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CMS RVU26D · Effective 2026-10-01

78496 in Delaware

Office / nonfacility

$42.10

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 cardiology

About 78496: First-pass cardiac blood-pool imaging add-on

Reports supplemental first-pass cardiac blood-pool imaging used with a primary study to assess ventricular function, wall motion, and ejection fraction.

This add-on represents supplemental imaging performed with a first-pass cardiac blood-pool study. The study follows a radiotracer bolus as it passes through the heart, allowing assessment of ventricular function, wall motion, and ejection fraction. Nuclear medicine physicians, radiologists, or cardiologists typically interpret the diagnostic images; nuclear medicine staff operate the imaging equipment in hospital or outpatient settings.

Report 78496 only with its eligible primary cardiac blood-pool procedure, such as a first-pass study, and document the additional imaging and its relationship to that study. CMS treats it as an add-on paid within the primary procedure's global period. The diagnostic service may be billed globally, or divided between the professional interpretation with modifier 26 and the technical service with modifier TC. Documentation should identify the first-pass study, the supplemental imaging performed, and the interpretation; do not report 78496 as a stand-alone service.

CMS billing rules for 78496

Global period
Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
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.

Where the value comes from

  • Work RVU0.49 · 39%
  • Practice expense (office) RVU0.75 · 59%
  • Malpractice RVU0.03 · 2%

161

Medicare services in 2024 · #4507 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.

78496 compared with similar codes

Office rates for Delaware, from the same CMS release.

78481

Cardiac function imaging

Single first-pass study

$160.78

78481 reports the primary single-study first-pass cardiac blood-pool service; 78496 is supplemental and cannot replace that primary code.

78483

First-pass cardiac imaging

Multiple studies

$217.38

78483 reports the primary multiple-study first-pass service. Use 78496 only when the supplemental imaging is performed with an eligible primary procedure.

78494

Cardiac blood-pool imaging

Gated SPECT

$208.95

78494 is a gated-equilibrium cardiac blood-pool study. 78496 is an add-on associated with a primary study, rather than a stand-alone equilibrium study.

The same code, a different location

How does Delaware compare?

78496 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $42.10

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $47.34

    $5.24 higher than Delaware

  3. Dc + Md/Va Suburbs

    $47.88

    $5.78 higher than Delaware

  4. Miami

    $44.98

    $2.88 higher than Delaware

  5. Chicago

    $43.96

    $1.86 higher than Delaware

  6. Manhattan

    $48.11

    $6.01 higher than Delaware

  7. Alaska*

    $51.78

    $9.68 higher than Delaware

Other payment areas listed in Delaware 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, 78496 ranges from $38.40 in Arkansas to $54.83 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). 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.

Compare all 108 other payment areas

  • Alabama

    Alabama · 78496

    Office

    $38.85

    Facility

    Unavailable

    $3.25 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 78496

    Office

    $38.40

    Facility

    Unavailable

    $3.70 lower than Delaware for the office setting.

  • Arizona

    Arizona · 78496

    Office

    $41.50

    Facility

    Unavailable

    $0.60 lower than Delaware for the office setting.

  • Bakersfield

    California · 78496

    Office

    $44.74

    Facility

    Unavailable

    $2.64 higher than Delaware for the office setting.

  • Chico

    California · 78496

    Office

    $44.64

    Facility

    Unavailable

    $2.54 higher than Delaware for the office setting.

  • El Centro

    California · 78496

    Office

    $44.64

    Facility

    Unavailable

    $2.54 higher than Delaware for the office setting.

  • Fresno

    California · 78496

    Office

    $44.64

    Facility

    Unavailable

    $2.54 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 78496

    Office

    $44.64

    Facility

    Unavailable

    $2.54 higher than Delaware for the office setting.

  • Madera

    California · 78496

    Office

    $44.64

    Facility

    Unavailable

    $2.54 higher than Delaware for the office setting.

  • Merced

    California · 78496

    Office

    $44.64

    Facility

    Unavailable

    $2.54 higher than Delaware for the office setting.

  • Modesto

    California · 78496

    Office

    $44.64

    Facility

    Unavailable

    $2.54 higher than Delaware for the office setting.

  • Napa

    California · 78496

    Office

    $50.92

    Facility

    Unavailable

    $8.82 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 78496

    Office

    $47.06

    Facility

    Unavailable

    $4.96 higher than Delaware for the office setting.

  • Redding

    California · 78496

    Office

    $44.64

    Facility

    Unavailable

    $2.54 higher than Delaware for the office setting.

  • Rest Of California

    California · 78496

    Office

    $44.64

    Facility

    Unavailable

    $2.54 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 78496

    Office

    $44.97

    Facility

    Unavailable

    $2.87 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 78496

    Office

    $46.63

    Facility

    Unavailable

    $4.53 higher than Delaware for the office setting.

  • Salinas

    California · 78496

    Office

    $46.44

    Facility

    Unavailable

    $4.34 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 78496

    Office

    $47.36

    Facility

    Unavailable

    $5.26 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 78496

    Office

    $53.70

    Facility

    Unavailable

    $11.60 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 78496

    Office

    $53.67

    Facility

    Unavailable

    $11.57 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 78496

    Office

    $54.83

    Facility

    Unavailable

    $12.73 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 78496

    Office

    $54.69

    Facility

    Unavailable

    $12.59 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 78496

    Office

    $45.71

    Facility

    Unavailable

    $3.61 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 78496

    Office

    $47.68

    Facility

    Unavailable

    $5.58 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 78496

    Office

    $46.57

    Facility

    Unavailable

    $4.47 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 78496

    Office

    $48.16

    Facility

    Unavailable

    $6.06 higher than Delaware for the office setting.

  • Stockton

    California · 78496

    Office

    $44.64

    Facility

    Unavailable

    $2.54 higher than Delaware for the office setting.

  • Vallejo

    California · 78496

    Office

    $50.87

    Facility

    Unavailable

    $8.77 higher than Delaware for the office setting.

  • Visalia

    California · 78496

    Office

    $44.64

    Facility

    Unavailable

    $2.54 higher than Delaware for the office setting.

  • Yuba City

    California · 78496

    Office

    $44.64

    Facility

    Unavailable

    $2.54 higher than Delaware for the office setting.

  • Colorado

    Colorado · 78496

    Office

    $44.00

    Facility

    Unavailable

    $1.90 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 78496

    Office

    $44.89

    Facility

    Unavailable

    $2.79 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 78496

    Office

    $43.55

    Facility

    Unavailable

    $1.45 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 78496

    Office

    $41.82

    Facility

    Unavailable

    $0.28 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 78496

    Office

    $43.07

    Facility

    Unavailable

    $0.97 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 78496

    Office

    $39.91

    Facility

    Unavailable

    $2.19 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 78496

    Office

    $45.43

    Facility

    Unavailable

    $3.33 higher than Delaware for the office setting.

  • Iowa

    Iowa · 78496

    Office

    $39.69

    Facility

    Unavailable

    $2.41 lower than Delaware for the office setting.

  • Idaho

    Idaho · 78496

    Office

    $39.89

    Facility

    Unavailable

    $2.21 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 78496

    Office

    $41.43

    Facility

    Unavailable

    $0.67 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 78496

    Office

    $40.80

    Facility

    Unavailable

    $1.30 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 78496

    Office

    $43.98

    Facility

    Unavailable

    $1.88 higher than Delaware for the office setting.

  • Indiana

    Indiana · 78496

    Office

    $40.08

    Facility

    Unavailable

    $2.02 lower than Delaware for the office setting.

  • Kansas

    Kansas · 78496

    Office

    $39.52

    Facility

    Unavailable

    $2.58 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 78496

    Office

    $39.55

    Facility

    Unavailable

    $2.55 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 78496

    Office

    $41.08

    Facility

    Unavailable

    $1.02 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 78496

    Office

    $39.50

    Facility

    Unavailable

    $2.60 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 78496

    Office

    $47.84

    Facility

    Unavailable

    $5.74 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 78496

    Office

    $43.81

    Facility

    Unavailable

    $1.71 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 78496

    Office

    $44.75

    Facility

    Unavailable

    $2.65 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 78496

    Office

    $42.80

    Facility

    Unavailable

    $0.70 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 78496

    Office

    $40.04

    Facility

    Unavailable

    $2.06 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 78496

    Office

    $41.82

    Facility

    Unavailable

    $0.28 lower than Delaware for the office setting.

