CPT code 78075: Adrenal imaging, cortex or medulla2026 Medicare rate & RVUs in Guam
Nuclear medicine imaging of adrenal cortical or medullary tissue is reported when a tracer study evaluates an adrenal abnormality or suspected functional disorder.
Medicare pays $435.19 for 78075 in the office in Guam (Hawaii, Guam, HI). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 78075 covers
This nuclear medicine study images adrenal cortical tissue, medullary tissue, or both after administration of an appropriate radiopharmaceutical. It may be used in evaluating selected adrenal lesions or suspected hormone-producing disorders, including suspected pheochromocytoma. A nuclear medicine physician or radiologist interprets the acquired images; the technical work includes the equipment and staff needed to perform the study. The exact tracer and imaging protocol depend on the tissue and clinical question being evaluated.
Select this code when the documented service is adrenal imaging, rather than imaging of the thyroid or parathyroid glands. The report should identify the clinical indication, the adrenal tissue evaluated, the study performed, and the interpreting findings. CMS recognizes a professional component for interpretation and a technical component for equipment and staff: report modifier 26 for the professional work, modifier TC for the technical work, or no component modifier when billing the global service.
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.
78075 in Hawaii, Guam, HI
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam, HI | $435.19 | Unavailable |
How the 78075 rate is calculated
Each of 78075’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 78075
RVUs × geographic indexes × conversion factor
Work0.72
0.72 RVUs× 1.000 GPCI
Practice expense10.77
10.77 RVUs× 1.000 GPCI
Malpractice0.11
0.11 RVUs× 1.000 GPCI
Adjusted RVUs
11.6000
Conversion factor
$33.4009
Medicare rate
$387.45
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 78075
The CMS indicators that decide how 78075 is paid alongside other services.
CMS payment indicators · 78075
Adrenal imaging, cortex or medulla
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
78075 without 26 · national office
$387.45
Adrenal imaging, cortex or medulla
78075-26 · Professional component
$34.07
Pays only the interpretation and report.
78075 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 78070Parathyroid imagingPlanar only
- This code describes parathyroid planar imaging. Use 78075 when the imaged tissue is adrenal, not parathyroid.
- 78071Parathyroid imagingPlanar, with or without subtraction
- This code is for parathyroid imaging with subtraction techniques. It does not describe adrenal cortex or medulla imaging.
- 78072Parathyroid imagingSPECT with CT
- This code describes parathyroid imaging with SPECT and CT. Choose 78075 for an adrenal study, regardless of the difference in target gland.
- 78099Unlisted endocrine testNuclear medicine
- This unlisted endocrine nuclear medicine code is a fallback when no specific code describes the study. Use 78075 when the service is adrenal imaging covered by its description.
78075 billing questions
How is this code distinguished from parathyroid imaging codes 78070–78072?
Code 78075 is for imaging adrenal cortical or medullary tissue. Codes 78070–78072 describe parathyroid imaging, so select based on the gland actually imaged.
Which modifiers identify the professional and technical portions?
Append modifier 26 for the professional interpretation or modifier TC for the technical service. Billing without either modifier represents the global service.
What documentation supports reporting adrenal imaging?
Document the adrenal indication, the tissue or clinical question evaluated, the imaging performed, and the interpreting findings. The record should support that the study concerns adrenal tissue rather than another endocrine gland.
Can both the professional and technical portions be billed separately?
The CMS component rules identify separately priced professional and technical portions. Report 26 for interpretation and TC for equipment and staff when those portions are billed separately; use neither for the global service.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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