 | — |
| Rest of WashingtonWashington | $134.44 | — |
| King County, WAWashington | $148.09 | — |
| WisconsinWisconsin | $126.75 | — |
| West VirginiaWest Virginia | $122.92 | — |
| WyomingWyoming | $130.16 | — |
79200 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.
$120.75
$166.41
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 | $166.41 | 1 |
| AL | $121.86 | 1 |
| AR | $120.75 | 1 |
| AZ | $128.37 | 1 |
| CA | $137.08–$165.30 | 29 |
| CO | $135.11 | 1 |
| CT | $137.18 | 1 |
| DC | $145.70 | 1 |
| DE | $129.98 | 1 |
| FL | $128.62–$135.78 | 3 |
| GA | $123.99–$132.15 | 2 |
| GU | $138.68 | 1 |
| HI | $138.68 | 1 |
| IA | $124.14 | 1 |
| ID | $124.59 | 1 |
| IL | $125.96–$134.07 | 4 |
| IN | $125.06 | 1 |
| KS | $123.61 | 1 |
| KY | $123.34 | 1 |
| LA | $123.15–$127.04 | 2 |
| MA | $134.69–$145.51 | 2 |
| MD | $131.88–$145.70 | 3 |
| ME | $124.84–$129.40 | 2 |
| MI | $125.23–$129.50 | 2 |
| MN | $131.28 | 1 |
| MO | $121.70–$127.52 | 3 |
| MS | $121.25 | 1 |
| MT | $130.59 | 1 |
| NC | $125.70 | 1 |
| ND | $129.61 | 1 |
| NE | $124.62 | 1 |
| NH | $133.02 | 1 |
| NJ | $139.25–$145.05 | 2 |
| NM | $125.61 | 1 |
| NV | $130.38 | 1 |
| NY | $126.90–$148.30 | 5 |
| OH | $125.03 | 1 |
| OK | $123.36 | 1 |
| OR | $129.84–$138.33 | 2 |
| PA | $125.25–$134.72 | 2 |
| PR | $131.28 | 1 |
| RI | $133.76 | 1 |
| SC | $125.47 | 1 |
| SD | $129.49 | 1 |
| TN | $123.99 | 1 |
| TX | $124.71–$134.26 | 8 |
| UT | $126.58 | 1 |
| VA | $129.02–$145.70 | 2 |
| VI | $131.28 | 1 |
| VT | $129.13 | 1 |
| WA | $134.44–$148.09 | 2 |
| WI | $126.75 | 1 |
| WV | $122.92 | 1 |
| WY | $130.16 | 1 |
How the 79200 rate is calculated
Each of 79200’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 · 79200
RVUs × geographic indexes × conversion factor
Work1.94
1.94 RVUs× 1.000 GPCI
Practice expense1.92
1.92 RVUs× 1.000 GPCI
Malpractice0.05
0.05 RVUs× 1.000 GPCI
Adjusted RVUs
3.9100
Conversion factor
$33.4009
Medicare rate
$130.60
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Kentucky inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
9,567
- Code
- 79200
- Physician work
- 1.94
- Practice expense
- 1.92
- Malpractice
- 0.05
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.94 | × 1.000 | 1.9400 |
| Practice expense | 1.92 | × 0.889 | 1.7069 |
| Malpractice | 0.05 | × 0.915 | 0.0458 |
| Total RVUs | 3.6926 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Kentucky$123.34
Office: (1.94 × 1 + 1.92 × 0.889 + 0.05 × 0.915) × $33.4009 = $123.34
Payment rules and modifiers for 79200
The CMS indicators that decide how 79200 is paid alongside other services.
CMS payment indicators · 79200
Radiopharmaceutical therapy, intra-arterial administration
| 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
79200 without 26 · national office
$130.60
Radiopharmaceutical therapy, intra-arterial administration
79200-26 · Professional component
$77.49
Pays only the interpretation and report.
