CPT code 79200: Radiopharmaceutical therapy, intra-arterial administration2026 Medicare rate & RVUs in South Carolina

In South Carolina, Medicare pays $125.47 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.

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 South Carolina 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. South Carolina pays $125.47. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

79200 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 79200 in every payment locality

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.

Payment rules and modifiers for 79200

The CMS indicators that decide how 79200 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

Codes related to 79200

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

How 79200 has changed in South Carolina

Price 79200 for an earlier date of service

Where the South Carolina rate applies

South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.

• Abbeville
• Abney Crossroads
• Adams Run
• Aiken
• Alcolu
• Allendale
• Anderson
• Andrews

Browse all communities in South Carolina

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

Open CMS sourceHow we calculate rates