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CMS RVU26D · Effective 2026-10-01

78468 in Wyoming**

Office / nonfacility

$182.43

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 78468: Planar infarct imaging with ejection fraction

Planar infarct-avid myocardial imaging with ejection fraction is reported when a nuclear cardiac study evaluates infarct-related uptake and ventricular function.

This nuclear medicine cardiac study uses planar images to assess infarct-avid myocardial uptake and includes measurement of the heart’s ejection fraction. It is performed in a nuclear medicine department or imaging center, with the images and findings interpreted by a qualified physician, commonly a nuclear medicine physician or cardiologist. The study addresses a different imaging question from myocardial perfusion imaging, which evaluates blood flow to the heart muscle.

Report 78468 when the service includes both infarct-avid planar imaging and ejection-fraction assessment; documentation should support the imaging performed and the reported functional result. The service may be billed globally, or the interpretation may be reported with modifier 26 and the equipment and staff portion with modifier TC. When multiple cardiovascular diagnostic procedures are reported, the CMS multiple-procedure reduction applies to the technical component.

CMS billing rules for 78468

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 RVU0.78 · 14%
  • Practice expense (office) RVU4.63 · 84%
  • Malpractice RVU0.07 · 1%

123

Medicare services in 2024 · #4720 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.

78468 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

78466

Infarct imaging

Planar

$158.38

Both describe infarct-avid planar myocardial imaging, but 78468 includes ejection-fraction assessment. Report 78466 when that assessment is not part of the service.

78469

Infarct imaging

Tomographic SPECT

$203.05

78469 uses SPECT for infarct-avid imaging; 78468 is the planar study that includes ejection-fraction assessment.

78472

Cardiac blood-pool imaging

Single planar equilibrium study

$206.72

78472 is a gated blood-pool study used to evaluate cardiac function. It does not represent infarct-avid myocardial imaging.

78452

Nuclear stress test

SPECT, multiple perfusion studies

$426.74

78452 reports multiple-study SPECT myocardial perfusion imaging, while 78468 concerns infarct-avid planar imaging with ejection-fraction assessment.

The same code, a different location

How does Wyoming** compare?

78468 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $182.43

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

    $211.62

    $29.19 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $212.23

    $29.80 higher than Wyoming**

  4. Miami

    $192.95

    $10.52 higher than Wyoming**

  5. Chicago

    $187.02

    $4.59 higher than Wyoming**

  6. Manhattan

    $211.13

    $28.70 higher than Wyoming**

  7. Alaska*

    $205.07

    $22.64 higher than Wyoming**

Other payment areas listed in Wyoming 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, 78468 ranges from $160.10 in Arkansas to $253.17 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 · 78468

    Office

    $162.69

    Facility

    Unavailable

    $19.74 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 78468

    Office

    $160.10

    Facility

    Unavailable

    $22.33 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 78468

    Office

    $177.91

    Facility

    Unavailable

    $4.52 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 78468

    Office

    $197.46

    Facility

    Unavailable

    $15.03 higher than Wyoming** for the office setting.

  • Chico

    California · 78468

    Office

    $197.24

    Facility

    Unavailable

    $14.81 higher than Wyoming** for the office setting.

  • El Centro

    California · 78468

    Office

    $197.25

    Facility

    Unavailable

    $14.82 higher than Wyoming** for the office setting.

  • Fresno

    California · 78468

    Office

    $197.24

    Facility

    Unavailable

    $14.81 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 78468

    Office

    $197.24

    Facility

    Unavailable

    $14.81 higher than Wyoming** for the office setting.

  • Madera

    California · 78468

    Office

    $197.24

    Facility

    Unavailable

    $14.81 higher than Wyoming** for the office setting.

  • Merced

    California · 78468

    Office

    $197.24

    Facility

    Unavailable

    $14.81 higher than Wyoming** for the office setting.

  • Modesto

    California · 78468

    Office

    $197.24

    Facility

    Unavailable

    $14.81 higher than Wyoming** for the office setting.