  • Detroit

    Michigan · 78496

    Office

    $42.23

    Facility

    Unavailable

    $0.13 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 78496

    Office

    $40.37

    Facility

    Unavailable

    $1.73 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 78496

    Office

    $42.44

    Facility

    Unavailable

    $0.34 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 78496

    Office

    $40.87

    Facility

    Unavailable

    $1.23 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 78496

    Office

    $41.22

    Facility

    Unavailable

    $0.88 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 78496

    Office

    $38.94

    Facility

    Unavailable

    $3.16 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 78496

    Office

    $38.68

    Facility

    Unavailable

    $3.42 lower than Delaware for the office setting.

  • Montana**

    Montana · 78496

    Office

    $42.42

    Facility

    Unavailable

    $0.32 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 78496

    Office

    $40.38

    Facility

    Unavailable

    $1.72 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 78496

    Office

    $41.82

    Facility

    Unavailable

    $0.28 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 78496

    Office

    $39.87

    Facility

    Unavailable

    $2.23 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 78496

    Office

    $43.32

    Facility

    Unavailable

    $1.22 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 78496

    Office

    $47.53

    Facility

    Unavailable

    $5.43 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 78496

    Office

    $45.48

    Facility

    Unavailable

    $3.38 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 78496

    Office

    $40.54

    Facility

    Unavailable

    $1.56 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 78496

    Office

    $42.28

    Facility

    Unavailable

    $0.18 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 78496

    Office

    $49.06

    Facility

    Unavailable

    $6.96 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 78496

    Office

    $45.75

    Facility

    Unavailable

    $3.65 higher than Delaware for the office setting.

  • Queens

    New York · 78496

    Office

    $48.47

    Facility

    Unavailable

    $6.37 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 78496

    Office

    $40.87

    Facility

    Unavailable

    $1.23 lower than Delaware for the office setting.

  • Ohio

    Ohio · 78496

    Office

    $40.25

    Facility

    Unavailable

    $1.85 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 78496

    Office

    $39.52

    Facility

    Unavailable

    $2.58 lower than Delaware for the office setting.

  • Portland

    Oregon · 78496

    Office

    $45.21

    Facility

    Unavailable

    $3.11 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 78496

    Office

    $42.02

    Facility

    Unavailable

    $0.08 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 78496

    Office

    $43.93

    Facility

    Unavailable

    $1.83 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 78496

    Office

    $40.31

    Facility

    Unavailable

    $1.79 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 78496

    Office

    $42.68

    Facility

    Unavailable

    $0.58 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 78496

    Office

    $43.45

    Facility

    Unavailable

    $1.35 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 78496

    Office

    $40.36

    Facility

    Unavailable

    $1.74 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 78496

    Office

    $41.75

    Facility

    Unavailable

    $0.35 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 78496

    Office

    $39.68

    Facility

    Unavailable

    $2.42 lower than Delaware for the office setting.

  • Austin

    Texas · 78496

    Office

    $43.79

    Facility

    Unavailable

    $1.69 higher than Delaware for the office setting.

  • Beaumont

    Texas · 78496

    Office

    $40.09

    Facility

    Unavailable

    $2.01 lower than Delaware for the office setting.

  • Brazoria

    Texas · 78496

    Office

    $42.10

    Facility

    Unavailable

    The same base rate than Delaware for the office setting.

  • Dallas

    Texas · 78496

    Office

    $42.32

    Facility

    Unavailable

    $0.22 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 78496

    Office

    $42.09

    Facility

    Unavailable

    $0.01 lower than Delaware for the office setting.

  • Galveston

    Texas · 78496

    Office

    $42.20

    Facility

    Unavailable

    $0.10 higher than Delaware for the office setting.

  • Houston

    Texas · 78496

    Office

    $42.75

    Facility

    Unavailable

    $0.65 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 78496

    Office

    $41.04

    Facility

    Unavailable

    $1.06 lower than Delaware for the office setting.

  • Utah

    Utah · 78496

    Office

    $40.81

    Facility

    Unavailable

    $1.29 lower than Delaware for the office setting.

  • Virginia

    Virginia · 78496

    Office

    $41.70

    Facility

    Unavailable

    $0.40 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 78496

    Office

    $42.68

    Facility

    Unavailable

    $0.58 higher than Delaware for the office setting.

  • Vermont

    Vermont · 78496

    Office

    $41.67

    Facility

    Unavailable

    $0.43 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 78496

    Office

    $43.72

    Facility

    Unavailable

    $1.62 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 78496

    Office

    $48.74

    Facility

    Unavailable

    $6.64 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 78496

    Office

    $40.67

    Facility

    Unavailable

    $1.43 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 78496

    Office

    $39.57

    Facility

    Unavailable

    $2.53 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 78496

    Office

    $42.16

    Facility

    Unavailable

    $0.06 higher than Delaware for the office setting.

See how rates vary across the country

78496 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$38.40

$51.78

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$51.781
AL$38.851
AR$38.401
AZ$41.501
CA$44.64–$54.8329
CO$44.001
CT$44.891
DC$47.881
DE$42.101
FL$41.82–$44.983
GA$39.91–$43.072
GU$45.431
HI$45.431
IA$39.691
ID$39.891
IL$40.80–$43.984
IN$40.081
KS$39.521
KY$39.551
LA$39.50–$41.082
MA$43.81–$47.842
MD$42.80–$47.883
ME$40.04–$41.822
MI$40.37–$42.232
MN$42.441
MO$38.94–$41.223
MS$38.681
MT$42.421
NC$40.381
ND$41.821
NE$39.871
NH$43.321
NJ$45.48–$47.532
NM$40.541
NV$42.281
NY$40.87–$49.065
OH$40.251
OK$39.521
OR$42.02–$45.212
PA$40.31–$43.932
PR$42.681
RI$43.451
SC$40.361
SD$41.751
TN$39.681
TX$40.09–$43.798
UT$40.811
VA$41.70–$47.882
VI$42.681
VT$41.671
WA$43.72–$48.742
WI$40.671
WV$39.571
WY$42.161

Explore 78496 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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.

Browse all communities in Delaware →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 78496 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$46.31

$42.10 × 110% = $46.31

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.

Compare your contract offer →

How this local rate is calculated

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 78496 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

9,419

Code
78496
Physician work
0.49
Practice expense
0.75
Malpractice
0.03

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 78496 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.49× 1.0050.4924
Practice expense0.75× 0.9880.7410
Malpractice0.03× 0.8990.0270
Total RVUs1.2604
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$42.10

Open 78496 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.491.005
Practice expense0.750.988
Malpractice0.030.899

(0.49 × 1.005 + 0.75 × 0.988 + 0.03 × 0.899) × $33.4009 = $42.10

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.

How this rate has changed

78496 · Office / nonfacility

$42.10

Effective 2026-10-01

The base rate is $2.06 higher than on 2025-10-01, moving from $40.04 to $42.10 (5.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $40.04changed to$42.10

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.50 changed to 0.49
    • Practice expense RVU 0.72 changed to 0.75
    • Malpractice RVU 0.02 changed to 0.03
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $40.04

    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.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$42.10Not available in this settingRVU26D
2026-07-01$42.10Not available in this settingRVU26C
2026-04-01$42.10Not available in this settingRVU26B
2026-01-01$42.10Not available in this settingRVU26A
2025-10-01$40.04Not available in this settingRVU25D
2025-07-01$40.04Not available in this settingRVU25C
2025-04-01$40.04Not available in this settingRVU25B
2025-01-01$40.04Not available in this settingRVU25A

78496 billing questions

Can 78496 be billed by itself?

No. It is an add-on and must be reported with an eligible primary cardiac blood-pool procedure, such as 78481 or 78483.

How does 78496 differ from 78481?

78481 reports the primary first-pass cardiac blood-pool study. 78496 reports supplemental imaging performed with an eligible primary study.

Which modifiers identify the professional and technical services?

Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Without either modifier, the claim represents the global service.

What documentation supports reporting 78496?

Document the primary first-pass study, the supplemental imaging performed, and the diagnostic interpretation. The record should support reporting the add-on with the primary procedure.

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.

RVUs for 78496PPRRVU2026_Oct_nonQPP.csv, line 9,419 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet