CPT 78451 Fee Schedule

Last Verified: November 2025

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Myocardial Perfusion Imaging Tomographic (Spect) (Including Attenuation Correction Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed); Single Study At Rest Or Stress (Exercise Or Pharmacologic)

Key Fact	Detail
Service Type	• Radiology Procedures • Nuclear Medicine Procedures
Common Place of Service	• 22 - On Campus Outpatient Hospital • 11 - Office
Common Modifiers	• None • 26 - Professional component • TC - Technical component
Complexity Level	Moderate

National average reimbursement for CPT 78451 by major payers:

$386.42

$422.06

$404.40

$497.41

Preview provider-level rates for...

For billing codeCPT 78451

Payer	Code	Rate	NPI	Tax ID	State	Specialty
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 78451
United	78451	$638.40	1780909275 - NICHOLAS HUGGINS	742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION	AZ	Pediatric Critical Care Medicine Physician (2080P0203X)
United	78451	$172.19	1083662449 - TRACY MACEACHERN	742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION	CO	Emergency Medicine Physician (207P00000X)
United	78451	$621.54	1801813266 - GREGG BEAN	741671142 - (TX) SOUTH TEXAS RADIOLOGY GROUP, P.A.	TX	Diagnostic Radiology Physician (2085R0202X)
United	78451	$172.19	1497997977 - AMANBIR DHADE	742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION	TX	Anesthesiology Physician (207L00000X)
United	78451	$78.23	1487755955 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C.	541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C.	VA	Multi-Specialty Group (193200000X)
United	78451	$374.55	1255478004 - CHRISTOPHER RAIO	208243412 - SAMARITAN EMERGENCY MEDICAL SERVICES PC	NY	Emergency Medicine Physician (207P00000X)
United	78451	$377.19	1457365637 - CHARLES SEAL	541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C.	VA	Orthopaedic Surgery Physician (207X00000X)
United	78451	$374.26	1255478004 - CHRISTOPHER RAIO	112050523 - ST FRANCIS HOSPITAL	NY	Emergency Medicine Physician (207P00000X)
United	78451	$509.74	1255478004 - CHRISTOPHER RAIO	112050523 - ST FRANCIS HOSPITAL	NY	Emergency Medicine Physician (207P00000X)
United	78451	$595.36	1255478004 - CHRISTOPHER RAIO	111635088 - MERCY MEDICAL CENTER	NY	Emergency Medicine Physician (207P00000X)
United	78451	$474.87	1851768337 - KELLY RIDGES	362925195 - ALLERGY & ASTHMA OF DUPAGE, S.C.	IL	Family Nurse Practitioner (363LF0000X)
United	78451	$823.92	1811000177 - CHARLESTON RADIOLOGISTS PA	570634747 - CHARLESTON RADIOLOGISTS, P.A.	SC	Single Specialty Group (193400000X)
United	78451	$83.31	1588150825 - COLLIN MESSERLY	541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C.	MN	Foot & Ankle Surgery Podiatrist (213ES0103X)
United	78451	$730.00	1073502985 - CHU CHEN	42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC.	MA	Pediatrics Physician (208000000X)
United	78451	$93.89	1255478004 - CHRISTOPHER RAIO	111888924 - GOOD SAMARITAN HOSPTIAL MEDICAL CENTER	NY	Emergency Medicine Physician (207P00000X)
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist

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CPT 78451 vs. Other Nuclear Medicine Procedures Codes

The CPT 78451 code is part of the Radiology Procedures services used for Nuclear Medicine Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 78451 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

Code	Complexity	Description
78451	Moderate	Myocardial Perfusion Imaging Tomographic (Spect) (Including Attenuation Correction Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed); Single Study At Rest Or Stress (Exercise Or Pharmacologic)
78452	Moderate	Myocardial Perfusion Imaging Tomographic (Spect) (Including Attenuation Correction Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed); Multiple Studies At Rest Or Stress (Exercise Or Pharmacologic) And/Or Redistribution And/Or Rest Reinjection
78453	Moderate	Myocardial Perfusion Imaging Planar (Including Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed); Single Study At Rest Or Stress (Exercise Or Pharmacologic)
78454	Moderate	Myocardial Perfusion Imaging Planar (Including Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed); Multiple Studies At Rest Or Stress (Exercise Or Pharmacologic) And/Or Redistribution And/Or Rest Reinjection

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78451. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 78451 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules

Medicare & Medicaid Rates

Government-set reimbursement amounts

Private Insurance Rates

Negotiated rates between providers and insurance companies

Geographic Location

Costs may be higher in urban areas.

Provider Type

Hospital providers may have different rates than private practice.

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