  • Napa

    California · 78468

    Office

    $232.71

    Facility

    Unavailable

    $50.28 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 78468

    Office

    $211.03

    Facility

    Unavailable

    $28.60 higher than Wyoming** for the office setting.

  • Redding

    California · 78468

    Office

    $197.24

    Facility

    Unavailable

    $14.81 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 78468

    Office

    $197.24

    Facility

    Unavailable

    $14.81 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 78468

    Office

    $198.01

    Facility

    Unavailable

    $15.58 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 78468

    Office

    $208.10

    Facility

    Unavailable

    $25.67 higher than Wyoming** for the office setting.

  • Salinas

    California · 78468

    Office

    $207.35

    Facility

    Unavailable

    $24.92 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 78468

    Office

    $213.06

    Facility

    Unavailable

    $30.63 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 78468

    Office

    $247.65

    Facility

    Unavailable

    $65.22 higher than Wyoming** for the office setting.

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

    California · 78468

    Office

    $247.57

    Facility

    Unavailable

    $65.14 higher than Wyoming** for the office setting.

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

    California · 78468

    Office

    $253.17

    Facility

    Unavailable

    $70.74 higher than Wyoming** for the office setting.

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

    California · 78468

    Office

    $252.85

    Facility

    Unavailable

    $70.42 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 78468

    Office

    $203.89

    Facility

    Unavailable

    $21.46 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 78468

    Office

    $215.75

    Facility

    Unavailable

    $33.32 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 78468

    Office

    $208.35

    Facility

    Unavailable

    $25.92 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 78468

    Office

    $217.99

    Facility

    Unavailable

    $35.56 higher than Wyoming** for the office setting.

  • Stockton

    California · 78468

    Office

    $197.24

    Facility

    Unavailable

    $14.81 higher than Wyoming** for the office setting.

  • Vallejo

    California · 78468

    Office

    $232.59

    Facility

    Unavailable

    $50.16 higher than Wyoming** for the office setting.

  • Visalia

    California · 78468

    Office

    $197.24

    Facility

    Unavailable

    $14.81 higher than Wyoming** for the office setting.

