Billing code 78832: Tumor SPECT/CTMedicare rate & RVUs
Reports radiopharmaceutical tumor localization using SPECT with CT when imaging covers two or more anatomical areas in the same study.
Medicare pays $790.93 for 78832 nationally in the office. Local office rates run $687.09–$1,112.12.
Medicare rate · 78832
Tumor SPECT/CT
Swap in your local Medicare rate.
- Work RVUs
- 2.07
- Total RVUs
- 23.68
- Global days
- XXX
National rate · 2026
$790.93
Office setting, before claim adjustments.
See every locality for 78832 → · Billed by an NP, PA or therapist? →
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 10 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.
Where 78832 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$687.09 to $1112.12
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $698.85 | Unavailable |
| Alaska* | $869.33 | Unavailable |
| Arizona | $767.88 | Unavailable |
| Arkansas | $687.09 | Unavailable |
| Atlanta | $803.80 | Unavailable |
| Austin | $831.90 | Unavailable |
| Bakersfield | $858.61 | Unavailable |
| Baltimore/Surr. Cntys | $845.72 | Unavailable |
| Beaumont | $726.09 | Unavailable |
| Brazoria | $783.72 | Unavailable |
| Chicago | $802.78 | Unavailable |
| Chico | $858.03 | Unavailable |
| Colorado | $836.26 | Unavailable |
| Connecticut | $848.69 | Unavailable |
| Dallas | $787.84 | Unavailable |
| Dc + Md/Va Suburbs | $922.76 | Unavailable |
| Delaware | $782.08 | Unavailable |
| Detroit | $770.01 | Unavailable |
| East St. Louis | $739.77 | Unavailable |
| El Centro | $858.06 | Unavailable |
| Fort Lauderdale | $805.10 | Unavailable |
| Fort Worth | $780.76 | Unavailable |
| Fresno | $858.03 | Unavailable |
| Galveston | $785.44 | Unavailable |
| Hanford-Corcoran | $858.03 | Unavailable |
| Hawaii, Guam | $886.46 | Unavailable |
| Houston | $788.74 | Unavailable |
| Idaho | $730.50 | Unavailable |
| Indiana | $735.59 | Unavailable |
| Iowa | $726.47 | Unavailable |
| Kansas | $719.24 | Unavailable |
| Kentucky | $710.97 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $922.74 | Unavailable |
| Madera | $858.03 | Unavailable |
| Manhattan | $914.84 | Unavailable |
| Merced | $858.03 | Unavailable |
| Metropolitan Boston | $931.97 | Unavailable |
| Metropolitan Kansas City | $747.13 | Unavailable |
| Metropolitan Philadelphia | $822.69 | Unavailable |
| Metropolitan St. Louis | $756.59 | Unavailable |
| Miami | $829.47 | Unavailable |
| Minnesota | $807.46 | Unavailable |
| Mississippi | $689.87 | Unavailable |
| Modesto | $858.03 | Unavailable |
| Montana** | $790.92 | Unavailable |
| Napa | $1,019.95 | Unavailable |
| Nebraska | $732.08 | Unavailable |
| Nevada** | $790.65 | Unavailable |
| New Hampshire | $819.53 | Unavailable |
| New Mexico | $732.73 | Unavailable |
| New Orleans | $749.52 | Unavailable |
| North Carolina | $740.81 | Unavailable |
| North Dakota** | $787.36 | Unavailable |
| Northern Nj | $910.22 | Unavailable |
| Nyc Suburbs/Long Island | $935.79 | Unavailable |
| Ohio | $728.71 | Unavailable |
| Oklahoma | $713.00 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $920.87 | Unavailable |
| Portland | $869.95 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $863.31 | Unavailable |
| Puerto Rico | $798.72 | Unavailable |
| Queens | $928.29 | Unavailable |
| Redding | $858.03 | Unavailable |
| Rest Of California | $858.03 | Unavailable |
| Rest Of Florida | $762.46 | Unavailable |
| Rest Of Georgia | $714.78 | Unavailable |
| Rest Of Illinois | $732.05 | Unavailable |
| Rest Of Louisiana | $708.37 | Unavailable |
| Rest Of Maine | $731.40 | Unavailable |
| Rest Of Maryland | $799.72 | Unavailable |
| Rest Of Massachusetts | $828.76 | Unavailable |
| Rest Of Michigan | $729.44 | Unavailable |
| Rest Of Missouri | $692.00 | Unavailable |
| Rest Of New Jersey | $860.13 | Unavailable |
| Rest Of New York | $753.36 | Unavailable |
| Rest Of Oregon | $786.28 | Unavailable |
| Rest Of Pennsylvania | $731.91 | Unavailable |
| Rest Of Texas | $753.85 | Unavailable |
| Rest Of Washington | $828.33 | Unavailable |
| Rhode Island | $815.22 | Unavailable |
| Riverside-San Bernardino-Ontario | $860.01 | Unavailable |
| Sacramento-Roseville-Folsom | $907.31 | Unavailable |
| Salinas | $904.10 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $930.55 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $1,087.72 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $1,087.51 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $1,112.12 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $1,111.29 | Unavailable |
| San Luis Obispo-Paso Robles | $888.81 | Unavailable |
| Santa Cruz-Watsonville | $943.49 | Unavailable |
| Santa Maria-Santa Barbara | $908.90 | Unavailable |
| Santa Rosa-Petaluma | $953.42 | Unavailable |
| Seattle (King Cnty) | $955.77 | Unavailable |
| South Carolina | $735.63 | Unavailable |
| South Dakota** | $786.94 | Unavailable |
| Southern Maine | $782.27 | Unavailable |
| Stockton | $858.03 | Unavailable |
| Suburban Chicago | $815.38 | Unavailable |
| Tennessee | $723.01 | Unavailable |
| Utah | $747.37 | Unavailable |
| Vallejo | $1,019.65 | Unavailable |
| Vermont | $780.81 | Unavailable |
| Virgin Islands | $798.72 | Unavailable |
| Virginia | $777.00 | Unavailable |
| Visalia | $858.03 | Unavailable |
| West Virginia | $699.76 | Unavailable |
| Wisconsin | $756.71 | Unavailable |
| Wyoming** | $789.37 | Unavailable |
| Yuba City | $858.03 | Unavailable |
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
Swap in your local Medicare rate.
Work 2.07Practice expense 21.43Malpractice 0.18
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
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
| 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
78832-26 · Professional component
$93.86
Pays only the interpretation and report.
78832 compared with similar codes
Compare codes
78832 vs 78830 vs 78831 vs 78803 vs 78801: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 78830Tumor SPECT/CT
- Both include SPECT with CT, but 78830 is for one area; 78832 is for two or more areas.
- 78831Tumor SPECT
- Use 78831 for SPECT across two or more areas without CT. Use 78832 when the study also includes CT.
- 78803Tumor SPECT
- Code 78803 is SPECT without CT for one area. Code 78832 includes CT and covers two or more areas.
- 78801Tumor imaging
- Code 78801 describes planar imaging of two or more areas in one day; 78832 describes multi-area SPECT with CT.
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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