# CPT 78582: Pulmonary ventilation and perfusion imaging

Medicare CPT 78582 pays $290.59 in a non-facility setting and $290.59 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $253.25 in Arkansas to $337.77 in District of Columbia, a 33% spread.

Web page: https://www.med-reveal.com/rates/78582-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $290.59 |
| National facility | $290.59 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $337.77 | $337.77 |
| California | $336.37 | $336.37 |
| Washington | $326.21 | $326.21 |
| New Jersey | $324.45 | $324.45 |
| Hawaii | $323.59 | $323.59 |
| New York | $322.71 | $322.71 |
| Alaska | $322.70 | $322.70 |
| Massachusetts | $322.15 | $322.15 |
| Connecticut | $311.47 | $311.47 |
| Colorado | $306.34 | $306.34 |
| Oregon | $303.34 | $303.34 |
| Maryland | $302.04 | $302.04 |
| New Hampshire | $300.47 | $300.47 |
| Rhode Island | $299.17 | $299.17 |
| Minnesota | $295.31 | $295.31 |
| Florida | $294.90 | $294.90 |
| Puerto Rico | $293.31 | $293.31 |
| Virgin Islands | $293.31 | $293.31 |
| Montana | $290.58 | $290.58 |
| Nevada | $290.23 | $290.23 |
| Wyoming | $289.63 | $289.63 |
| North Dakota | $288.41 | $288.41 |
| South Dakota | $288.15 | $288.15 |
| Delaware | $287.36 | $287.36 |
| Texas | $286.61 | $286.61 |
| Vermont | $286.25 | $286.25 |
| Pennsylvania | $285.99 | $285.99 |
| Illinois | $285.55 | $285.55 |
| Virginia | $285.22 | $285.22 |
| Arizona | $282.24 | $282.24 |
| Georgia | $279.77 | $279.77 |
| Maine | $277.99 | $277.99 |
| Wisconsin | $277.45 | $277.45 |
| Michigan | $276.70 | $276.70 |
| Utah | $275.08 | $275.08 |
| North Carolina | $272.37 | $272.37 |
| South Carolina | $270.87 | $270.87 |
| New Mexico | $270.40 | $270.40 |
| Indiana | $270.29 | $270.29 |
| Missouri | $269.77 | $269.77 |
| Nebraska | $268.88 | $268.88 |
| Louisiana | $268.82 | $268.82 |
| Ohio | $268.68 | $268.68 |
| Idaho | $268.48 | $268.48 |
| Iowa | $266.94 | $266.94 |
| Tennessee | $265.94 | $265.94 |
| Kansas | $264.56 | $264.56 |
| Oklahoma | $262.79 | $262.79 |
| Kentucky | $262.28 | $262.28 |
| West Virginia | $259.14 | $259.14 |
| Alabama | $257.47 | $257.47 |
| Mississippi | $254.58 | $254.58 |
| Arkansas | $253.25 | $253.25 |

## Related codes

- 78012: Thyroid uptake, single or multiple quantification — https://www.med-reveal.com/rates/78012-cpt-fee-schedule
- 78013: Thyroid imaging, with or without uptake — https://www.med-reveal.com/rates/78013-cpt-fee-schedule
- 78014: Thyroid imaging, with uptake and stimulation/suppression — https://www.med-reveal.com/rates/78014-cpt-fee-schedule
- 78015: Thyroid carcinoma metastases imaging, limited area — https://www.med-reveal.com/rates/78015-cpt-fee-schedule
- 78070: Parathyroid planar imaging — https://www.med-reveal.com/rates/78070-cpt-fee-schedule
- 78075: Adrenal imaging, cortex and/or medulla — https://www.med-reveal.com/rates/78075-cpt-fee-schedule
- 78102: Bone marrow imaging, limited area — https://www.med-reveal.com/rates/78102-cpt-fee-schedule
- 78185: Spleen imaging — https://www.med-reveal.com/rates/78185-cpt-fee-schedule

Commercial negotiated rates for 78582 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules