$415.19
Both include SPECT with CT, but 78830 is for one area; 78832 is for two or more areas.
On this page
CMS RVU26D · Effective 2026-10-01
78832 Tumor SPECT/CT Medicare reimbursement rates in Vermont
Reports radiopharmaceutical tumor localization using SPECT with CT when imaging covers two or more anatomical areas in the same study. Compare 78832 office and facility rates across CMS payment localities in Vermont.
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 78832 in Vermont?
Vermont 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
$780.81
1 of 1 localities have a supported rate.
Payment area: Vermont
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 78832: Multi-area tumor SPECT/CT imaging
Reports radiopharmaceutical tumor localization using SPECT with CT when imaging covers two or more anatomical areas in the same study.
This service combines SPECT imaging after radiopharmaceutical administration with CT images that help localize uptake anatomically. Nuclear medicine departments use it to evaluate suspected or known tumor-related radiopharmaceutical uptake across two or more areas, such as the chest and pelvis. A nuclear medicine physician interprets the images, while imaging staff perform the acquisition in a hospital or outpatient imaging center.
Select this code when the study includes SPECT with CT and covers two or more areas; a single area belongs to a different code in the family. The report should identify the radiopharmaceutical, the areas imaged, the SPECT/CT acquisition, and the findings. CMS recognizes professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and billing without either modifier represents the global service.
CMS billing rules for 78832
- 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 RVU2.07 · 9%
- Practice expense (office) RVU21.43 · 90%
- Malpractice RVU0.18 · 1%
8.1K
Medicare services in 2024 · #1581 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.
78832 compared with similar codes
Office rates for Vermont, from the same CMS release.
$614.70
Use 78831 for SPECT across two or more areas without CT. Use 78832 when the study also includes CT.
$331.06
Code 78803 is SPECT without CT for one area. Code 78832 includes CT and covers two or more areas.
$236.69
Code 78801 describes planar imaging of two or more areas in one day; 78832 describes multi-area SPECT with CT.
Compare 78832 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
Vermont →
Office / nonfacility
$780.81
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 78832 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
9,552
- Code
- 78832
- Physician work
- 2.07
- Practice expense
- 21.43
- Malpractice
- 0.18
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.07 | × 1.000 | 2.0700 |
| Practice expense | 21.43 | × 0.990 | 21.2157 |
| Malpractice | 0.18 | × 0.506 | 0.0911 |
| Total RVUs | 23.3768 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$780.81
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.07 | 1 |
| Practice expense | 21.43 | 0.99 |
| Malpractice | 0.18 | 0.506 |
(2.07 × 1 + 21.43 × 0.99 + 0.18 × 0.506) × $33.4009 = $780.81
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.
78832 billing questions
When should this be chosen over 78830?
Use 78832 for SPECT with CT covering two or more areas. Code 78830 describes the corresponding SPECT/CT service for a single area.
How does 78832 differ from 78831?
Both cover SPECT imaging of two or more areas, but 78832 includes CT with the SPECT study; 78831 is the SPECT code without CT.
How are the professional and technical services billed?
Use modifier 26 for the professional interpretation and modifier TC for the technical service. Without either modifier, the claim represents the global service.
Does the number of areas mean the number of images?
No. The distinction is the anatomical coverage of the study, not the count of image frames or views. Document the areas imaged.
What documentation supports reporting 78832?
The record should support radiopharmaceutical tumor localization, SPECT with CT, the two or more areas examined, and the interpreting physician's findings.
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.
9,54978831,,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
9,55078831,26,Rp loclzj tum spect 2 areas,A,,1.77,0.57,,0.57,,0.08,2.42,2.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,55178831,TC,Rp loclzj tum spect 2 areas,A,,0.00,16.15,,16.15,NA,0.08,16.23,16.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,39.40,39.40,0.20
9,55278832,,Rp loclzj tum spect w/ct 2,A,,2.07,21.43,,21.43,NA,0.18,23.68,23.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,44.20,44.20,0.28
9,55378832,26,Rp loclzj tum spect w/ct 2,A,,2.07,0.65,,0.65,,0.09,2.81,2.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,55478832,TC,Rp loclzj tum spect w/ct 2,A,,0.00,20.78,,20.78,NA,0.09,20.87,20.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,43.55,43.55,0.19
9,55578835,,Rp quan meas single area,A,,0.46,2.20,,2.20,NA,0.03,2.69,2.69,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817