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See a sample rate comparisonCPT 78472 Fee Schedule
Last Verified: September 2026
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.
Heart Blood Pool Scan, A Heart Blood Pool Scan Shows How Well The Heart Is Pumping Blood. One Or More Pictures Of The Heart Will Be Taken During The Scan After A Radioactive Substance Is Given To Highlight The Blood Flow. Pictures May Be Taken At Rest And While Exercising.
| 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 |
| Medicare Fee Schedule | View Medicare rates for 78472 |
| Medicaid Fee Schedule | View Medicaid rates for 78472 |
National average reimbursement for CPT 78472 by major payers:
$258.80
$277.15
$277.41
$329.47
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CPT 78472
5 of 25 sample ratesHigher to lower in this preview
Bryan Medical Center
$1,058.71Published rateNatchitoches Parish Hospital Service District, Natchitoches Regional Medical Center
Natchitoches Regional Medical Center
$848.52Published rateAhs Hospital Corp., Chilton Medical Center
Atlantic Health System Inc
$615.97Published rateEmerus Bhs Sa Thousand Oaks LLC
$377.11Published rateMegan Wetzel
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$201.94Published rate
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See a sample payer proposalCPT 78472 vs. Other Nuclear Medicine Procedures Codes
The CPT 78472 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 78472 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 |
|---|---|---|
| 78472-CPT | Moderate | Heart Blood Pool Scan, A Heart Blood Pool Scan Shows How Well The Heart Is Pumping Blood. One Or More Pictures Of The Heart Will Be Taken During The Scan After A Radioactive Substance Is Given To Highlight The Blood Flow. Pictures May Be Taken At Rest And While Exercising. |
| 78473-CPT | Moderate | Heart Blood Pool Scan, A Heart Blood Pool Scan Shows How Well The Heart Is Pumping Blood. One Or More Pictures Of The Heart Will Be Taken During The Scan After A Radioactive Substance Is Given To Highlight The Blood Flow. Pictures May Be Taken At Rest And While Exercising. |
| 78481-CPT | Moderate | Heart First Pass Single, Cardiac Blood Pool Imaging Planar First Pass Technique Single Study At Rest Or With Stress Exercise And Or Pharmacologic Wall Motion Study Plus Ejection Fraction With Or Without Quantification |
| 78483-CPT | Moderate | Heart Blood Pool Scan, A Heart Blood Pool Scan Shows How Well The Heart Is Pumping Blood. One Or More Pictures Of The Heart Will Be Taken During The Scan After A Radioactive Substance Is Given To Highlight The Blood Flow. Pictures May Be Taken At Rest And While Exercising. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78472. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78472 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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