$166.73
78456 is for acute venous thrombosis imaging. 78457 describes venous flow and pool imaging, so choose according to the study performed.
On this page
CMS RVU26D · Effective 2026-10-01
78456 Venous thrombosis imaging Medicare reimbursement rates in Wyoming
Nuclear medicine imaging to evaluate acute venous thrombosis, reported for a study focused on detecting an acute venous clot. Compare 78456 office and facility rates across CMS payment localities in Wyoming.
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 78456 in Wyoming?
Wyoming 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
$283.55
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 78456: Acute venous thrombosis imaging
Nuclear medicine imaging to evaluate acute venous thrombosis, reported for a study focused on detecting an acute venous clot.
This nuclear medicine study evaluates suspected acute venous thrombosis by imaging for evidence of a clot. It may be performed in a hospital or imaging department by nuclear medicine staff, with a qualified practitioner interpreting the images. The clinical question is acute thrombus detection; this is distinct from studies specifically described as venous flow and pool imaging or bilateral venous thrombosis imaging.
Report the service when the study performed is an acute venous thrombosis imaging examination, rather than selecting a code based only on the suspected body site. The record should support the acute-thrombus indication and identify the imaging service performed. The code includes a professional interpretation and a technical service; report modifier 26 for interpretation, modifier TC for equipment and staff, or neither for the global service. When a cardiovascular diagnostic multiple procedure reduction applies, it affects the technical component.
CMS billing rules for 78456
- 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 RVU0.98 · 12%
- Practice expense (office) RVU7.45 · 88%
- Malpractice RVU0.08 · 1%
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.
78456 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$185.26
78458 describes bilateral venous thrombosis imaging. Do not use it in place of 78456 unless the bilateral study it represents was performed.
$166.40
78445 is vascular flow imaging, not the acute venous thrombosis study represented by 78456.
Compare 78456 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
Wyoming** →
Office / nonfacility
$283.55
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 78456 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
9,377
- Code
- 78456
- Physician work
- 0.98
- Practice expense
- 7.45
- Malpractice
- 0.08
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.98 | × 1.000 | 0.9800 |
| Practice expense | 7.45 | × 1.000 | 7.4500 |
| Malpractice | 0.08 | × 0.740 | 0.0592 |
| Total RVUs | 8.4892 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$283.55
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.98 | 1 |
| Practice expense | 7.45 | 1 |
| Malpractice | 0.08 | 0.74 |
(0.98 × 1 + 7.45 × 1 + 0.08 × 0.74) × $33.4009 = $283.55
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.
78456 billing questions
How does 78456 differ from 78457?
78456 identifies acute venous thrombosis imaging. Use 78457 when the performed examination is the venous flow and pool imaging study described by that code.
When is 78458 a better fit?
78458 identifies bilateral venous thrombosis imaging. Select it when the bilateral study described by that code was performed, rather than choosing 78456 solely because thrombosis is suspected.
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 code represents the global service.
Does a multiple procedure reduction affect the entire service?
The cardiovascular diagnostic multiple procedure reduction applies to the technical component. It does not reduce the professional component under the CMS rule provided for this code.
What documentation supports reporting 78456?
Document the clinical indication for acute thrombus evaluation and the imaging examination performed. The record should distinguish this acute-thrombus study from venous flow and pool imaging.
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.
9,37478454,,Ht musc image planar mult,A,,1.31,9.99,,9.99,NA,0.14,11.44,11.44,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,39.76,39.76,0.36
9,37578454,26,Ht musc image planar mult,A,,1.31,0.45,,0.45,,0.07,1.83,1.83,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,37678454,TC,Ht musc image planar mult,A,,0.00,9.54,,9.54,NA,0.07,9.61,9.61,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,39.31,39.31,0.29
9,37778456,,Acute venous thrombus image,A,,0.98,7.45,,7.45,NA,0.08,8.51,8.51,1,XXX,0.00,0.00,0.00,6,9,9,9,9,9,,33.4009,09,0,99,39.68,39.68,0.31
9,37878456,26,Acute venous thrombus image,A,,0.98,0.36,,0.36,,0.03,1.37,1.37,1,XXX,0.00,0.00,0.00,6,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
9,37978456,TC,Acute venous thrombus image,A,,0.00,7.09,,7.09,NA,0.05,7.14,7.14,1,XXX,0.00,0.00,0.00,6,9,9,9,9,9,,33.4009,09,0,99,39.32,39.32,0.28
9,38078457,,Venous thrombosis imaging,A,,0.75,4.19,,4.19,NA,0.07,5.01,5.01,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,16.72,16.72,0.20
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,