$203.70–$240.19
78472 is for one gated equilibrium study; 78473 is for multiple studies, commonly performed at rest and stress.
On this page
CMS RVU26D · Effective 2026-10-01
78473 Gated heart imaging Medicare reimbursement rates in Virginia
Reports multiple gated equilibrium cardiac blood-pool imaging studies, commonly rest and stress acquisitions, to assess ventricular function and wall motion. Compare 78473 office and facility rates across CMS payment localities in Virginia.
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 78473 in Virginia?
Virginia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$262.13–$308.22
2 of 2 localities have a supported rate.
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 78473: Multiple gated equilibrium heart study
Reports multiple gated equilibrium cardiac blood-pool imaging studies, commonly rest and stress acquisitions, to assess ventricular function and wall motion.
This study uses a radiotracer and ECG-gated gamma-camera imaging to track blood within the heart chambers over the cardiac cycle. Multiple acquisitions, often at rest and with stress, allow assessment of ventricular function, ejection fraction, and wall motion. Nuclear medicine technologists typically acquire the images; a qualified physician interprets them in hospital or outpatient imaging settings. The test may be used to evaluate ventricular performance, including in patients with heart failure or when cardiac function is being monitored during treatment.
Report 78473 when the service includes multiple gated equilibrium studies, rather than a single study. Documentation should identify the acquisitions performed and support the interpretation of cardiac function and wall motion. The service has professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment-and-staff service, and no modifier represents the global service. The cardiovascular diagnostic multiple procedure reduction applies to the technical component.
CMS billing rules for 78473
- 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 RVU1.43 · 18%
- Practice expense (office) RVU6.45 · 81%
- Malpractice RVU0.11 · 1%
240
Medicare services in 2024 · #4166 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.
78473 compared with similar codes
Office rates for Virginia, from the same CMS release.
$215.79–$252.41
78483 reports multiple first-pass blood-pool studies. 78473 reports multiple gated equilibrium studies; select according to the acquisition technique.
$207.33–$243.67
78494 is gated equilibrium blood-pool imaging with SPECT at rest. 78473 represents multiple equilibrium studies and is not the SPECT-specific code.
$420.29–$497.20
78452 reports multiple SPECT myocardial perfusion studies, assessing myocardial perfusion. 78473 evaluates cardiac blood-pool function using gated equilibrium imaging.
Compare 78473 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.
2 of 2 payment localities
Dc + Md/Va Suburbs →
Office / nonfacility
$308.22
Facility
Unavailable
Virginia →
Office / nonfacility
$262.13
Facility
Unavailable
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78473 billing questions
How does 78473 differ from 78472?
78473 represents multiple gated equilibrium studies, commonly rest and stress acquisitions. Use 78472 for a single study.
How should the professional and technical services be reported?
Use modifier 26 for the physician’s interpretation and modifier TC for the technical service. Report without a modifier when billing the global service.
Does the multiple procedure reduction affect the entire service?
The cardiovascular diagnostic multiple procedure reduction applies to the technical component of 78473.
What documentation supports reporting 78473 instead of 78472?
Record the multiple gated equilibrium acquisitions performed and the findings used to assess ventricular function or wall motion.
Can 78483 be used instead for multiple cardiac studies?
78483 describes multiple first-pass cardiac blood-pool studies. Choose between it and 78473 based on the imaging technique performed, not simply the number of acquisitions.
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.
9,39878472,,Gated heart planar single,A,,0.96,5.17,,5.17,NA,0.08,6.21,6.21,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,12.47,12.47,0.14
9,39978472,26,Gated heart planar single,A,,0.96,0.34,,0.34,,0.04,1.34,1.34,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,40078472,TC,Gated heart planar single,A,,0.00,4.83,,4.83,NA,0.04,4.87,4.87,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,12.13,12.13,0.10
9,40178473,,Gated heart multiple,A,,1.43,6.45,,6.45,NA,0.11,7.99,7.99,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,12.66,12.66,0.16
9,40278473,26,Gated heart multiple,A,,1.43,0.54,,0.54,,0.06,2.03,2.03,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,40378473,TC,Gated heart multiple,A,,0.00,5.91,,5.91,NA,0.05,5.96,5.96,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,12.12,12.12,0.10
9,40478481,,Heart first pass single,A,,0.96,3.85,,3.85,NA,0.05,4.86,4.86,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,16.82,16.82,0.16