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CPT code 78195: Lymphatic imaging, lymphoscintigraphy2026 Medicare rate & RVUs in Delaware

Lymphoscintigraphy tracks radiotracer through lymphatic channels and nodes to evaluate lymphatic drainage, including lymphedema or sentinel-node mapping.

CMS RVU26DEffective Oct 1, 2026One payment locality22.3K Medicare services in 2024

In Delaware, Medicare pays $308.23 for 78195 in the office.

$308.23Office (non-facility)
Not available in this settingHospital or facility
−1.1%vs the national office rate ($311.63)

Check a contract rate as a % of Medicare · 78195 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 78195 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 78195 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 78195 covers

This nuclear medicine study uses a radiotracer and gamma-camera images to show lymphatic drainage and regional nodes. It may help evaluate impaired drainage in a patient with suspected lymphedema or map sentinel nodes before cancer surgery, such as for breast cancer or melanoma. A nuclear medicine physician or radiologist typically interprets the images; imaging is performed in a nuclear medicine department or other equipped facility.

Report 78195 for imaging of the lymphatic system, rather than a study focused on the spleen or bone marrow. Documentation should identify the clinical indication, tracer and injection site when known, images obtained, and interpretation of lymphatic flow or nodal drainage. For sentinel-node work, 38792 may represent the tracer injection when that service is performed and documented. CMS recognizes professional and technical components: report modifier 26 for interpretation, modifier TC for equipment and staff, or neither for 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.

How Delaware compares for 78195

Across 109 of 109 payment localities, the office rate for 78195 runs from $271.94 in Arkansas to $433.07 in San Benito County, CA. Delaware pays $308.23. The RVUs are the same everywhere; the geographic indexes change the dollars.

78195 in Delaware vs other payment areas
  1. Delaware · this page$308.23
  2. Los Angeles, CA · California$361.20+$52.97
  3. Washington, DC area · District of Columbia$362.02+$53.79
  4. Miami, FL · Florida$328.27+$20.04
  5. Chicago, IL · Illinois$318.01+$9.78
  6. Manhattan, NY · New York$359.84+$51.61
  7. Alaska · Alaska$347.00+$38.77

Other areas in Delaware first, then benchmark localities. Bars start at $0.

Every other payment area

78195 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$276.43—
ArkansasArkansas$271.94—
ArizonaArizona$302.77—
Bakersfield, CACalifornia$336.75—
Chico, CACalifornia$336.40—
El Centro, CACalifornia$336.42—
Fresno, CACalifornia$336.40—
Hanford, CACalifornia$336.40—

78195 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$271.94

$384.74

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
78195 office rate range by state
State / territoryOffice rate rangeLocalities
AK$347.001
AL$276.431
AR$271.941
AZ$302.771
CA$336.40–$433.0729
CO$328.501
CT$333.891
DC$362.021
DE$308.231
FL$301.65–$328.273
GA$283.30–$316.792
GU$346.921
HI$346.921
IA$286.561
ID$288.181
IL$290.31–$322.004
IN$290.111
KS$284.001
KY$281.471
LA$280.56–$296.272
MA$325.76–$364.992
MD$314.95–$362.023
ME$288.73–$307.852
MI$288.71–$304.742
MN$316.841
MO$274.43–$298.733
MS$273.301
MT$311.621
NC$292.291
ND$309.451
NE$288.641
NH$322.201
NJ$338.29–$357.362
NM$290.051
NV$311.291
NY$297.10–$368.105
OH$288.271
OK$282.041
OR$309.46–$341.162
PA$289.38–$324.072
PR$314.531
RI$320.851
SC$290.641
SD$309.191
TN$285.461
TX$287.17–$326.888
UT$295.121
VA$305.98–$362.022
VI$314.531
VT$307.131
WA$325.51–$373.952
WI$297.801
WV$277.991
WY$310.681

See 78195 in every payment locality

How the 78195 rate is calculated

Each of 78195’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 · 78195

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.17

1.17 RVUs× 1.000 GPCI

Practice expense8.05

8.05 RVUs× 1.000 GPCI

Malpractice0.11

0.11 RVUs× 1.000 GPCI

Adjusted RVUs

9.3300

Conversion factor

$33.4009

Medicare rate

$311.63

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

9,251

Code
78195
Physician work
1.17
Practice expense
8.05
Malpractice
0.11

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 78195 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.17× 1.0051.1758
Practice expense8.05× 0.9887.9534
Malpractice0.11× 0.8990.0989
Total RVUs9.2281
Conversion factor× 33.4009

Office rate, Delaware$308.23

Office: (1.17 × 1.005 + 8.05 × 0.988 + 0.11 × 0.899) × $33.4009 = $308.23

Open 78195 in the RVU calculator

Payment rules and modifiers for 78195

The CMS indicators that decide how 78195 is paid alongside other services.

CMS payment indicators · 78195

Lymphatic imaging, lymphoscintigraphy

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

78195 without 26 · national office

$311.63

Lymphatic imaging, lymphoscintigraphy

78195-26 · Professional component

$53.44

Pays only the interpretation and report.

When to use modifier 26

Codes related to 78195

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 78195
CodeHow it relatesOffice range, Delaware
Often billed with
38792Sentinel node injection, radioactive tracerMay represent the radioactive tracer injection for sentinel-node identification when separately performed.$81.33
A9541Sulfur colloid, per study doseTechnetium Tc-99m sulfur colloid may be supplied for diagnostic lymphoscintigraphy.No office rate
Used instead
78199Unlisted procedure, hematopoietic/lymphatic systemUnlisted hematopoietic, reticuloendothelial, or lymphatic procedure code when no specific code describes the service.No office rate

How 78195 has changed in Delaware

78195 · Office / nonfacility

$308.23

Effective 2026-10-01

The base rate is $2.55 higher than on 2025-10-01, moving from $305.68 to $308.23 (0.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $305.68changed to$308.23

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.20 changed to 1.17
    • Practice expense RVU 8.21 changed to 8.05
    • Malpractice RVU 0.10 changed to 0.11
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $321.14changed to$305.68

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.39 changed to 8.21
    • Malpractice RVU 0.12 changed to 0.10

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $315.90changed to$321.14

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $336.57changed to$315.90

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.57 changed to 8.39
    • Malpractice RVU 0.10 changed to 0.12
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $353.35changed to$336.57

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.72 changed to 8.57
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $370.54changed to$353.35

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 9.12 changed to 8.72

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $373.36changed to$370.54

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.85 changed to 9.12
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $377.03changed to$373.36

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.96 changed to 8.85
    • Malpractice RVU 0.11 changed to 0.10
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $382.85changed to$377.03

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 9.13 changed to 8.96

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $382.96changed to$382.85

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 9.11 changed to 9.13
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $382.19changed to$382.96

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 9.06 changed to 9.11
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $382.07changed to$382.19

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 9.03 changed to 9.06
    • Malpractice RVU 0.10 changed to 0.11

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $380.17changed to$382.07

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $376.47changed to$380.17

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 8.87 changed to 9.03
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$376.47

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$308.23Not available in this settingRVU26D
2026-07-01$308.23Not available in this settingRVU26C
2026-04-01$308.23Not available in this settingRVU26B
2026-01-01$308.23Not available in this settingRVU26A
2025-10-01$305.68Not available in this settingRVU25D
2025-07-01$305.68Not available in this settingRVU25C
2025-04-01$305.68Not available in this settingRVU25B
2025-01-01$305.68Not available in this settingRVU25A
2024-10-01$321.14Not available in this settingRVU24D
2024-07-01$321.14Not available in this settingRVU24C
2024-04-01$321.14Not available in this settingRVU24B
2024-03-09$321.14Not available in this settingRVU24AR
2024-01-01$315.90Not available in this settingRVU24A
2023-10-01$336.57Not available in this settingRVU23D
2023-07-01$336.57Not available in this settingRVU23C
2023-04-01$336.57Not available in this settingRVU23B
2023-01-01$336.57Not available in this settingRVU23A
2022-10-01$353.35Not available in this settingRVU22D
2022-07-01$353.35Not available in this settingRVU22C
2022-04-01$353.35Not available in this settingRVU22B
2022-01-01$353.35Not available in this settingRVU22A
2021-10-01$370.54Not available in this settingRVU21D
2021-07-01$370.54Not available in this settingRVU21C
2021-04-01$370.54Not available in this settingRVU21B
2021-01-01$370.54Not available in this settingRVU21A
2020-10-01$373.36Not available in this settingRVU20D
2020-07-01$373.36Not available in this settingRVU20C
2020-04-01$373.36Not available in this settingRVU20B
2020-01-01$373.36Not available in this settingRVU20A
2019-10-01$377.03Not available in this settingRVU19D
2019-07-01$377.03Not available in this settingRVU19C
2019-04-01$377.03Not available in this settingRVU19B
2019-01-01$377.03Not available in this settingRVU19A
2018-10-01$382.85Not available in this settingRVU18D
2018-07-01$382.85Not available in this settingRVU18C
2018-04-01$382.85Not available in this settingRVU18B
2018-01-01$382.85Not available in this settingRVU18AR1
2017-10-01$382.96Not available in this settingRVU17D
2017-07-01$382.96Not available in this settingRVU17C
2017-04-01$382.96Not available in this settingRVU17B
2017-01-01$382.96Not available in this settingRVU17A
2016-10-01$382.19Not available in this settingRVU16D
2016-07-01$382.19Not available in this settingRVU16C
2016-04-01$382.19Not available in this settingRVU16B
2016-01-01$382.19Not available in this settingRVU16A
2015-10-01$382.07Not available in this settingRVU15D
2015-07-01$382.07Not available in this settingRVU15C
2015-04-01$380.17Not available in this settingRVU15B
2015-01-01$380.17Not available in this settingRVU15A
2014-10-01$376.47Not available in this settingRVU14D
2014-07-01$376.47Not available in this settingRVU14C
2014-04-01$376.47Not available in this settingRVU14B
2014-01-01$376.47Not available in this settingRVU14A
2013-10-01Additional calculation requiredNot available in this settingRVU13D
2013-07-01Additional calculation requiredNot available in this settingRVU13C
2013-04-01Additional calculation requiredNot available in this settingRVU13B
2013-01-01Additional calculation requiredNot available in this settingRVU13AR

Price 78195 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

78195 billing questions

When is 78195 used for sentinel-node mapping?

Use it for the imaging that follows radiotracer administration to visualize lymphatic drainage and sentinel nodes. The injection procedure may be reported separately with 38792 when performed and documented.

Which modifier identifies the interpretation?

Append modifier 26 for the professional interpretation. Modifier TC identifies the technical service, including equipment and staff; no modifier represents the global service.

Does 78195 describe the tracer injection?

It describes lymphatic imaging. A separately performed radioactive tracer injection for sentinel-node identification may be represented by 38792.

How does 78195 differ from spleen imaging 78185?

78195 follows lymphatic drainage and nodes. 78185 is a spleen imaging study, not a substitute for lymphoscintigraphy.

What documentation supports 78195?

Record the indication, tracer and injection details available, imaging performed, and the interpreting clinician’s findings on lymphatic flow or nodal drainage.

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

Show the CMS file lines behind this rate
RVUs for 78195PPRRVU2026_Oct_nonQPP.csv, line 9,251 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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