$836.26
78830 covers one imaging area with SPECT and CT; 78832 is for two areas.
On this page
CMS RVU26D · Effective 2026-10-01
78830 Tumor SPECT/CT Medicare reimbursement rates in Colorado
Reports radiopharmaceutical tumor localization using SPECT and CT for one imaging area, with payment available for the professional, technical, or global service. Compare 78830 office and facility rates across CMS payment localities in Colorado.
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.
What does Medicare pay for 78830 in Colorado?
Colorado has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$444.13
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Nuclear medicine
About 78830: Tumor localization SPECT with CT, one area
Reports radiopharmaceutical tumor localization using SPECT and CT for one imaging area, with payment available for the professional, technical, or global service.
This nuclear medicine study uses a radiopharmaceutical to localize tumor-related uptake in one imaging area, combining SPECT images with CT images for anatomic correlation. A nuclear medicine technologist typically performs the acquisition, and a nuclear medicine physician interprets the study. It may be used when a radiopharmaceutical-avid tumor or lesion needs localization within a defined body region.
Select this code when the examination covers one imaging area; the number of lesions alone does not determine the area count. Document the clinical indication, radiopharmaceutical, body area imaged, SPECT/CT acquisition, and interpretation. The professional component is reported with modifier 26 for the interpretation, and the technical component with modifier TC for equipment and staff. Without either modifier, the service is billed globally.
CMS billing rules for 78830
- 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 RVU1.45 · 12%
- Practice expense (office) RVU11.03 · 88%
- Malpractice RVU0.12 · 1%
36.4K
Medicare services in 2024 · #905 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.
78830 compared with similar codes
Office rates for Colorado, from the same CMS release.
$354.38
Both cover tumor-localization SPECT for one area. Choose 78830 when CT imaging accompanies SPECT; choose 78803 for SPECT without CT.
$244.62
78800 describes planar tumor-localization imaging of one area. 78830 uses SPECT with CT for that area.
78814
No office ratePet image w/ct lmtd
78814 is limited-area PET with CT, a different imaging modality. Use 78830 for radiopharmaceutical tumor-localization SPECT with CT.
Compare 78830 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Colorado →
Office / nonfacility
$444.13
Facility
Unavailable
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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 78830 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
9,546
- Code
- 78830
- Physician work
- 1.45
- Practice expense
- 11.03
- Malpractice
- 0.12
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.45 | × 1.012 | 1.4674 |
| Practice expense | 11.03 | × 1.064 | 11.7359 |
| Malpractice | 0.12 | × 0.781 | 0.0937 |
| Total RVUs | 13.2970 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Colorado$444.13
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.45 | 1.012 |
| Practice expense | 11.03 | 1.064 |
| Malpractice | 0.12 | 0.781 |
(1.45 × 1.012 + 11.03 × 1.064 + 0.12 × 0.781) × $33.4009 = $444.13
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.
78830 billing questions
When should 78830 be used instead of 78832?
Use 78830 for one imaging area. Code 78832 is the corresponding SPECT-with-CT option when two areas are imaged.
How does 78830 differ from 78803?
Both describe tumor-localization SPECT for one area, but 78830 includes CT imaging with SPECT; 78803 is the SPECT option without CT.
Which modifier reports only the physician interpretation?
Append modifier 26 for the professional component. Modifier TC reports the technical component, while billing without either modifier represents the global service.
Does the number of lesions determine whether one or two areas are reported?
No. Choose the code based on the imaging area count, not the number of lesions seen within the area.
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.
9,54378816,,Pet image w/ct full body,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,44.50,44.50,0.13
9,54478816,26,Pet image w/ct full body,A,,2.44,0.77,,0.77,,0.12,3.33,3.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,54578816,TC,Pet image w/ct full body,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,43.73,43.73,0.01
9,54678830,,Rp loclzj tum spect w/ct 1,A,,1.45,11.03,,11.03,NA,0.12,12.60,12.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,39.82,39.82,0.28
9,54778830,26,Rp loclzj tum spect w/ct 1,A,,1.45,0.44,,0.44,,0.06,1.95,1.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,54878830,TC,Rp loclzj tum spect w/ct 1,A,,0.00,10.59,,10.59,NA,0.06,10.65,10.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,39.38,39.38,0.22
9,54978831,,Rp loclzj tum spect 2 areas,A,,1.77,16.72,,16.72,NA,0.16,18.65,18.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,39.97,39.97,0.28
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899