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CPT code 78202: Liver imaging, with vascular-flow phase2026 Medicare rate & RVUs in King County, WA

Reports radionuclide liver imaging that includes vascular-flow acquisition, used when the diagnostic study evaluates hepatic perfusion along with liver distribution.

CMS RVU26DEffective Oct 1, 2026One payment locality115 Medicare services in 2024

In King County, WA, Medicare pays $231.74 for 78202 in the office.

$231.74Office (non-facility)
Not available in this settingHospital or facility
+20.7%vs the national office rate ($192.06)

Check a contract rate as a % of Medicare · 78202 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 78202 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in King County, WA
  2. What 78202 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 78202 covers

This nuclear medicine study images the liver and includes acquisition of a vascular-flow phase. A nuclear medicine technologist performs the imaging in a hospital or other diagnostic imaging department, and a qualified practitioner interprets the study. The flow images add information about hepatic perfusion to the images showing distribution in the liver; the order and report should identify the clinical question and the imaging performed.

Select this code when the study covers the liver and includes vascular-flow imaging. Use the static-only liver code when flow imaging is not performed, and distinguish liver-only imaging from studies that also include the spleen. The record should support the liver study, the flow acquisition, and the interpretation. CMS recognizes professional and technical components: report modifier 26 for the interpretation, modifier TC for equipment and staff, or no component modifier for the global service. Both modifiers are separately priced.

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 King County, WA compares for 78202

Across 109 of 109 payment localities, the office rate for 78202 runs from $166.53 in Arkansas to $269.28 in San Benito County, CA. King County, WA pays $231.74. The RVUs are the same everywhere; the geographic indexes change the dollars.

78202 in King County, WA vs other payment areas
  1. King County, WA · this page$231.74
  2. Rest of Washington · Washington$200.88−$30.86
  3. Los Angeles, CA · California$223.62−$8.12
  4. Washington, DC area · District of Columbia$224.02−$7.72
  5. Miami, FL · Florida$202.72−$29.02
  6. Chicago, IL · Illinois$196.06−$35.68
  7. Manhattan, NY · New York$222.52−$9.22

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

Every other payment area

78202 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$210.60—
AlabamaAlabama$169.41—
ArkansasArkansas$166.53—
ArizonaArizona$186.35—
Bakersfield, CACalifornia$208.07—
Chico, CACalifornia$207.86—
El Centro, CACalifornia$207.88—
Fresno, CACalifornia$207.86—

78202 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.

$166.53

$238.57

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

View every state and territory as a table
78202 office rate range by state
State / territoryOffice rate rangeLocalities
AK$210.601
AL$169.411
AR$166.531
AZ$186.351
CA$207.86–$269.2829
CO$202.821
CT$206.201
DC$224.021
DE$189.831
FL$185.62–$202.723
GA$173.82–$195.342
GU$214.771
HI$214.771
IA$175.941
ID$176.981
IL$178.32–$198.654
IN$178.221
KS$174.291
KY$172.651
LA$172.06–$182.172
MA$201.02–$226.052
MD$194.11–$224.023
ME$177.33–$189.642
MI$177.30–$187.602
MN$195.431
MO$168.12–$183.763
MS$167.401
MT$192.051
NC$179.621
ND$190.671
NE$177.281
NH$198.861
NJ$208.87–$220.952
NM$178.161
NV$191.841
NY$182.71–$227.835
OH$177.021
OK$173.021
OR$190.67–$210.932
PA$177.74–$199.902
PR$193.921
RI$197.831
SC$178.561
SD$190.501
TN$175.231
TX$176.32–$201.868
UT$181.441
VA$188.43–$224.022
VI$193.921
VT$189.171
WA$200.88–$231.742
WI$183.171
WV$170.401
WY$191.451

See 78202 in every payment locality

How the 78202 rate is calculated

Each of 78202’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 · 78202

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.50

0.50 RVUs× 1.000 GPCI

Practice expense5.18

5.18 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

5.7500

Conversion factor

$33.4009

Medicare rate

$192.06

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

The exact King County, WA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

9,260

Code
78202
Physician work
0.50
Practice expense
5.18
Malpractice
0.07

GPCI2026.csv

108

Locality
King County, WA
Physician work
1.050
Practice expense
1.227
Malpractice
0.817
Office calculation for 78202 in King County, WA
ComponentRVULocality factorAdjusted
Physician work0.50× 1.0500.5250
Practice expense5.18× 1.2276.3559
Malpractice0.07× 0.8170.0572
Total RVUs6.9381
Conversion factor× 33.4009

Office rate, King County, WA$231.74

Office: (0.5 × 1.05 + 5.18 × 1.227 + 0.07 × 0.817) × $33.4009 = $231.74

Open 78202 in the RVU calculator

Payment rules and modifiers for 78202

The CMS indicators that decide how 78202 is paid alongside other services.

CMS payment indicators · 78202

Liver imaging, with vascular-flow phase

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

78202 without 26 · national office

$192.06

Liver imaging, with vascular-flow phase

78202-26 · Professional component

$23.05

Pays only the interpretation and report.

When to use modifier 26

Codes related to 78202

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

Codes related to 78202
CodeHow it relatesOffice range, King County, WA
Same family
78201Liver imaging, static images onlyLiver imaging without the vascular-flow phase.$207.29
78215Liver-spleen scan, static images onlyStatic imaging of both liver and spleen.$215.05
78216Liver-spleen scan, with vascular flowLiver and spleen imaging that includes vascular flow.$157.61

How 78202 has changed in King County, WA

78202 · Office / nonfacility

$231.74

Effective 2026-10-01

The base rate is $5.42 higher than on 2025-10-01, moving from $226.32 to $231.74 (2.4%).

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

    $226.32changed to$231.74

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.51 changed to 0.50
    • Practice expense RVU 5.25 changed to 5.18
    • Work GPCI 1.043 changed to 1.050
    • Practice expense GPCI 1.220 changed to 1.227
    • Malpractice GPCI 0.853 changed to 0.817

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $233.02changed to$226.32

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.26 changed to 5.25
    • Malpractice RVU 0.06 changed to 0.07

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $229.22changed to$233.02

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $235.58changed to$229.22

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.28 changed to 5.26
    • Work GPCI 1.039 changed to 1.043
    • Practice expense GPCI 1.207 changed to 1.220
    • Malpractice GPCI 0.815 changed to 0.853

  5. January 1, 2023

    RVU23A

    $243.85changed to$235.58

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.42 changed to 5.28
    • Work GPCI 1.036 changed to 1.039
    • Practice expense GPCI 1.194 changed to 1.207
    • Malpractice GPCI 0.776 changed to 0.815

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $252.95changed to$243.85

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.59 changed to 5.42

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $244.93changed to$252.95

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.30 changed to 5.59
    • Malpractice RVU 0.07 changed to 0.06
    • Work GPCI 1.031 changed to 1.036
    • Practice expense GPCI 1.170 changed to 1.194
    • Malpractice GPCI 0.854 changed to 0.776

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $237.80changed to$244.93

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.26 changed to 5.30
    • Malpractice RVU 0.05 changed to 0.07
    • Work GPCI 1.027 changed to 1.031
    • Practice expense GPCI 1.146 changed to 1.170
    • Malpractice GPCI 0.931 changed to 0.854

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $238.77changed to$237.80

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.29 changed to 5.26

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $238.58changed to$238.77

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.026 changed to 1.027
    • Practice expense GPCI 1.151 changed to 1.146
    • Malpractice GPCI 0.713 changed to 0.931

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $239.61changed to$238.58

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.32 changed to 5.29
    • Work GPCI 1.025 changed to 1.026
    • Practice expense GPCI 1.155 changed to 1.151
    • Malpractice GPCI 0.495 changed to 0.713

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $238.22changed to$239.61

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.27 changed to 5.32
    • Malpractice RVU 0.04 changed to 0.05

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $237.03changed to$238.22

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $235.17changed to$237.03

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.23 changed to 5.27
    • Practice expense GPCI 1.150 changed to 1.155
    • Malpractice GPCI 0.688 changed to 0.495

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $238.51changed to$235.17

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.64 changed to 5.23
    • Practice expense GPCI 1.144 changed to 1.150
    • Malpractice GPCI 0.881 changed to 0.688