How 79200 has changed in Kentucky
79200 · Office / nonfacility
$123.34
Effective 2026-10-01
The base rate is $4.16 higher than on 2025-10-01, moving from $119.18 to $123.34 (3.5%).
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
$119.18changed to$123.34
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.99 changed to 1.94
- Practice expense RVU 1.88 changed to 1.92
- Practice expense GPCI 0.877 changed to 0.889
- Malpractice GPCI 0.913 changed to 0.915
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$122.06changed to$119.18
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.86 changed to 1.88
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$120.07changed to$122.06
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$124.53changed to$120.07
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.89 changed to 1.86
- Malpractice RVU 0.04 changed to 0.05
- Practice expense GPCI 0.873 changed to 0.877
- Malpractice GPCI 0.870 changed to 0.913
January 1, 2023
RVU23A
$128.05changed to$124.53
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.93 changed to 1.89
- Practice expense GPCI 0.869 changed to 0.873
- Malpractice GPCI 0.827 changed to 0.870
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$128.81changed to$128.05
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.92 changed to 1.93
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$130.73changed to$128.81
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.83 changed to 1.92
- Practice expense GPCI 0.874 changed to 0.869
- Malpractice GPCI 0.823 changed to 0.827
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$129.96changed to$130.73
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.79 changed to 1.83
- Malpractice RVU 0.05 changed to 0.04
- Practice expense GPCI 0.880 changed to 0.874
- Malpractice GPCI 0.819 changed to 0.823
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$129.19changed to$129.96
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.77 changed to 1.79
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$134.15changed to$129.19
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.94 changed to 1.77
- Malpractice RVU 0.06 changed to 0.05
- Practice expense GPCI 0.876 changed to 0.880
- Malpractice GPCI 0.807 changed to 0.819
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$150.59changed to$134.15
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 2.45 changed to 1.94
- Malpractice RVU 0.10 changed to 0.06
- Practice expense GPCI 0.872 changed to 0.876
- Malpractice GPCI 0.795 changed to 0.807
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$129.34changed to$150.59
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 1.80 changed to 2.45
- Malpractice RVU 0.05 changed to 0.10
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$128.69changed to$129.34
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$148.02changed to$128.69
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 2.35 changed to 1.80
- Malpractice RVU 0.12 changed to 0.05
- Malpractice GPCI 0.774 changed to 0.795
Held through RVU15B.
January 1, 2014
RVU14A
$143.97changed to$148.02
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 2.47 changed to 2.35
- Practice expense GPCI 0.871 changed to 0.872
- Malpractice GPCI 0.752 changed to 0.774
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $143.97
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $123.34 | Not available in this setting | RVU26D |
| 2026-07-01 | $123.34 | Not available in this setting | RVU26C |
| 2026-04-01 | $123.34 | Not available in this setting | RVU26B |
| 2026-01-01 | $123.34 | Not available in this setting | RVU26A |
| 2025-10-01 | $119.18 | Not available in this setting | RVU25D |
| 2025-07-01 | $119.18 | Not available in this setting | RVU25C |
| 2025-04-01 | $119.18 | Not available in this setting | RVU25B |
| 2025-01-01 | $119.18 | Not available in this setting | RVU25A |
| 2024-10-01 | $122.06 | Not available in this setting | RVU24D |
| 2024-07-01 | $122.06 | Not available in this setting | RVU24C |
| 2024-04-01 | $122.06 | Not available in this setting | RVU24B |
| 2024-03-09 | $122.06 | Not available in this setting | RVU24AR |
| 2024-01-01 | $120.07 | Not available in this setting | RVU24A |
| 2023-10-01 | $124.53 | Not available in this setting | RVU23D |
| 2023-07-01 | $124.53 | Not available in this setting | RVU23C |
| 2023-04-01 | $124.53 | Not available in this setting | RVU23B |
| 2023-01-01 | $124.53 | Not available in this setting | RVU23A |
| 2022-10-01 | $128.05 | Not available in this setting | RVU22D |
| 2022-07-01 | $128.05 | Not available in this setting | RVU22C |
| 2022-04-01 | $128.05 | Not available in this setting | RVU22B |
| 2022-01-01 | $128.05 | Not available in this setting | RVU22A |
| 2021-10-01 | $128.81 | Not available in this setting | RVU21D |
| 2021-07-01 | $128.81 | Not available in this setting | RVU21C |
| 2021-04-01 | $128.81 | Not available in this setting | RVU21B |
| 2021-01-01 | $128.81 | Not available in this setting | RVU21A |
| 2020-10-01 | $130.73 | Not available in this setting | RVU20D |
| 2020-07-01 | $130.73 | Not available in this setting | RVU20C |
| 2020-04-01 | $130.73 | Not available in this setting | RVU20B |
| 2020-01-01 | $130.73 | Not available in this setting | RVU20A |
| 2019-10-01 | $129.96 | Not available in this setting | RVU19D |
| 2019-07-01 | $129.96 | Not available in this setting | RVU19C |
| 2019-04-01 | $129.96 | Not available in this setting | RVU19B |
| 2019-01-01 | $129.96 | Not available in this setting | RVU19A |
| 2018-10-01 | $129.19 | Not available in this setting | RVU18D |
| 2018-07-01 | $129.19 | Not available in this setting | RVU18C |
| 2018-04-01 | $129.19 | Not available in this setting | RVU18B |
| 2018-01-01 | $129.19 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $134.15 | Not available in this setting | RVU17D |
| 2017-07-01 | $134.15 | Not available in this setting | RVU17C |
| 2017-04-01 | $134.15 | Not available in this setting | RVU17B |
| 2017-01-01 | $134.15 | Not available in this setting | RVU17A |
| 2016-10-01 | $150.59 | Not available in this setting | RVU16D |
| 2016-07-01 | $150.59 | Not available in this setting | RVU16C |
| 2016-04-01 | $150.59 | Not available in this setting | RVU16B |
| 2016-01-01 | $150.59 | Not available in this setting | RVU16A |
| 2015-10-01 | $129.34 | Not available in this setting | RVU15D |
| 2015-07-01 | $129.34 | Not available in this setting | RVU15C |
| 2015-04-01 | $128.69 | Not available in this setting | RVU15B |
| 2015-01-01 | $128.69 | Not available in this setting | RVU15A |
| 2014-10-01 | $148.02 | Not available in this setting | RVU14D |
| 2014-07-01 | $148.02 | Not available in this setting | RVU14C |
| 2014-04-01 | $148.02 | Not available in this setting | RVU14B |
| 2014-01-01 | $148.02 | Not available in this setting | RVU14A |
| 2013-10-01 | $143.97 | Not available in this setting | RVU13D |
| 2013-07-01 | $143.97 | Not available in this setting | RVU13C |
| 2013-04-01 | $143.97 | Not available in this setting | RVU13B |
| 2013-01-01 | $143.97 | Not available in this setting | RVU13AR |
Where the Kentucky rate applies
Kentucky is a Medicare payment area, not a city. Our Census mapping connects it to 553 cities and communities in Kentucky. Some span more than one payment area; confirm with the service ZIP.
- Adairville
- Ages
- Albany
- Alexandria
- Allen
- Allensville
- Anchorage
- Annville
79200 billing questions
How is this code distinguished from 79445?
This code represents intra-arterial radiopharmaceutical therapy generally. Use 79445 when the documented therapy is specifically by intra-arterial particulate administration.
Can the professional and technical portions be billed separately?
Yes. CMS lists modifier 26 for the professional interpretation and modifier TC for the technical portion, which includes equipment and staff. Without either modifier, the claim represents the global service.
What documentation supports the intra-arterial route?
The treatment record should identify the radiopharmaceutical and document that it was administered into an artery for therapy. A diagnostic study showing arterial anatomy alone does not establish this service.
Should this code be used for intravenous radiopharmaceutical therapy?
No. For therapeutic administration by the intravenous route, 79101 is the route-specific alternative.
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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