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CMS RVU26D · Effective 2026-10-01

78472 in El Centro

Office / nonfacility

$223.32

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

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 rates for El Centro, from the same CMS release.

78473

Gated heart imaging

Multiple studies

$286.68

Both describe planar gated-equilibrium blood-pool imaging; 78472 is for one study, while 78473 is for multiple studies.

78481

Cardiac function imaging

Single first-pass study

$174.45

78481 reports single-study first-pass blood-pool imaging. 78472 uses the gated-equilibrium acquisition method.

78453

Heart perfusion imaging

Single planar study

$283.66

78453 is a single-study planar myocardial perfusion examination. 78472 images the cardiac blood pool to assess ventricular function.

78494

Cardiac blood-pool imaging

Gated SPECT

$226.63

78494 uses SPECT for gated-equilibrium blood-pool imaging; 78472 is the planar study.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 78472 is $223.56—$0.24 higher than the $223.32 rate in El Centro. Both use the same code, release and participation basis.

78472 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $223.32

  2. Bakersfield

    $223.56

    $0.24 higher than El Centro

  3. Chico

    $223.30

    $0.02 lower than El Centro

  4. Fresno

    $223.30

    $0.02 lower than El Centro

  5. Hanford-Corcoran

    $223.30

    $0.02 lower than El Centro

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

    $239.44

    $16.12 higher than El Centro

  7. Madera

    $223.30

    $0.02 lower than El Centro

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, 78472 ranges from $181.78 in Arkansas to $286.03 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

  • Merced

    California · 78472

    Office

    $223.30

    Facility

    Unavailable

    $0.02 lower than El Centro for the office setting.

  • Modesto

    California · 78472

    Office

    $223.30

    Facility

    Unavailable

    $0.02 lower than El Centro for the office setting.

  • Napa

    California · 78472

    Office

    $263.04

    Facility

    Unavailable

    $39.72 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 78472

    Office

    $238.74

    Facility

    Unavailable

    $15.42 higher than El Centro for the office setting.

  • Redding

    California · 78472

    Office

    $223.30

    Facility

    Unavailable

    $0.02 lower than El Centro for the office setting.

  • Rest Of California

    California · 78472

    Office

    $223.30

    Facility

    Unavailable

    $0.02 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 78472

    Office

    $224.18

    Facility

    Unavailable

    $0.86 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 78472

    Office

    $235.48

    Facility

    Unavailable

    $12.16 higher than El Centro for the office setting.

  • Salinas

    California · 78472

    Office

    $234.63

    Facility

    Unavailable

    $11.31 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 78472

    Office

    $241.00

    Facility

    Unavailable

    $17.68 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 78472

    Office

    $279.82

    Facility

    Unavailable

    $56.50 higher than El Centro for the office setting.

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

    California · 78472

    Office

    $279.73

    Facility

    Unavailable

    $56.41 higher than El Centro for the office setting.

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

    California · 78472

    Office

    $286.03

    Facility

    Unavailable

    $62.71 higher than El Centro for the office setting.

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

    California · 78472

    Office

    $285.66

    Facility

    Unavailable

    $62.34 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 78472

    Office

    $230.73

    Facility

    Unavailable

    $7.41 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 78472

    Office

    $243.98

    Facility

    Unavailable

    $20.66 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 78472

    Office

    $235.74

    Facility

    Unavailable

    $12.42 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 78472

    Office

    $246.51

    Facility

    Unavailable

    $23.19 higher than El Centro for the office setting.

  • Stockton

    California · 78472

    Office

    $223.30

    Facility

    Unavailable

    $0.02 lower than El Centro for the office setting.

  • Vallejo

    California · 78472

    Office

    $262.91

    Facility

    Unavailable

    $39.59 higher than El Centro for the office setting.

  • Visalia

    California · 78472

    Office

    $223.30

    Facility

    Unavailable

    $0.02 lower than El Centro for the office setting.

  • Yuba City

    California · 78472

    Office

    $223.30

    Facility

    Unavailable

    $0.02 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 78472

    Office

    $240.19

    Facility

    Unavailable

    $16.87 higher than El Centro for the office setting.

  • Miami

    Florida · 78472

    Office

    $218.59

    Facility

    Unavailable

    $4.73 lower than El Centro for the office setting.

  • Chicago

    Illinois · 78472

    Office

    $211.97

    Facility

    Unavailable

    $11.35 lower than El Centro for the office setting.

  • Manhattan

    New York · 78472

    Office

    $239.01

    Facility

    Unavailable

    $15.69 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 78472

    Office

    $233.48

    Facility

    Unavailable

    $10.16 higher than El Centro for the office setting.

  • Alabama

    Alabama · 78472

    Office

    $184.67

    Facility

    Unavailable

    $38.65 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 78472

    Office

    $181.78

    Facility

    Unavailable

    $41.54 lower than El Centro for the office setting.

  • Arizona

    Arizona · 78472

    Office

    $201.68

    Facility

    Unavailable

    $21.64 lower than El Centro for the office setting.

  • Colorado

    Colorado · 78472

    Office

    $218.27

    Facility

    Unavailable

    $5.05 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 78472

    Office

    $221.92

    Facility

    Unavailable

    $1.40 lower than El Centro for the office setting.

  • Delaware

    Delaware · 78472

    Office

    $205.24

    Facility

    Unavailable

    $18.08 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 78472

    Office

    $211.82

    Facility

    Unavailable

    $11.50 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 78472

    Office

    $201.17

    Facility

    Unavailable

    $22.15 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 78472

    Office

    $210.82

    Facility

    Unavailable

    $12.50 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 78472

    Office

    $189.28

    Facility

    Unavailable

    $34.04 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 78472

    Office

    $229.95

    Facility

    Unavailable

    $6.63 higher than El Centro for the office setting.

  • Iowa

    Iowa · 78472

    Office

    $191.13

    Facility

    Unavailable

    $32.19 lower than El Centro for the office setting.

  • Idaho

    Idaho · 78472

    Office

    $192.20

    Facility

    Unavailable

    $31.12 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 78472

    Office

    $196.31

    Facility

    Unavailable

    $27.01 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 78472

    Office

    $193.90

    Facility

    Unavailable

    $29.42 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 78472

    Office

    $214.37

    Facility

    Unavailable

    $8.95 lower than El Centro for the office setting.

  • Indiana

    Indiana · 78472

    Office

    $193.44

    Facility

    Unavailable

    $29.88 lower than El Centro for the office setting.

  • Kansas

    Kansas · 78472

    Office

    $189.52

    Facility

    Unavailable

    $33.80 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 78472

    Office

    $188.02

    Facility

    Unavailable

    $35.30 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 78472

    Office

    $197.59

    Facility

    Unavailable

    $25.73 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 78472

    Office

    $187.45

    Facility

    Unavailable

    $35.87 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 78472

    Office

    $241.94

    Facility

    Unavailable

    $18.62 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 78472

    Office

    $216.54

    Facility

    Unavailable

    $6.78 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 78472

    Office

    $221.17

    Facility

    Unavailable

    $2.15 lower than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 78472

    Office

    $209.59

    Facility

    Unavailable

    $13.73 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 78472

    Office

    $192.59

    Facility

    Unavailable

    $30.73 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 78472

    Office

    $204.88

    Facility

    Unavailable

    $18.44 lower than El Centro for the office setting.

  • Detroit

    Michigan · 78472

    Office

    $203.21

    Facility

    Unavailable

    $20.11 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 78472

    Office

    $192.74

    Facility

    Unavailable

    $30.58 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 78472

    Office

    $210.55

    Facility

    Unavailable

    $12.77 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 78472

    Office

    $196.82

    Facility

    Unavailable

    $26.50 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 78472

    Office

    $199.14

    Facility

    Unavailable

    $24.18 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 78472

    Office

    $183.52

    Facility

    Unavailable

    $39.80 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 78472

    Office

    $182.72

    Facility

    Unavailable

    $40.60 lower than El Centro for the office setting.

  • Montana**

    Montana · 78472

    Office

    $207.41

    Facility

    Unavailable

    $15.91 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 78472

    Office

    $194.89

    Facility

    Unavailable

    $28.43 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 78472

    Office

    $205.83

    Facility

    Unavailable

    $17.49 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 78472

    Office

    $192.46

    Facility

    Unavailable

    $30.86 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 78472

    Office

    $214.17

    Facility

    Unavailable

    $9.15 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 78472

    Office

    $237.25

    Facility

    Unavailable

    $13.93 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 78472

    Office

    $224.85

    Facility

    Unavailable

    $1.53 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 78472

    Office

    $193.62

    Facility

    Unavailable

    $29.70 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 78472

    Office

    $207.15

    Facility

    Unavailable

    $16.17 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 78472

    Office

    $244.40

    Facility

    Unavailable

    $21.08 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 78472

    Office

    $225.83

    Facility

    Unavailable

    $2.51 higher than El Centro for the office setting.

  • Queens

    New York · 78472

    Office

    $242.08

    Facility

    Unavailable

    $18.76 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 78472

    Office

    $197.99

    Facility

    Unavailable

    $25.33 lower than El Centro for the office setting.

  • Ohio

    Ohio · 78472

    Office

    $192.42

    Facility

    Unavailable

    $30.90 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 78472

    Office

    $188.35

    Facility

    Unavailable

    $34.97 lower than El Centro for the office setting.

  • Portland

    Oregon · 78472

    Office

    $226.42

    Facility

    Unavailable

    $3.10 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 78472

    Office

    $205.94

    Facility

    Unavailable

    $17.38 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 78472

    Office

    $215.59

    Facility

    Unavailable

    $7.73 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 78472

    Office

    $193.11

    Facility

    Unavailable

    $30.21 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 78472

    Office

    $209.28

    Facility

    Unavailable

    $14.04 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 78472

    Office

    $213.44

    Facility

    Unavailable

    $9.88 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 78472

    Office

    $193.89

    Facility

    Unavailable

    $29.43 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 78472

    Office

    $205.65

    Facility

    Unavailable

    $17.67 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 78472

    Office

    $190.47

    Facility

    Unavailable

    $32.85 lower than El Centro for the office setting.

