CPT code 79445: Intra-arterial therapy, particulate administration2026 Medicare rate & RVUs in California

Reports intra-arterial particulate radiopharmaceutical treatment, including radioembolization, when radioactive material is delivered through an artery to target tissue.

CMS RVU26DEffective Oct 1, 202629 payment localities4.8K Medicare services in 2024

CMS doesn’t publish an office rate for 79445 in California.

—Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 9 sections
  1. Rate in California
  2. What 79445 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 79445 covers

79445 reports therapeutic radiopharmaceutical administration into an artery using particulate material. Radioembolization with Y-90 microspheres delivered through hepatic arterial branches is a common application for selected liver tumors. Interventional radiology and nuclear medicine teams may be involved in treatment planning and administration; the service is distinct from radiopharmaceutical delivery into a joint or through an intravenous route.

Medicare assigns this code Physician Fee Schedule status C, meaning the Medicare Administrative Contractor prices each claim rather than CMS publishing a national payment. The code has professional and technical components: modifier 26 identifies the interpretation, and modifier TC identifies the equipment-and-staff portion. Reporting 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.

Where 79445 pays more and less in California

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

29 of 29 payment localities

79445 office and facility rates by payment locality
Payment localityOfficeFacility
Bakersfield, CAUnavailableUnavailable
Chico, CAUnavailableUnavailable
El Centro, CAUnavailableUnavailable
Fresno, CAUnavailableUnavailable
Hanford, CAUnavailableUnavailable
Los Angeles, CAUnavailableUnavailable
Madera, CAUnavailableUnavailable
Marin County, CAUnavailableUnavailable
Merced, CAUnavailableUnavailable
Modesto, CAUnavailableUnavailable

How the 79445 rate is calculated

Each of 79445’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 · 79445

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

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

Payment rules and modifiers for 79445

The CMS indicators that decide how 79445 is paid alongside other services.

CMS payment indicators · 79445

Intra-arterial therapy, particulate administration

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

79445 without 26 · national facility

$0.00

Intra-arterial therapy, particulate administration

79445-26 · Professional component

$106.21

Pays only the interpretation and report.

When to use modifier 26

79445 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 79445

    Intra-arterial therapy, particulate administration0 wRVU

    Not priced

  • 79440

    Joint radiotherapy, intra-articular administration1.94 wRVU

    $117.24

  • 79403

    Nuclear therapy, hematopoietic tumor2.19 wRVU

    $156.65

  • 79101

    Radiopharmaceutical therapy, intravenous route1.91 wRVU

    $142.96

How to choose

79440Joint radiotherapyIntra-articular administration
79440 describes radiopharmaceutical administration into a joint. Use 79445 for particulate treatment delivered into an artery.
79403Nuclear therapyHematopoietic tumor
79403 describes radiopharmaceutical administration into the hematopoietic system; 79445 is for intra-arterial particulate treatment.
79101Radiopharmaceutical therapyIntravenous route
79101 describes intravenous radiopharmaceutical therapy. Code 79445 is distinguished by intra-arterial particulate administration.

79445 billing questions

When is this code used instead of 79440?

Use 79445 for particulate radiopharmaceutical treatment delivered into an artery. Code 79440 describes administration into a joint.

How does this differ from intravenous radiopharmaceutical therapy?

Code 79445 identifies intra-arterial particulate treatment. Code 79101 describes radiopharmaceutical therapy by intravenous administration.

Should modifier 26 or TC be appended?

Modifier 26 identifies the interpretation, and TC identifies the equipment-and-staff portion. Reporting without either modifier represents the global service.

How does Medicare price this service?

The Physician Fee Schedule status is C, or carrier priced. The Medicare Administrative Contractor sets payment for each claim.

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

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