$148.31
Both describe infarct-avid planar myocardial imaging, but 78468 includes ejection-fraction assessment. Report 78466 when that assessment is not part of the service.
On this page
CMS RVU26D · Effective 2026-10-01
78468 Cardiac infarct imaging Medicare reimbursement rates in New Mexico
Planar infarct-avid myocardial imaging with ejection fraction is reported when a nuclear cardiac study evaluates infarct-related uptake and ventricular function. Compare 78468 office and facility rates across CMS payment localities in New Mexico.
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 78468 in New Mexico?
New Mexico 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
$170.67
1 of 1 localities have a supported rate.
Payment area: New Mexico
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 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 New Mexico, from the same CMS release.
$190.09
78469 uses SPECT for infarct-avid imaging; 78468 is the planar study that includes ejection-fraction assessment.
$193.62
78472 is a gated blood-pool study used to evaluate cardiac function. It does not represent infarct-avid myocardial imaging.
$397.97
78452 reports multiple-study SPECT myocardial perfusion imaging, while 78468 concerns infarct-avid planar imaging with ejection-fraction assessment.
Compare 78468 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
New Mexico →
Office / nonfacility
$170.67
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 78468 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
9,392
- Code
- 78468
- Physician work
- 0.78
- Practice expense
- 4.63
- Malpractice
- 0.07
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.78 | × 1.000 | 0.7800 |
| Practice expense | 4.63 | × 0.917 | 4.2457 |
| Malpractice | 0.07 | × 1.201 | 0.0841 |
| Total RVUs | 5.1098 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, New Mexico$170.67
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.78 | 1 |
| Practice expense | 4.63 | 0.917 |
| Malpractice | 0.07 | 1.201 |
(0.78 × 1 + 4.63 × 0.917 + 0.07 × 1.201) × $33.4009 = $170.67
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.
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.
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
9,39378468,26,Heart infarct image (ef),A,,0.78,0.29,,0.29,,0.03,1.10,1.10,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,39478468,TC,Heart infarct image (ef),A,,0.00,4.34,,4.34,NA,0.04,4.38,4.38,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,16.46,16.46,0.15
9,39578469,,Heart infarct image (3d),A,,0.90,5.12,,5.12,NA,0.08,6.10,6.10,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,16.80,16.80,0.18
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097
7704212,NM,05,NEW MEXICO,1.000,0.917,1.201
7813202,NY,01,MANHATTAN,1.064,1.162,1.586
7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857
8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210