Nuclear rx intra-arterial
Choose 79440 for intra-articular delivery and 79445 for intra-arterial particulate administration. The administration route distinguishes these therapy codes.
CMS RVU26D · Effective 2026-10-01
Office / nonfacility
$122.44
Base rate per service
Facility setting
Not available in this setting
Base rate per service
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.
Nuclear medicine therapy
Reports radiopharmaceutical treatment delivered into a joint to treat synovial disease, such as persistent inflammatory synovitis or synovitis associated with hemophilic arthropathy.
This service delivers a therapeutic radiopharmaceutical directly into a joint to treat synovial disease, rather than using a routine medication injection. It is generally performed by a nuclear medicine or radiology physician with the joint accessed by a qualified clinician, often in a specialized outpatient or hospital setting. Examples include treatment of persistent synovitis associated with inflammatory arthritis or hemophilic arthropathy.
Select 79440 when documentation supports intra-articular delivery of a radiopharmaceutical for therapy. The record should identify the treated joint, the therapeutic purpose, and the administration performed. CMS recognizes professional and technical components: modifier 26 reports the professional interpretation, modifier TC reports the technical component, and billing without either modifier represents the global service. The technical component includes equipment and staff.
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.
Office rates for Chico, from the same CMS release.
Nuclear rx intra-arterial
Choose 79440 for intra-articular delivery and 79445 for intra-arterial particulate administration. The administration route distinguishes these therapy codes.
79403 is for radiopharmaceutical therapy associated with non-Hodgkin lymphoma; 79440 identifies treatment delivered into a joint.
20610 describes aspiration and/or injection of a major joint or bursa. It is not the radiopharmaceutical therapy code for treatment delivered into a joint.
The same code, a different location
In Bakersfield, the office rate for 79440 is $122.69—$0.25 higher than the $122.44 rate in Chico. Both use the same code, release and participation basis.
Same release and payment basis · bars start at $0
Chico · This locality
$122.44
$122.69
$0.25 higher than Chico
$122.45
$0.01 higher than Chico
$122.44
The same base rate than Chico
$122.44
The same base rate than Chico
$6.18 higher than Chico
$122.44
The same base rate than Chico
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, 79440 ranges from $109.27 in Arkansas to $152.19 in Alaska*. This is a geographic range, not an average.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
California · 79440
Office
$122.44
Facility
Unavailable
The same base rate than Chico for the office setting.
California · 79440
Office
$122.44
Facility
Unavailable
The same base rate than Chico for the office setting.
California · 79440
Office
$136.64
Facility
Unavailable
$14.20 higher than Chico for the office setting.
California · 79440
Office
$127.66
Facility
Unavailable
$5.22 higher than Chico for the office setting.
California · 79440
Office
$122.44
Facility
Unavailable
The same base rate than Chico for the office setting.
California · 79440
Office
$122.44
Facility
Unavailable
The same base rate than Chico for the office setting.
California · 79440
Office
$123.03
Facility
Unavailable
$0.59 higher than Chico for the office setting.
California · 79440
Office
$127.07
Facility
Unavailable
$4.63 higher than Chico for the office setting.
California · 79440
Office
$126.54
Facility
Unavailable
$4.10 higher than Chico for the office setting.
California · 79440
Office
$128.37
Facility
Unavailable
$5.93 higher than Chico for the office setting.
California · 79440
Office
$143.30
Facility
Unavailable
$20.86 higher than Chico for the office setting.
California · 79440
Office
$143.25
Facility
Unavailable
$20.81 higher than Chico for the office setting.
California · 79440
Office
$146.03
Facility
Unavailable
$23.59 higher than Chico for the office setting.
California · 79440
Office
$145.80
Facility
Unavailable
$23.36 higher than Chico for the office setting.
California · 79440
Office
$124.62
Facility
Unavailable
$2.18 higher than Chico for the office setting.
California · 79440
Office
$128.74
Facility
Unavailable
$6.30 higher than Chico for the office setting.
California · 79440
Office
$126.70
Facility
Unavailable
$4.26 higher than Chico for the office setting.
California · 79440
Office
$129.98
Facility
Unavailable
$7.54 higher than Chico for the office setting.
California · 79440
Office
$122.44
Facility
Unavailable
The same base rate than Chico for the office setting.
California · 79440
Office
$136.56
Facility
Unavailable
$14.12 higher than Chico for the office setting.
California · 79440
Office
$122.44
Facility
Unavailable
The same base rate than Chico for the office setting.
California · 79440
Office
$122.44
Facility
Unavailable
The same base rate than Chico for the office setting.
District of Columbia · 79440
Office
$129.96
Facility
Unavailable
$7.52 higher than Chico for the office setting.
Florida · 79440
Office
$121.87
Facility
Unavailable
$0.57 lower than Chico for the office setting.
Illinois · 79440
Office
$120.11
Facility
Unavailable
$2.33 lower than Chico for the office setting.
New York · 79440
Office
$130.59
Facility
Unavailable
$8.15 higher than Chico for the office setting.
Alaska · 79440
Office
$152.19
Facility
Unavailable
$29.75 higher than Chico for the office setting.
Alabama · 79440
Office
$110.17
Facility
Unavailable
$12.27 lower than Chico for the office setting.
Arkansas · 79440
Office
$109.27
Facility
Unavailable
$13.17 lower than Chico for the office setting.
Arizona · 79440
Office
$115.42
Facility
Unavailable
$7.02 lower than Chico for the office setting.
Colorado · 79440
Office
$120.90
Facility
Unavailable
$1.54 lower than Chico for the office setting.
Connecticut · 79440
Office
$122.79
Facility
Unavailable
$0.35 higher than Chico for the office setting.
Delaware · 79440
Office
$116.78
Facility
Unavailable
$5.66 lower than Chico for the office setting.
Florida · 79440
Office
$119.25
Facility
Unavailable
$3.19 lower than Chico for the office setting.
Florida · 79440
Office
$115.84
Facility
Unavailable
$6.60 lower than Chico for the office setting.
Georgia · 79440
Office
$118.58
Facility
Unavailable
$3.86 lower than Chico for the office setting.
Georgia · 79440
Office
$112.07
Facility
Unavailable
$10.37 lower than Chico for the office setting.
Hawaii · 79440
Office
$123.49
Facility
Unavailable
$1.05 higher than Chico for the office setting.
Iowa · 79440
Office
$111.91
Facility
Unavailable
$10.53 lower than Chico for the office setting.
Idaho · 79440
Office
$112.30
Facility
Unavailable
$10.14 lower than Chico for the office setting.
Illinois · 79440
Office
$114.87
Facility
Unavailable
$7.57 lower than Chico for the office setting.
Illinois · 79440
Office
$113.76
Facility
Unavailable
$8.68 lower than Chico for the office setting.
Illinois · 79440
Office
$120.35
Facility
Unavailable
$2.09 lower than Chico for the office setting.
Indiana · 79440
Office
$112.67
Facility
Unavailable
$9.77 lower than Chico for the office setting.
Kansas · 79440
Office
$111.53
Facility
Unavailable
$10.91 lower than Chico for the office setting.
Kentucky · 79440
Office
$111.46
Facility
Unavailable
$10.98 lower than Chico for the office setting.
Louisiana · 79440
Office
$114.47
Facility
Unavailable
$7.97 lower than Chico for the office setting.
Louisiana · 79440
Office
$111.33
Facility
Unavailable
$11.11 lower than Chico for the office setting.
Massachusetts · 79440
Office
$129.56
Facility
Unavailable
$7.12 higher than Chico for the office setting.
Massachusetts · 79440
Office
$120.63
Facility
Unavailable
$1.81 lower than Chico for the office setting.
Maryland · 79440
Office
$122.38
Facility
Unavailable
$0.06 lower than Chico for the office setting.
Maryland · 79440
Office
$118.36
Facility
Unavailable
$4.08 lower than Chico for the office setting.
Maine · 79440
Office
$112.54
Facility
Unavailable
$9.90 lower than Chico for the office setting.
Maine · 79440
Office
$116.16
Facility
Unavailable
$6.28 lower than Chico for the office setting.
Michigan · 79440
Office
$116.61
Facility
Unavailable
$5.83 lower than Chico for the office setting.
Michigan · 79440
Office
$113.04
Facility
Unavailable
$9.40 lower than Chico for the office setting.
Minnesota · 79440
Office
$117.53
Facility
Unavailable
$4.91 lower than Chico for the office setting.
Missouri · 79440
Office
$114.10
Facility
Unavailable
$8.34 lower than Chico for the office setting.
Missouri · 79440
Office
$114.80
Facility
Unavailable
$7.64 lower than Chico for the office setting.
Missouri · 79440
Office
$110.19
Facility
Unavailable
$12.25 lower than Chico for the office setting.
Mississippi · 79440
Office
$109.74
Facility
Unavailable
$12.70 lower than Chico for the office setting.
Montana · 79440
Office
$117.23
Facility
Unavailable
$5.21 lower than Chico for the office setting.
North Carolina · 79440
Office
$113.23
Facility
Unavailable
$9.21 lower than Chico for the office setting.