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $238.51

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$231.74Not available in this settingRVU26D
2026-07-01$231.74Not available in this settingRVU26C
2026-04-01$231.74Not available in this settingRVU26B
2026-01-01$231.74Not available in this settingRVU26A
2025-10-01$226.32Not available in this settingRVU25D
2025-07-01$226.32Not available in this settingRVU25C
2025-04-01$226.32Not available in this settingRVU25B
2025-01-01$226.32Not available in this settingRVU25A
2024-10-01$233.02Not available in this settingRVU24D
2024-07-01$233.02Not available in this settingRVU24C
2024-04-01$233.02Not available in this settingRVU24B
2024-03-09$233.02Not available in this settingRVU24AR
2024-01-01$229.22Not available in this settingRVU24A
2023-10-01$235.58Not available in this settingRVU23D
2023-07-01$235.58Not available in this settingRVU23C
2023-04-01$235.58Not available in this settingRVU23B
2023-01-01$235.58Not available in this settingRVU23A
2022-10-01$243.85Not available in this settingRVU22D
2022-07-01$243.85Not available in this settingRVU22C
2022-04-01$243.85Not available in this settingRVU22B
2022-01-01$243.85Not available in this settingRVU22A
2021-10-01$252.95Not available in this settingRVU21D
2021-07-01$252.95Not available in this settingRVU21C
2021-04-01$252.95Not available in this settingRVU21B
2021-01-01$252.95Not available in this settingRVU21A
2020-10-01$244.93Not available in this settingRVU20D
2020-07-01$244.93Not available in this settingRVU20C
2020-04-01$244.93Not available in this settingRVU20B
2020-01-01$244.93Not available in this settingRVU20A
2019-10-01$237.80Not available in this settingRVU19D
2019-07-01$237.80Not available in this settingRVU19C
2019-04-01$237.80Not available in this settingRVU19B
2019-01-01$237.80Not available in this settingRVU19A
2018-10-01$238.77Not available in this settingRVU18D
2018-07-01$238.77Not available in this settingRVU18C
2018-04-01$238.77Not available in this settingRVU18B
2018-01-01$238.77Not available in this settingRVU18AR1
2017-10-01$238.58Not available in this settingRVU17D
2017-07-01$238.58Not available in this settingRVU17C
2017-04-01$238.58Not available in this settingRVU17B
2017-01-01$238.58Not available in this settingRVU17A
2016-10-01$239.61Not available in this settingRVU16D
2016-07-01$239.61Not available in this settingRVU16C
2016-04-01$239.61Not available in this settingRVU16B
2016-01-01$239.61Not available in this settingRVU16A
2015-10-01$238.22Not available in this settingRVU15D
2015-07-01$238.22Not available in this settingRVU15C
2015-04-01$237.03Not available in this settingRVU15B
2015-01-01$237.03Not available in this settingRVU15A
2014-10-01$235.17Not available in this settingRVU14D
2014-07-01$235.17Not available in this settingRVU14C
2014-04-01$235.17Not available in this settingRVU14B
2014-01-01$235.17Not available in this settingRVU14A
2013-10-01$238.51Not available in this settingRVU13D
2013-07-01$238.51Not available in this settingRVU13C
2013-04-01$238.51Not available in this settingRVU13B
2013-01-01$238.51Not available in this settingRVU13AR

Price 78202 for an earlier date of service

Where the King County, WA rate applies

King County, WA is a Medicare payment area, not a city. Our Census mapping connects it to 63 cities and communities in Washington. Some span more than one payment area; confirm with the service ZIP.

  • Seattle
  • Algona
  • Ames Lake
  • 78202 in Auburn · multiple payment areas
  • Baring
  • Beaux Arts Village
  • Bellevue
  • Black Diamond

Browse all communities in Washington

78202 billing questions

How does this differ from 78201?

78202 includes a vascular-flow phase with liver imaging. 78201 is for liver imaging without that flow phase.

When should 78216 be used instead?

78216 includes both liver and spleen imaging with vascular flow. Use 78202 when the performed study images the liver only.

Can the professional and technical portions be billed separately?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service; billing without either modifier represents the global service.

What should the report document?

Document the liver imaging and vascular-flow acquisition, the clinical indication, and the interpreting practitioner's findings. The record should make clear whether the spleen was also imaged.

Is each image or flow acquisition billed as a separate unit?

The code represents the liver imaging study with vascular flow, not each individual image. Report the study performed rather than counting its image frames as separate services.

Is this the same as hepatobiliary imaging?

No. 78202 evaluates liver distribution with vascular-flow imaging; 78226 concerns hepatobiliary system imaging and addresses a different imaging question.

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 78202PPRRVU2026_Oct_nonQPP.csv, line 9,260 (RVU26D)
Geographic factors for King County, WAGPCI2026.csv, line 108 (RVU26D)

Open CMS sourceHow we calculate rates

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