  • Yuba City

    California · 78468

    Office

    $197.24

    Facility

    Unavailable

    $14.81 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 78468

    Office

    $192.73

    Facility

    Unavailable

    $10.30 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 78468

    Office

    $195.96

    Facility

    Unavailable

    $13.53 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 78468

    Office

    $181.08

    Facility

    Unavailable

    $1.35 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 78468

    Office

    $186.94

    Facility

    Unavailable

    $4.51 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 78468

    Office

    $177.41

    Facility

    Unavailable

    $5.02 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 78468

    Office

    $186.06

    Facility

    Unavailable

    $3.63 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 78468

    Office

    $166.78

    Facility

    Unavailable

    $15.65 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 78468

    Office

    $203.24

    Facility

    Unavailable

    $20.81 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 78468

    Office

    $168.48

    Facility

    Unavailable

    $13.95 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 78468

    Office

    $169.43

    Facility

    Unavailable

    $13.00 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 78468

    Office

    $173.04

    Facility

    Unavailable

    $9.39 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 78468

    Office

    $170.90

    Facility

    Unavailable

    $11.53 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 78468

    Office

    $189.20

    Facility

    Unavailable

    $6.77 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 78468

    Office

    $170.55

    Facility

    Unavailable

    $11.88 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 78468

    Office

    $167.03

    Facility

    Unavailable

    $15.40 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 78468

    Office

    $165.67

    Facility

    Unavailable

    $16.76 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 78468

    Office

    $174.23

    Facility

    Unavailable

    $8.20 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 78468

    Office

    $165.15

    Facility

    Unavailable

    $17.28 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 78468

    Office

    $213.85

    Facility

    Unavailable

    $31.42 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 78468

    Office

    $191.18

    Facility

    Unavailable

    $8.75 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 78468

    Office

    $195.30

    Facility

    Unavailable

    $12.87 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 78468

    Office

    $184.96

    Facility

    Unavailable

    $2.53 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 78468

    Office

    $169.78

    Facility

    Unavailable

    $12.65 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 78468

    Office

    $180.78

    Facility

    Unavailable

    $1.65 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 78468

    Office

    $179.23

    Facility

    Unavailable

    $3.20 lower than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 78468

    Office

    $169.88

    Facility

    Unavailable

    $12.55 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 78468

    Office

    $185.88

    Facility

    Unavailable

    $3.45 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 78468

    Office

    $173.55

    Facility

    Unavailable

    $8.88 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 78468

    Office

    $175.62

    Facility

    Unavailable

    $6.81 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 78468

    Office

    $161.63

    Facility

    Unavailable

    $20.80 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 78468

    Office

    $160.93

    Facility

    Unavailable

    $21.50 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 78468

    Office

    $183.03

    Facility

    Unavailable

    $0.60 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 78468

    Office

    $171.83

    Facility

    Unavailable

    $10.60 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 78468

    Office

    $181.65

    Facility

    Unavailable

    $0.78 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 78468

    Office

    $169.67

    Facility

    Unavailable

    $12.76 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 78468

    Office

    $189.09

    Facility

    Unavailable

    $6.66 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 78468

    Office

    $209.58

    Facility

    Unavailable

    $27.15 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 78468

    Office

    $198.53

    Facility

    Unavailable

    $16.10 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 78468

    Office

    $170.67

    Facility

    Unavailable

    $11.76 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 78468

    Office

    $182.80

    Facility

    Unavailable

    $0.37 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 78468

    Office

    $215.94

    Facility

    Unavailable

    $33.51 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 78468

    Office

    $199.39

    Facility

    Unavailable

    $16.96 higher than Wyoming** for the office setting.

  • Queens

    New York · 78468

    Office

    $213.88

    Facility

    Unavailable

    $31.45 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 78468

    Office

    $174.61

    Facility

    Unavailable

    $7.82 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 78468

    Office

    $169.60

    Facility

    Unavailable

    $12.83 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 78468

    Office

    $165.97

    Facility

    Unavailable

    $16.46 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 78468

    Office

    $200.02

    Facility

    Unavailable

    $17.59 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 78468

    Office

    $181.72

    Facility

    Unavailable

    $0.71 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 78468

    Office

    $190.30

    Facility

    Unavailable

    $7.87 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 78468

    Office

    $170.23

    Facility

    Unavailable

    $12.20 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 78468

    Office

    $184.70

    Facility

    Unavailable

    $2.27 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 78468

    Office

    $188.38

    Facility

    Unavailable

    $5.95 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 78468

    Office

    $170.93

    Facility

    Unavailable

    $11.50 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 78468

    Office

    $181.48

    Facility

    Unavailable

    $0.95 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 78468

    Office

    $167.88

    Facility

    Unavailable

    $14.55 lower than Wyoming** for the office setting.

  • Austin

    Texas · 78468

    Office

    $191.79

    Facility

    Unavailable

    $9.36 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 78468

    Office

    $168.95

    Facility

    Unavailable

    $13.48 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 78468

    Office

    $181.34

    Facility

    Unavailable

    $1.09 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 78468

    Office

    $182.32

    Facility

    Unavailable

    $0.11 lower than Wyoming** for the office setting.

  • Fort Worth

    Texas · 78468

    Office

    $180.80

    Facility

    Unavailable

    $1.63 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 78468

    Office

    $181.76

    Facility

    Unavailable

    $0.67 lower than Wyoming** for the office setting.

  • Houston

    Texas · 78468

    Office

    $183.04

    Facility

    Unavailable

    $0.61 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 78468

    Office

    $174.92

    Facility

    Unavailable

    $7.51 lower than Wyoming** for the office setting.