North Dakota · 79440
Office
$116.25
Facility
Unavailable
$6.19 lower than Chico for the office setting.
Nebraska · 79440
Office
$112.29
Facility
Unavailable
$10.15 lower than Chico for the office setting.
New Hampshire · 79440
Office
$119.11
Facility
Unavailable
$3.33 lower than Chico for the office setting.
New Jersey · 79440
Office
$129.56
Facility
Unavailable
$7.12 higher than Chico for the office setting.
New Jersey · 79440
Office
$124.66
Facility
Unavailable
$2.22 higher than Chico for the office setting.
New Mexico · 79440
Office
$113.36
Facility
Unavailable
$9.08 lower than Chico for the office setting.
Nevada · 79440
Office
$117.01
Facility
Unavailable
$5.43 lower than Chico for the office setting.
New York · 79440
Office
$132.41
Facility
Unavailable
$9.97 higher than Chico for the office setting.
New York · 79440
Office
$125.33
Facility
Unavailable
$2.89 higher than Chico for the office setting.
New York · 79440
Office
$131.36
Facility
Unavailable
$8.92 higher than Chico for the office setting.
New York · 79440
Office
$114.20
Facility
Unavailable
$8.24 lower than Chico for the office setting.
Ohio · 79440
Office
$112.83
Facility
Unavailable
$9.61 lower than Chico for the office setting.
Oklahoma · 79440
Office
$111.43
Facility
Unavailable
$11.01 lower than Chico for the office setting.
Oregon · 79440
Office
$123.48
Facility
Unavailable
$1.04 higher than Chico for the office setting.
Oregon · 79440
Office
$116.54
Facility
Unavailable
$5.90 lower than Chico for the office setting.
Pennsylvania · 79440
Office
$120.81
Facility
Unavailable
$1.63 lower than Chico for the office setting.
Pennsylvania · 79440
Office
$112.98
Facility
Unavailable
$9.46 lower than Chico for the office setting.
Puerto Rico · 79440
Office
$117.77
Facility
Unavailable
$4.67 lower than Chico for the office setting.
Rhode Island · 79440
Office
$119.96
Facility
Unavailable
$2.48 lower than Chico for the office setting.
South Carolina · 79440
Office
$113.13
Facility
Unavailable
$9.31 lower than Chico for the office setting.
South Dakota · 79440
Office
$116.13
Facility
Unavailable
$6.31 lower than Chico for the office setting.
Tennessee · 79440
Office
$111.84
Facility
Unavailable
$10.60 lower than Chico for the office setting.
Texas · 79440
Office
$120.12
Facility
Unavailable
$2.32 lower than Chico for the office setting.
Texas · 79440
Office
$112.55
Facility
Unavailable
$9.89 lower than Chico for the office setting.
Texas · 79440
Office
$116.93
Facility
Unavailable
$5.51 lower than Chico for the office setting.
Texas · 79440
Office
$117.38
Facility
Unavailable
$5.06 lower than Chico for the office setting.
Texas · 79440
Office
$116.89
Facility
Unavailable
$5.55 lower than Chico for the office setting.
Texas · 79440
Office
$117.11
Facility
Unavailable
$5.33 lower than Chico for the office setting.
Texas · 79440
Office
$118.03
Facility
Unavailable
$4.41 lower than Chico for the office setting.
Texas · 79440
Office
$114.49
Facility
Unavailable
$7.95 lower than Chico for the office setting.
Utah · 79440
Office
$114.02
Facility
Unavailable
$8.42 lower than Chico for the office setting.
Virginia · 79440
Office
$115.88
Facility
Unavailable
$6.56 lower than Chico for the office setting.
United States Virgin Islands · 79440
Office
$117.77
Facility
Unavailable
$4.67 lower than Chico for the office setting.
Vermont · 79440
Office
$115.90
Facility
Unavailable
$6.54 lower than Chico for the office setting.
Washington · 79440
Office
$120.37
Facility
Unavailable
$2.07 lower than Chico for the office setting.
Washington · 79440
Office
$131.70
Facility
Unavailable
$9.26 higher than Chico for the office setting.
Wisconsin · 79440
Office
$113.95
Facility
Unavailable
$8.49 lower than Chico for the office setting.
West Virginia · 79440
Office
$111.31
Facility
Unavailable
$11.13 lower than Chico for the office setting.
Wyoming · 79440
Office
$116.80
Facility
Unavailable
$5.64 lower than Chico for the office setting.
79440 · 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.
$109.27
$152.19
Color shows the midpoint of each state’s locality range.
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $152.19 | 1 |
| AL | $110.17 | 1 |
| AR | $109.27 | 1 |
| AZ | $115.42 | 1 |
| CA | $122.44–$146.03 | 29 |
| CO | $120.90 | 1 |
| CT | $122.79 | 1 |
| DC | $129.96 | 1 |
| DE | $116.78 | 1 |
| FL | $115.84–$121.87 | 3 |
| GA | $112.07–$118.58 | 2 |
| GU | $123.49 | 1 |
| HI | $123.49 | 1 |
| IA | $111.91 | 1 |
| ID | $112.30 | 1 |
| IL | $113.76–$120.35 | 4 |
| IN | $112.67 | 1 |
| KS | $111.53 | 1 |
| KY | $111.46 | 1 |
| LA | $111.33–$114.47 | 2 |
| MA | $120.63–$129.56 | 2 |
| MD | $118.36–$129.96 | 3 |
| ME | $112.54–$116.16 | 2 |
| MI | $113.04–$116.61 | 2 |
| MN | $117.53 | 1 |
| MO | $110.19–$114.80 | 3 |
| MS | $109.74 | 1 |
| MT | $117.23 | 1 |
| NC | $113.23 | 1 |
| ND | $116.25 | 1 |
| NE | $112.29 | 1 |
| NH | $119.11 | 1 |
| NJ | $124.66–$129.56 | 2 |
| NM | $113.36 | 1 |
| NV | $117.01 | 1 |
| NY | $114.20–$132.41 | 5 |
| OH | $112.83 | 1 |
| OK | $111.43 | 1 |
| OR | $116.54–$123.48 | 2 |
| PA | $112.98–$120.81 | 2 |
| PR | $117.77 | 1 |
| RI | $119.96 | 1 |
| SC | $113.13 | 1 |
| SD | $116.13 | 1 |
| TN | $111.84 | 1 |
| TX | $112.55–$120.12 | 8 |
| UT | $114.02 | 1 |
| VA | $115.88–$129.96 | 2 |
| VI | $117.77 | 1 |
| VT | $115.90 | 1 |
| WA | $120.37–$131.70 | 2 |
| WI | $113.95 | 1 |
| WV | $111.31 | 1 |
| WY | $116.80 | 1 |
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
Turn a percentage into dollars for 79440 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$134.68
$122.44 × 110% = $134.68
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 79440 in Chico.
PPRRVU2026_Oct_nonQPP.csv
9,576
GPCI2026.csv
9
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.94 | × 1.017 | 1.9730 |
| Practice expense | 1.52 | × 1.096 | 1.6659 |
| Malpractice | 0.05 | × 0.536 | 0.0268 |
| Total RVUs | 3.6657 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Chico$122.44
Open 79440 in the RVU calculator →
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.94 | 1.017 |
| Practice expense | 1.52 | 1.096 |
| Malpractice | 0.05 | 0.536 |
(1.94 × 1.017 + 1.52 × 1.096 + 0.05 × 0.536) × $33.4009 = $122.44
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
79440 · Office / nonfacility
$122.44
Effective 2026-10-01
The base rate is $3.41 higher than on 2025-10-01, moving from $119.03 to $122.44 (2.9%).
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.
January 1, 2026
RVU26A
$119.03changed to$122.44
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $119.03
Held through RVU25B, RVU25C, RVU25D.
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $122.44 | Not available in this setting | RVU26D |
| 2026-07-01 | $122.44 | Not available in this setting | RVU26C |
| 2026-04-01 | $122.44 | Not available in this setting | RVU26B |
| 2026-01-01 | $122.44 | Not available in this setting | RVU26A |
| 2025-10-01 | $119.03 | Not available in this setting | RVU25D |
| 2025-07-01 | $119.03 | Not available in this setting | RVU25C |
| 2025-04-01 | $119.03 | Not available in this setting | RVU25B |
| 2025-01-01 | $119.03 | Not available in this setting | RVU25A |
Use 79440 for radiopharmaceutical treatment delivered into a joint. Code 79445 describes treatment delivered by the intra-arterial route.
No. It is for intra-articular radiopharmaceutical therapy, such as treatment directed at diseased synovium, rather than a routine corticosteroid or anesthetic injection.
Report modifier 26 for the professional interpretation or modifier TC for the technical component. Without either modifier, the claim represents the global service.
Document the joint treated, the therapeutic indication, and that a radiopharmaceutical was administered intra-articularly. The record should distinguish this treatment from an ordinary joint injection.
The code identifies the intra-articular radiopharmaceutical therapy, not a particular joint. Document each treated site and the service performed; do not infer a unit count from the code descriptor alone.
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.