$234.71–$365.64
Both describe planar gated-equilibrium blood-pool imaging; 78472 is for one study, while 78473 is for multiple studies.
On this page
CMS RVU26D · Effective 2026-10-01
78472 Cardiac blood-pool imaging Medicare reimbursement rates
Reports a single planar gated blood-pool study used to assess ventricular function, including ejection fraction, with equilibrium radionuclide imaging. Compare 78472 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 78472?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$181.78–$286.03
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $104.25 per service.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 78472 pays more and less
109 payment localities
$181.78 to $286.03
Nuclear medicine
About 78472: Planar gated cardiac blood-pool study
Reports a single planar gated blood-pool study used to assess ventricular function, including ejection fraction, with equilibrium radionuclide imaging.
This nuclear medicine study tracks radiolabeled blood through the heart to assess ventricular function, commonly including ejection fraction and wall motion. A nuclear medicine technologist performs the acquisition, and a qualified physician interprets it. It is used in settings such as cardiac evaluation and monitoring ventricular function before or during potentially cardiotoxic chemotherapy.
Report this code for one planar gated-equilibrium study; use the multiple-study sibling when the service includes multiple studies. The record should support the acquisition method and study count, along with the clinical reason and interpretation. The code has professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies equipment and staff, and no component modifier represents the global service. The cardiovascular diagnostic multiple procedure reduction applies to the technical component.
CMS billing rules for 78472
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Multiple procedures
- Cardiovascular diagnostic multiple procedure reduction applies to the technical component.
Where the value comes from
- Work RVU0.96 · 15%
- Practice expense (office) RVU5.17 · 83%
- Malpractice RVU0.08 · 1%
8.4K
Medicare services in 2024 · #1566 by national volume
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.
78472 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$143.39–$221.92
78481 reports single-study first-pass blood-pool imaging. 78472 uses the gated-equilibrium acquisition method.
$229.27–$365.16
78453 is a single-study planar myocardial perfusion examination. 78472 images the cardiac blood pool to assess ventricular function.
$185.76–$288.81
78494 uses SPECT for gated-equilibrium blood-pool imaging; 78472 is the planar study.
See how rates vary across the country
78472 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$181.78
$254.67
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $233.48 | 1 |
| AL | $184.67 | 1 |
| AR | $181.78 | 1 |
| AZ | $201.68 | 1 |
| CA | $223.30–$286.03 | 29 |
| CO | $218.27 | 1 |
| CT | $221.92 | 1 |
| DC | $240.19 | 1 |
| DE | $205.24 | 1 |
| FL | $201.17–$218.59 | 3 |
| GA | $189.28–$210.82 | 2 |
| GU | $229.95 | 1 |
| HI | $229.95 | 1 |
| IA | $191.13 | 1 |
| ID | $192.20 | 1 |
| IL | $193.90–$214.37 | 4 |
| IN | $193.44 | 1 |
| KS | $189.52 | 1 |
| KY | $188.02 | 1 |
| LA | $187.45–$197.59 | 2 |
| MA | $216.54–$241.94 | 2 |
| MD | $209.59–$240.19 | 3 |
| ME | $192.59–$204.88 | 2 |
| MI | $192.74–$203.21 | 2 |
| MN | $210.55 | 1 |
| MO | $183.52–$199.14 | 3 |
| MS | $182.72 | 1 |
| MT | $207.41 | 1 |
| NC | $194.89 | 1 |
| ND | $205.83 | 1 |
| NE | $192.46 | 1 |
| NH | $214.17 | 1 |
| NJ | $224.85–$237.25 | 2 |
| NM | $193.62 | 1 |
| NV | $207.15 | 1 |
| NY | $197.99–$244.40 | 5 |
| OH | $192.42 | 1 |
| OK | $188.35 | 1 |
| OR | $205.94–$226.42 | 2 |
| PA | $193.11–$215.59 | 2 |
| PR | $209.28 | 1 |
| RI | $213.44 | 1 |
| SC | $193.89 | 1 |
| SD | $205.65 | 1 |
| TN | $190.47 | 1 |
| TX | $191.69–$217.19 | 8 |
| UT | $196.79 | 1 |
| VA | $203.70–$240.19 | 2 |
| VI | $209.28 | 1 |
| VT | $204.37 | 1 |
| WA | $216.35–$247.73 | 2 |
| WI | $198.32 | 1 |
| WV | $185.95 | 1 |
| WY | $206.72 | 1 |
Compare 78472 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $184.67 | Facility Unavailable |
| Alaska* | Office $233.48 | Facility Unavailable |
| Arizona | Office $201.68 | Facility Unavailable |
| Arkansas | Office $181.78 | Facility Unavailable |
| Atlanta | Office $210.82 | Facility Unavailable |
| Austin | Office $217.19 | Facility Unavailable |
| Bakersfield | Office $223.56 | Facility Unavailable |
| Baltimore/Surr. Cntys | Office $221.17 | Facility Unavailable |
| Beaumont | Office $191.69 | Facility Unavailable |
| Brazoria | Office $205.53 | Facility Unavailable |
| Chicago | Office $211.97 | Facility Unavailable |
| Chico | Office $223.30 | Facility Unavailable |
| Colorado | Office $218.27 | Facility Unavailable |
| Connecticut | Office $221.92 | Facility Unavailable |
| Dallas | Office $206.64 | Facility Unavailable |
| Dc + Md/Va Suburbs | Office $240.19 | Facility Unavailable |
| Delaware | Office $205.24 | Facility Unavailable |
| Detroit | Office $203.21 | Facility Unavailable |
| East St. Louis | Office $196.31 | Facility Unavailable |
| El Centro | Office $223.32 | Facility Unavailable |
| Fort Lauderdale | Office $211.82 | Facility Unavailable |
| Fort Worth | Office $204.95 | Facility Unavailable |
| Fresno | Office $223.30 | Facility Unavailable |
| Galveston | Office $206.01 | Facility Unavailable |
| Hanford-Corcoran | Office $223.30 | Facility Unavailable |
| Hawaii, Guam | Office $229.95 | Facility Unavailable |
| Houston | Office $207.47 | Facility Unavailable |
| Idaho | Office $192.20 | Facility Unavailable |
| Indiana | Office $193.44 | Facility Unavailable |
| Iowa | Office $191.13 | Facility Unavailable |
| Kansas | Office $189.52 | Facility Unavailable |
| Kentucky | Office $188.02 | Facility Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $239.44 | Facility Unavailable |
| Madera | Office $223.30 | Facility Unavailable |
| Manhattan | Office $239.01 | Facility Unavailable |
| Merced | Office $223.30 | Facility Unavailable |
| Metropolitan Boston | Office $241.94 | Facility Unavailable |
| Metropolitan Kansas City | Office $196.82 | Facility Unavailable |
| Metropolitan Philadelphia | Office $215.59 | Facility Unavailable |
| Metropolitan St. Louis | Office $199.14 | Facility Unavailable |
| Miami | Office $218.59 | Facility Unavailable |
| Minnesota | Office $210.55 | Facility Unavailable |
| Mississippi | Office $182.72 | Facility Unavailable |
| Modesto | Office $223.30 | Facility Unavailable |
| Montana** | Office $207.41 | Facility Unavailable |
| Napa | Office $263.04 | Facility Unavailable |
| Nebraska | Office $192.46 | Facility Unavailable |
| Nevada** | Office $207.15 | Facility Unavailable |
| New Hampshire | Office $214.17 | Facility Unavailable |
| New Mexico | Office $193.62 | Facility Unavailable |
| New Orleans | Office $197.59 | Facility Unavailable |
| North Carolina | Office $194.89 | Facility Unavailable |
| North Dakota** | Office $205.83 | Facility Unavailable |
| Northern Nj | Office $237.25 | Facility Unavailable |
| Nyc Suburbs/Long Island | Office $244.40 | Facility Unavailable |
| Ohio | Office $192.42 | Facility Unavailable |
| Oklahoma | Office $188.35 | Facility Unavailable |
| Oxnard-Thousand Oaks-Ventura | Office $238.74 | Facility Unavailable |
| Portland | Office $226.42 | Facility Unavailable |
| Poughkpsie/N Nyc Suburbs | Office $225.83 | Facility Unavailable |
| Puerto Rico | Office $209.28 | Facility Unavailable |
| Queens | Office $242.08 | Facility Unavailable |
| Redding | Office $223.30 | Facility Unavailable |
| Rest Of California | Office $223.30 | Facility Unavailable |
| Rest Of Florida | Office $201.17 | Facility Unavailable |
| Rest Of Georgia | Office $189.28 | Facility Unavailable |
| Rest Of Illinois | Office $193.90 | Facility Unavailable |
| Rest Of Louisiana | Office $187.45 | Facility Unavailable |
| Rest Of Maine | Office $192.59 | Facility Unavailable |
| Rest Of Maryland | Office $209.59 | Facility Unavailable |
| Rest Of Massachusetts | Office $216.54 | Facility Unavailable |
| Rest Of Michigan | Office $192.74 | Facility Unavailable |
| Rest Of Missouri | Office $183.52 | Facility Unavailable |
| Rest Of New Jersey | Office $224.85 | Facility Unavailable |
| Rest Of New York | Office $197.99 | Facility Unavailable |
| Rest Of Oregon | Office $205.94 | Facility Unavailable |
| Rest Of Pennsylvania | Office $193.11 | Facility Unavailable |
| Rest Of Texas | Office $198.35 | Facility Unavailable |
| Rest Of Washington | Office $216.35 | Facility Unavailable |
| Rhode Island | Office $213.44 | Facility Unavailable |
| Riverside-San Bernardino-Ontario | Office $224.18 | Facility Unavailable |
| Sacramento-Roseville-Folsom | Office $235.48 | Facility Unavailable |
| Salinas | Office $234.63 | Facility Unavailable |
| San Diego-Chula Vista-Carlsbad | Office $241.00 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $279.82 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $279.73 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $286.03 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $285.66 | Facility Unavailable |
| San Luis Obispo-Paso Robles | Office $230.73 | Facility Unavailable |
| Santa Cruz-Watsonville | Office $243.98 | Facility Unavailable |
| Santa Maria-Santa Barbara | Office $235.74 | Facility Unavailable |
| Santa Rosa-Petaluma | Office $246.51 | Facility Unavailable |
| Seattle (King Cnty) | Office $247.73 | Facility Unavailable |
| South Carolina | Office $193.89 | Facility Unavailable |
| South Dakota** | Office $205.65 | Facility Unavailable |
| Southern Maine | Office $204.88 | Facility Unavailable |
| Stockton | Office $223.30 | Facility Unavailable |
| Suburban Chicago | Office $214.37 | Facility Unavailable |
| Tennessee | Office $190.47 | Facility Unavailable |
| Utah | Office $196.79 | Facility Unavailable |
| Vallejo | Office $262.91 | Facility Unavailable |
| Vermont | Office $204.37 | Facility Unavailable |
| Virgin Islands | Office $209.28 | Facility Unavailable |
| Virginia | Office $203.70 | Facility Unavailable |
| Visalia | Office $223.30 | Facility Unavailable |
| West Virginia | Office $185.95 | Facility Unavailable |
| Wisconsin | Office $198.32 | Facility Unavailable |
| Wyoming** | Office $206.72 | Facility Unavailable |
| Yuba City | Office $223.30 | Facility Unavailable |
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78472 billing questions
When is 78472 selected instead of 78473?
Use 78472 for one planar gated-equilibrium study. Use 78473 when multiple studies are performed.
How does 78472 differ from first-pass imaging?
78472 describes gated-equilibrium blood-pool imaging. First-pass cardiac blood-pool imaging is reported with 78481 for a single study or 78483 for multiple studies.
Can the interpretation and technical service be billed separately?
Yes. Report modifier 26 for the professional interpretation and modifier TC for the technical service. Without either modifier, the claim represents the global service.
Which part is subject to the cardiovascular diagnostic multiple procedure reduction?
The reduction applies to the technical component of 78472. It does not apply to the professional component under the stated CMS rule.
What documentation supports reporting one study?
Document the planar gated-equilibrium acquisition, the number of studies performed, the clinical indication, and the physician's interpretation.
Is 78472 a myocardial perfusion study?
No. It evaluates cardiac blood-pool movement and ventricular function; myocardial perfusion codes describe imaging of blood flow to the heart muscle.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
9,39578469,,Heart infarct image (3d),A,,0.90,5.12,,5.12,NA,0.08,6.10,6.10,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,16.80,16.80,0.18
9,39678469,26,Heart infarct image (3d),A,,0.90,0.33,,0.33,,0.04,1.27,1.27,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,39778469,TC,Heart infarct image (3d),A,,0.00,4.79,,4.79,NA,0.04,4.83,4.83,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,16.47,16.47,0.14
9,39878472,,Gated heart planar single,A,,0.96,5.17,,5.17,NA,0.08,6.21,6.21,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,12.47,12.47,0.14
9,39978472,26,Gated heart planar single,A,,0.96,0.34,,0.34,,0.04,1.34,1.34,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,40078472,TC,Gated heart planar single,A,,0.00,4.83,,4.83,NA,0.04,4.87,4.87,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,12.13,12.13,0.10
9,40178473,,Gated heart multiple,A,,1.43,6.45,,6.45,NA,0.11,7.99,7.99,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,12.66,12.66,0.16