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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Nuclear Medicine Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 78483 |
| Medicaid Fee Schedule | View Medicaid rates for 78483 |
National average reimbursement for CPT 78483 by major payers:

$287.40

$314.82

$285.65

$365.84
Choose a payer to see a sample of rates for CPT 78483.
Radiology Associates Of North Texas, PA
Radiology Associates Of North Texas, PA
Mercy Medical Center
Northern Arizona Healthcare Corporation
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Rate Benchmarking
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See a sample payer proposalCPT 78483 vs. Other Nuclear Medicine Procedures Codes
The CPT 78483 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 78483 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 78483. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78483 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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