  • Austin

    Texas · 78472

    Office

    $217.19

    Facility

    Unavailable

    $6.13 lower than El Centro for the office setting.

  • Beaumont

    Texas · 78472

    Office

    $191.69

    Facility

    Unavailable

    $31.63 lower than El Centro for the office setting.

  • Brazoria

    Texas · 78472

    Office

    $205.53

    Facility

    Unavailable

    $17.79 lower than El Centro for the office setting.

  • Dallas

    Texas · 78472

    Office

    $206.64

    Facility

    Unavailable

    $16.68 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 78472

    Office

    $204.95

    Facility

    Unavailable

    $18.37 lower than El Centro for the office setting.

  • Galveston

    Texas · 78472

    Office

    $206.01

    Facility

    Unavailable

    $17.31 lower than El Centro for the office setting.

  • Houston

    Texas · 78472

    Office

    $207.47

    Facility

    Unavailable

    $15.85 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 78472

    Office

    $198.35

    Facility

    Unavailable

    $24.97 lower than El Centro for the office setting.

  • Utah

    Utah · 78472

    Office

    $196.79

    Facility

    Unavailable

    $26.53 lower than El Centro for the office setting.

  • Virginia

    Virginia · 78472

    Office

    $203.70

    Facility

    Unavailable

    $19.62 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 78472

    Office

    $209.28

    Facility

    Unavailable

    $14.04 lower than El Centro for the office setting.

  • Vermont

    Vermont · 78472

    Office

    $204.37

    Facility

    Unavailable

    $18.95 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 78472

    Office

    $216.35

    Facility

    Unavailable

    $6.97 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 78472

    Office

    $247.73

    Facility

    Unavailable

    $24.41 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 78472

    Office

    $198.32

    Facility

    Unavailable

    $25.00 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 78472

    Office

    $185.95

    Facility

    Unavailable

    $37.37 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 78472

    Office

    $206.72

    Facility

    Unavailable

    $16.60 lower than El Centro for the office setting.

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.

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.

$181.78

$254.67

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$233.481
AL$184.671
AR$181.781
AZ$201.681
CA$223.30–$286.0329
CO$218.271
CT$221.921
DC$240.191
DE$205.241
FL$201.17–$218.593
GA$189.28–$210.822
GU$229.951
HI$229.951
IA$191.131
ID$192.201
IL$193.90–$214.374
IN$193.441
KS$189.521
KY$188.021
LA$187.45–$197.592
MA$216.54–$241.942
MD$209.59–$240.193
ME$192.59–$204.882
MI$192.74–$203.212
MN$210.551
MO$183.52–$199.143
MS$182.721
MT$207.411
NC$194.891
ND$205.831
NE$192.461
NH$214.171
NJ$224.85–$237.252
NM$193.621
NV$207.151
NY$197.99–$244.405
OH$192.421
OK$188.351
OR$205.94–$226.422
PA$193.11–$215.592
PR$209.281
RI$213.441
SC$193.891
SD$205.651
TN$190.471
TX$191.69–$217.198
UT$196.791
VA$203.70–$240.192
VI$209.281
VT$204.371
WA$216.35–$247.732
WI$198.321
WV$185.951
WY$206.721

Explore 78472 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 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.

Browse all communities in California →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 78472 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$245.65

$223.32 × 110% = $245.65

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.

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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 78472 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

9,398

Code
78472
Physician work
0.96
Practice expense
5.17
Malpractice
0.08

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 78472 in El Centro
ComponentRVULocality factorAdjusted
Physician work0.96× 1.0170.9763
Practice expense5.17× 1.0965.6663
Malpractice0.08× 0.5410.0433
Total RVUs6.6859
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$223.32

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 78472 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.961.017
Practice expense5.171.096
Malpractice0.080.541

(0.96 × 1.017 + 5.17 × 1.096 + 0.08 × 0.541) × $33.4009 = $223.32

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

78472 · Office / nonfacility

$223.32

Effective 2026-10-01

The base rate is $8.33 higher than on 2025-10-01, moving from $214.99 to $223.32 (3.9%).

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

    $214.99changed to$223.32

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.98 changed to 0.96
    • Practice expense RVU 5.13 changed to 5.17
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $214.99

    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$223.32Not available in this settingRVU26D
2026-07-01$223.32Not available in this settingRVU26C
2026-04-01$223.32Not available in this settingRVU26B
2026-01-01$223.32Not available in this settingRVU26A
2025-10-01$214.99Not available in this settingRVU25D
2025-07-01$214.99Not available in this settingRVU25C
2025-04-01$214.99Not available in this settingRVU25B
2025-01-01$214.99Not available in this settingRVU25A

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.

RVUs for 78472PPRRVU2026_Oct_nonQPP.csv, line 9,398 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet