$167.03
This code is planar infarct-avid imaging without the additional ejection-fraction assessment described by 78468.
On this page
CMS RVU26D · Effective 2026-10-01
78466 Infarct imaging Medicare reimbursement rates in Kansas
Planar myocardial infarct imaging depicts uptake of an infarct-avid radiopharmaceutical to evaluate suspected myocardial injury, rather than myocardial perfusion. Compare 78466 office and facility rates across CMS payment localities in Kansas.
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 78466 in Kansas?
Kansas 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
$144.94
1 of 1 localities have a supported rate.
Payment area: Kansas
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 cardiology
About 78466: Planar myocardial infarct imaging
Planar myocardial infarct imaging depicts uptake of an infarct-avid radiopharmaceutical to evaluate suspected myocardial injury, rather than myocardial perfusion.
This service is planar nuclear imaging that captures uptake of an infarct-avid radiopharmaceutical in the heart. It may be used to evaluate suspected myocardial injury; technetium-labeled pyrophosphate is a familiar example of an infarct-avid tracer. A nuclear medicine technologist performs the acquisition, and a nuclear medicine physician or other qualified physician interprets the images. The study is distinct from imaging designed to measure myocardial perfusion.
Report the code when the documented examination is planar infarct-avid imaging. The record should identify the imaging method and support the clinical question addressed; do not select it for a perfusion study or a tomographic infarct-avid study. Modifier 26 represents the physician’s interpretation, modifier TC represents the equipment and staff, and billing without either modifier represents the global service. When multiple cardiovascular diagnostic procedures are performed, the multiple-procedure reduction applies to the technical component.
CMS billing rules for 78466
- 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 RVU0.67 · 14%
- Practice expense (office) RVU4.02 · 84%
- Malpractice RVU0.07 · 1%
126
Medicare services in 2024 · #4698 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.
78466 compared with similar codes
Office rates for Kansas, from the same CMS release.
$186.00
Use 78466 for planar imaging and 78469 when the infarct-avid study is performed using SPECT.
$239.44
Code 78453 describes planar myocardial perfusion imaging. Code 78466 is for imaging uptake of an infarct-avid radiopharmaceutical.
Compare 78466 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
Kansas →
Office / nonfacility
$144.94
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 78466 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
9,389
- Code
- 78466
- Physician work
- 0.67
- Practice expense
- 4.02
- Malpractice
- 0.07
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.67 | × 1.000 | 0.6700 |
| Practice expense | 4.02 | × 0.904 | 3.6341 |
| Malpractice | 0.07 | × 0.504 | 0.0353 |
| Total RVUs | 4.3394 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kansas$144.94
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.67 | 1 |
| Practice expense | 4.02 | 0.904 |
| Malpractice | 0.07 | 0.504 |
(0.67 × 1 + 4.02 × 0.904 + 0.07 × 0.504) × $33.4009 = $144.94
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.
78466 billing questions
How does this differ from 78468?
Both are planar myocardial infarct-avid imaging, but 78468 includes ejection-fraction assessment. Use 78466 when the documented service does not include that additional assessment.
How does this differ from 78469?
Code 78466 describes planar infarct-avid imaging; 78469 is the SPECT form of infarct-avid imaging. Choose based on the imaging method documented.
Can the professional and technical services be billed separately?
Yes. Report modifier 26 for the interpretation and modifier TC for the technical service; without a modifier, the claim represents the global service.
Which portion is subject to the multiple-procedure reduction?
The cardiovascular diagnostic multiple-procedure reduction applies to the technical component. It does not change the professional component under the CMS rule supplied for this code.
Can this code be used for myocardial perfusion imaging?
No. This code is for planar infarct-avid imaging; myocardial perfusion studies, such as 78453, describe a different imaging purpose.
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.
9,38678459,,Myocrd img pet single study,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,,33.4009,09,0,99,40.08,40.08,0.07
9,38778459,26,Myocrd img pet single study,A,,1.57,0.49,,0.49,,0.06,2.12,2.12,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,38878459,TC,Myocrd img pet single study,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,,33.4009,01,0,99,39.59,39.59,0.01
9,38978466,,Heart infarct image,A,,0.67,4.02,,4.02,NA,0.07,4.76,4.76,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,12.34,12.34,0.16
9,39078466,26,Heart infarct image,A,,0.67,0.24,,0.24,,0.03,0.94,0.94,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,39178466,TC,Heart infarct image,A,,0.00,3.78,,3.78,NA,0.04,3.82,3.82,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,12.10,12.10,0.13
9,39278468,,Heart infarct image (ef),A,,0.78,4.63,,4.63,NA,0.07,5.48,5.48,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,16.75,16.75,0.18
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958