79445
No office rateNuclear rx intra-arterial
Both describe intra-arterial radiopharmaceutical therapy, but 79445 specifies particulate administration. Select based on the documented treatment technique.
On this page
CMS RVU26D · Effective 2026-10-01
79200 Radiopharmaceutical therapy Medicare reimbursement rates in Idaho
Report this service for therapeutic administration of a radiopharmaceutical into an artery, rather than by oral, intravenous, or intracavitary route. Compare 79200 office and facility rates across CMS payment localities in Idaho.
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 79200 in Idaho?
Idaho 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
$124.59
1 of 1 localities have a supported rate.
Payment area: Idaho
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.
Radiopharmaceutical therapy
About 79200: Intra-arterial radiopharmaceutical therapy
Report this service for therapeutic administration of a radiopharmaceutical into an artery, rather than by oral, intravenous, or intracavitary route.
This service represents therapeutic delivery of a radioactive drug directly into an artery. It is associated with targeted treatment in which the agent is administered through an arterial route; nuclear medicine physicians and physicians performing image-guided arterial procedures may be involved. The code identifies the administration route, not simply the presence of a radioactive substance or a diagnostic nuclear medicine study.
Choose the code when the documented therapeutic administration is intra-arterial, and retain the treatment record showing the radiopharmaceutical and route. CMS identifies separately billable professional and technical components: modifier 26 represents the professional interpretation, modifier TC represents equipment and staff, and reporting without either modifier represents the global service. The CMS file lists both modifiers as separately priced. Do not select this code for oral, intravenous, intracavitary, or intra-arterial particulate administration when a more specific route or technique code describes the service.
CMS billing rules for 79200
- 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 RVU1.94 · 50%
- Practice expense (office) RVU1.92 · 49%
- Malpractice RVU0.05 · 1%
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.
79200 compared with similar codes
Office rates for Idaho, from the same CMS release.
$135.28
79101 applies to therapeutic administration through a vein; this code applies when the radiopharmaceutical is administered into an artery.
Compare 79200 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
Idaho →
Office / nonfacility
$124.59
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 79200 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
9,567
- Code
- 79200
- Physician work
- 1.94
- Practice expense
- 1.92
- Malpractice
- 0.05
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.94 | × 1.000 | 1.9400 |
| Practice expense | 1.92 | × 0.920 | 1.7664 |
| Malpractice | 0.05 | × 0.473 | 0.0237 |
| Total RVUs | 3.7300 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Idaho$124.59
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.94 | 1 |
| Practice expense | 1.92 | 0.92 |
| Malpractice | 0.05 | 0.473 |
(1.94 × 1 + 1.92 × 0.92 + 0.05 × 0.473) × $33.4009 = $124.59
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.
79200 billing questions
How is this code distinguished from 79445?
This code represents intra-arterial radiopharmaceutical therapy generally. Use 79445 when the documented therapy is specifically by intra-arterial particulate administration.
Can the professional and technical portions be billed separately?
Yes. CMS lists modifier 26 for the professional interpretation and modifier TC for the technical portion, which includes equipment and staff. Without either modifier, the claim represents the global service.
What documentation supports the intra-arterial route?
The treatment record should identify the radiopharmaceutical and document that it was administered into an artery for therapy. A diagnostic study showing arterial anatomy alone does not establish this service.
Should this code be used for intravenous radiopharmaceutical therapy?
No. For therapeutic administration by the intravenous route, 79101 is the route-specific alternative.
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.
9,56479101,,Nuclear rx iv admin,A,,1.91,2.28,,2.28,NA,0.09,4.28,4.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,56579101,26,Nuclear rx iv admin,A,,1.91,0.71,,0.71,,0.07,2.69,2.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,56679101,TC,Nuclear rx iv admin,A,,0.00,1.57,,1.57,NA,0.02,1.59,1.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,56779200,,Nuclear rx intracav admin,A,,1.94,1.92,,1.92,NA,0.05,3.91,3.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,56879200,26,Nuclear rx intracav admin,A,,1.94,0.35,,0.35,,0.03,2.32,2.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,56979200,TC,Nuclear rx intracav admin,A,,0.00,1.57,,1.57,NA,0.02,1.59,1.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,57079300,,Nuclr rx interstit colloid,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,,33.4009,09,0,99,0.00,0.00,0.00
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772