  • Utah

    Utah · 78468

    Office

    $173.52

    Facility

    Unavailable

    $8.91 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 78468

    Office

    $179.72

    Facility

    Unavailable

    $2.71 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 78468

    Office

    $184.70

    Facility

    Unavailable

    $2.27 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 78468

    Office

    $180.34

    Facility

    Unavailable

    $2.09 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 78468

    Office

    $191.01

    Facility

    Unavailable

    $8.58 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 78468

    Office

    $219.02

    Facility

    Unavailable

    $36.59 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 78468

    Office

    $174.92

    Facility

    Unavailable

    $7.51 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 78468

    Office

    $163.79

    Facility

    Unavailable

    $18.64 lower than Wyoming** for the office setting.

See how rates vary across the country

78468 · 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.

$160.10

$225.20

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$205.071
AL$162.691
AR$160.101
AZ$177.911
CA$197.24–$253.1729
CO$192.731
CT$195.961
DC$212.231
DE$181.081
FL$177.41–$192.953
GA$166.78–$186.062
GU$203.241
HI$203.241
IA$168.481
ID$169.431
IL$170.90–$189.204
IN$170.551
KS$167.031
KY$165.671
LA$165.15–$174.232
MA$191.18–$213.852
MD$184.96–$212.233
ME$169.78–$180.782
MI$169.88–$179.232
MN$185.881
MO$161.63–$175.623
MS$160.931
MT$183.031
NC$171.831
ND$181.651
NE$169.671
NH$189.091
NJ$198.53–$209.582
NM$170.671
NV$182.801
NY$174.61–$215.945
OH$169.601
OK$165.971
OR$181.72–$200.022
PA$170.23–$190.302
PR$184.701
RI$188.381
SC$170.931
SD$181.481
TN$167.881
TX$168.95–$191.798
UT$173.521
VA$179.72–$212.232
VI$184.701
VT$180.341
WA$191.01–$219.022
WI$174.921
WV$163.791
WY$182.431

Explore 78468 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 Wyoming →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 78468 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$200.67

$182.43 × 110% = $200.67

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 78468 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

9,392

Code
78468
Physician work
0.78
Practice expense
4.63
Malpractice
0.07

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 78468 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work0.78× 1.0000.7800
Practice expense4.63× 1.0004.6300
Malpractice0.07× 0.7400.0518
Total RVUs5.4618
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$182.43

Open 78468 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.781
Practice expense4.631
Malpractice0.070.74

(0.78 × 1 + 4.63 × 1 + 0.07 × 0.74) × $33.4009 = $182.43

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

78468 · Office / nonfacility

$182.43

Effective 2026-10-01

The base rate is $7.06 higher than on 2025-10-01, moving from $175.37 to $182.43 (4.0%).

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

    $175.37changed to$182.43

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.80 changed to 0.78
    • Practice expense RVU 4.57 changed to 4.63
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $175.37

    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$182.43Not available in this settingRVU26D
2026-07-01$182.43Not available in this settingRVU26C
2026-04-01$182.43Not available in this settingRVU26B
2026-01-01$182.43Not available in this settingRVU26A
2025-10-01$175.37Not available in this settingRVU25D
2025-07-01$175.37Not available in this settingRVU25C
2025-04-01$175.37Not available in this settingRVU25B
2025-01-01$175.37Not available in this settingRVU25A

78468 billing questions

How does 78468 differ from 78466?

78468 includes ejection-fraction assessment with the infarct-avid planar imaging. Use 78466 when that imaging is performed without the ejection-fraction component.

When is 78469 a better match?

78469 describes infarct-avid myocardial imaging using SPECT, a tomographic technique. Code 78468 is the planar study with ejection-fraction assessment.

Can the professional and technical services be billed separately?

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

Does the multiple-procedure reduction affect both components?

The CMS cardiovascular diagnostic multiple-procedure reduction applies to the technical component. It does not apply to the professional component under the rule supplied for this code.

What documentation supports reporting 78468?

The record should identify the infarct-avid planar imaging performed and support the ejection-fraction assessment. A perfusion study or a blood-pool function study alone does not establish the service represented by 78468.

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 78468PPRRVU2026_Oct_nonQPP.csv, line 9,392 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet