$141.17
Choose 79005 when the therapeutic agent is given by mouth; choose 79101 when it is administered intravenously.
On this page
CMS RVU26D · Effective 2026-10-01
79005 Radiopharmaceutical therapy Medicare reimbursement rates in North Dakota
Report this service for therapeutic administration of a radioactive pharmaceutical by mouth, such as radioactive iodine treatment for thyroid disease. Compare 79005 office and facility rates across CMS payment localities in North Dakota.
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 79005 in North Dakota?
North Dakota 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
$130.48
1 of 1 localities have a supported rate.
Payment area: North Dakota**
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 79005: Oral radiopharmaceutical therapy
Report this service for therapeutic administration of a radioactive pharmaceutical by mouth, such as radioactive iodine treatment for thyroid disease.
This service covers therapeutic administration of a radioactive pharmaceutical by mouth. A familiar example is oral radioactive iodine treatment for hyperthyroidism or thyroid cancer. It is typically performed in a nuclear medicine department by a nuclear medicine physician or other qualified clinician, with staff and facilities prepared to handle the therapeutic dose. The route is the key distinction: the radioactive agent is swallowed rather than administered intravenously or into a body cavity.
Select this code when the documented treatment is delivered orally, not simply because a radioactive agent was ordered or dispensed. The record should support the treatment indication, agent and dose, oral route, date of administration, and responsible provider. CMS identifies separately priced professional and technical components: modifier 26 represents the professional interpretation, while modifier TC represents equipment and staff; billing without either modifier represents the global service. Use the component that matches the service furnished and billed.
CMS billing rules for 79005
- 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 RVU1.76 · 44%
- Practice expense (office) RVU2.11 · 53%
- Malpractice RVU0.09 · 2%
3K
Medicare services in 2024 · #2167 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.
79005 compared with similar codes
Office rates for North Dakota, from the same CMS release.
$129.61
79005 describes oral administration, while 79200 is for delivery of radiopharmaceutical therapy into a body cavity.
$116.25
Use 79005 for an oral dose and 79440 for radiopharmaceutical therapy administered into a joint.
Compare 79005 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
North Dakota** →
Office / nonfacility
$130.48
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 79005 in North Dakota**.
PPRRVU2026_Oct_nonQPP.csv
9,561
- Code
- 79005
- Physician work
- 1.76
- Practice expense
- 2.11
- Malpractice
- 0.09
GPCI2026.csv
84
- Locality
- North Dakota**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.76 | × 1.000 | 1.7600 |
| Practice expense | 2.11 | × 1.000 | 2.1100 |
| Malpractice | 0.09 | × 0.406 | 0.0365 |
| Total RVUs | 3.9065 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, North Dakota**$130.48
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.76 | 1 |
| Practice expense | 2.11 | 1 |
| Malpractice | 0.09 | 0.406 |
(1.76 × 1 + 2.11 × 1 + 0.09 × 0.406) × $33.4009 = $130.48
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.
79005 billing questions
How is this code distinguished from 79101?
The route of administration separates them. Use this code for a therapeutic radioactive pharmaceutical given orally; 79101 is for intravenous administration.
Which modifiers identify the components?
Modifier 26 identifies the professional component, and modifier TC identifies the technical component. Without either modifier, the claim represents the global service.
What documentation supports reporting this code?
Document the treatment indication, radioactive agent and dose, oral route, date administered, and responsible provider.
Does this code describe diagnostic imaging?
It describes therapeutic oral administration, such as radioactive iodine treatment, rather than an imaging examination. Any separately reported service needs its own supporting documentation and applicable code.
Can this code be used when the radioactive agent is injected?
No. This code identifies oral administration; select the route-specific therapy code when the agent is delivered by another route.
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.
9,55878999,,Unlisted misc px dx nuc med,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
9,55978999,26,Unlisted misc px dx nuc med,C,,0.00,0.00,,0.00,,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
9,56078999,TC,Unlisted misc px dx nuc med,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
9,56179005,,Nuclear rx oral admin,A,,1.76,2.11,,2.11,NA,0.09,3.96,3.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,56279005,26,Nuclear rx oral admin,A,,1.76,0.61,,0.61,,0.07,2.44,2.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,56379005,TC,Nuclear rx oral admin,A,,0.00,1.50,,1.50,NA,0.02,1.52,1.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,56479101,,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
8113292,NY,04,QUEENS,1.064,1.182,1.442
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744