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CPT code 78215: Liver-spleen scan, static images only2026 Medicare rate & RVUs in West Virginia

Static nuclear medicine imaging of the liver and spleen evaluates their distribution and appearance without a vascular-flow imaging phase.

CMS RVU26DEffective Oct 1, 2026One payment locality640 Medicare services in 2024

In West Virginia, Medicare pays $158.41 for 78215 in the office.

$158.41Office (non-facility)
Not available in this settingHospital or facility
−11.2%vs the national office rate ($178.36)

Check a contract rate as a % of Medicare · 78215 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 78215 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in West Virginia
  2. What 78215 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 78215 covers

A nuclear medicine technologist administers the radiopharmaceutical and acquires static images of the liver and spleen; a nuclear medicine physician interprets the study. Clinicians may use it to assess the distribution and appearance of these organs, including evaluation for suspected ectopic splenic tissue or splenic tissue after splenectomy. The study is performed in a nuclear medicine department and is distinguished by static imaging rather than a vascular-flow phase.

Report this code when the examination images both the liver and spleen using static acquisitions. The order and report should support imaging of both organs and document the study performed; a liver-only examination or one that includes vascular-flow imaging points to a different code. CMS recognizes separately priced professional and technical components: report modifier 26 for the interpretation and report, TC for equipment and staff, or neither 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.

How West Virginia compares for 78215

Across 109 of 109 payment localities, the office rate for 78215 runs from $154.67 in Arkansas to $249.76 in San Benito County, CA. West Virginia pays $158.41. The RVUs are the same everywhere; the geographic indexes change the dollars.

78215 in West Virginia vs other payment areas
  1. West Virginia · this page$158.41
  2. Los Angeles, CA · California$207.51+$49.10
  3. Washington, DC area · District of Columbia$207.97+$49.56
  4. Miami, FL · Florida$188.50+$30.09
  5. Chicago, IL · Illinois$182.30+$23.89
  6. Manhattan, NY · New York$206.68+$48.27
  7. Alaska · Alaska$195.73+$37.32

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

Every other payment area

78215 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$157.35—
ArkansasArkansas$154.67—
ArizonaArizona$173.06—
Bakersfield, CACalifornia$193.11—
Chico, CACalifornia$192.91—
El Centro, CACalifornia$192.92—
Fresno, CACalifornia$192.91—
Hanford, CACalifornia$192.91—

78215 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.

$154.67

$221.33

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

View every state and territory as a table
78215 office rate range by state
State / territoryOffice rate rangeLocalities
AK$195.731
AL$157.351
AR$154.671
AZ$173.061
CA$192.91–$249.7629
CO$188.281
CT$191.491
DC$207.971
DE$176.281
FL$172.50–$188.503
GA$161.53–$181.442
GU$199.301
HI$199.301
IA$163.351
ID$164.331
IL$165.76–$184.604
IN$165.481
KS$161.841
KY$160.401
LA$159.86–$169.242
MA$186.62–$209.802
MD$180.25–$207.973
ME$164.68–$176.062
MI$164.74–$174.372
MN$181.351
MO$156.22–$170.693
MS$155.511
MT$178.361
NC$166.801
ND$176.971
NE$164.591
NH$184.631
NJ$193.95–$205.132
NM$165.551
NV$178.131
NY$169.67–$211.635
OH$164.461
OK$160.721
OR$177.03–$195.782
PA$165.11–$185.662
PR$180.091
RI$183.691
SC$165.851
SD$176.811
TN$162.721
TX$163.80–$187.418
UT$168.521
VA$174.95–$207.972
VI$180.091
VT$175.611
WA$186.49–$215.052
WI$170.021
WV$158.411
WY$177.751

See 78215 in every payment locality

How the 78215 rate is calculated

Each of 78215’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 · 78215

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.48

0.48 RVUs× 1.000 GPCI

Practice expense4.79

4.79 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

5.3400

Conversion factor

$33.4009

Medicare rate

$178.36

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

The exact West Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

9,263

Code
78215
Physician work
0.48
Practice expense
4.79
Malpractice
0.07

GPCI2026.csv

110

Locality
West Virginia
Physician work
1.000
Practice expense
0.869
Malpractice
1.431
Office calculation for 78215 in West Virginia
ComponentRVULocality factorAdjusted
Physician work0.48× 1.0000.4800
Practice expense4.79× 0.8694.1625
Malpractice0.07× 1.4310.1002
Total RVUs4.7427
Conversion factor× 33.4009

Office rate, West Virginia$158.41

Office: (0.48 × 1 + 4.79 × 0.869 + 0.07 × 1.431) × $33.4009 = $158.41

Open 78215 in the RVU calculator

Payment rules and modifiers for 78215

The CMS indicators that decide how 78215 is paid alongside other services.

CMS payment indicators · 78215

Liver-spleen scan, static images only

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

78215 without 26 · national office

$178.36

Liver-spleen scan, static images only

78215-26 · Professional component

$22.71

Pays only the interpretation and report.

When to use modifier 26

Codes related to 78215

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

Codes related to 78215
CodeHow it relatesOffice range, West Virginia
Same family
78216Liver-spleen scan, with vascular flowImages both liver and spleen with vascular-flow imaging.$118.41
Used instead
78201Liver imaging, static images onlyUse for static liver imaging when the spleen is not imaged.$152.20
78202Liver imaging, with vascular-flow phaseLiver-only imaging that includes vascular-flow imaging.$170.40

How 78215 has changed in West Virginia

78215 · Office / nonfacility

$158.41

Effective 2026-10-01

The base rate is $5.02 higher than on 2025-10-01, moving from $153.39 to $158.41 (3.3%).

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

    $153.39changed to$158.41

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.49 changed to 0.48
    • Practice expense RVU 4.84 changed to 4.79
    • Malpractice RVU 0.06 changed to 0.07
    • Practice expense GPCI 0.862 changed to 0.869
    • Malpractice GPCI 1.333 changed to 1.431

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $159.86changed to$153.39

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.91 changed to 4.84

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $157.25changed to$159.86

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $164.02changed to$157.25

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.97 changed to 4.91
    • Practice expense GPCI 0.860 changed to 0.862
    • Malpractice GPCI 1.266 changed to 1.333

  5. January 1, 2023

    RVU23A

    $168.50changed to$164.02

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.02 changed to 4.97
    • Practice expense GPCI 0.858 changed to 0.860
    • Malpractice GPCI 1.198 changed to 1.266

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $175.58changed to$168.50

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.21 changed to 5.02

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $176.41changed to$175.58

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.03 changed to 5.21
    • Malpractice RVU 0.07 changed to 0.06
    • Practice expense GPCI 0.857 changed to 0.858
    • Malpractice GPCI 1.247 changed to 1.198

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $176.74changed to$176.41

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.06 changed to 5.03
    • Malpractice RVU 0.06 changed to 0.07
    • Malpractice GPCI 1.296 changed to 1.247

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $179.33changed to$176.74

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.15 changed to 5.06

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $176.30changed to$179.33

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.13 changed to 5.15
    • Practice expense GPCI 0.847 changed to 0.857
    • Malpractice GPCI 1.289 changed to 1.296

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $173.55changed to$176.30

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.12 changed to 5.13
    • Practice expense GPCI 0.836 changed to 0.847
    • Malpractice GPCI 1.282 changed to 1.289

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $172.82changed to$173.55

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.09 changed to 5.12
    • Malpractice RVU 0.05 changed to 0.06

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $171.96changed to$172.82

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $169.28changed to$171.96

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.00 changed to 5.09
    • Malpractice RVU 0.06 changed to 0.05
    • Practice expense GPCI 0.832 changed to 0.836
    • Malpractice GPCI 1.256 changed to 1.282

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $170.18changed to$169.28

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.36 changed to 5.00
    • Practice expense GPCI 0.828 changed to 0.832
    • Malpractice GPCI 1.229 changed to 1.256

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $170.18

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$158.41Not available in this settingRVU26D
2026-07-01$158.41Not available in this settingRVU26C
2026-04-01$158.41Not available in this settingRVU26B
2026-01-01$158.41Not available in this settingRVU26A
2025-10-01$153.39Not available in this settingRVU25D
2025-07-01$153.39Not available in this settingRVU25C
2025-04-01$153.39Not available in this settingRVU25B
2025-01-01$153.39Not available in this settingRVU25A
2024-10-01$159.86Not available in this settingRVU24D
2024-07-01$159.86Not available in this settingRVU24C
2024-04-01$159.86Not available in this settingRVU24B
2024-03-09$159.86Not available in this settingRVU24AR
2024-01-01$157.25Not available in this settingRVU24A
2023-10-01$164.02Not available in this settingRVU23D
2023-07-01$164.02Not available in this settingRVU23C
2023-04-01$164.02Not available in this settingRVU23B
2023-01-01$164.02Not available in this settingRVU23A
2022-10-01$168.50Not available in this settingRVU22D
2022-07-01$168.50Not available in this settingRVU22C
2022-04-01$168.50Not available in this settingRVU22B
2022-01-01$168.50Not available in this settingRVU22A
2021-10-01$175.58Not available in this settingRVU21D
2021-07-01$175.58Not available in this settingRVU21C
2021-04-01$175.58Not available in this settingRVU21B
2021-01-01$175.58Not available in this settingRVU21A
2020-10-01$176.41Not available in this settingRVU20D
2020-07-01$176.41Not available in this settingRVU20C
2020-04-01$176.41Not available in this settingRVU20B
2020-01-01$176.41Not available in this settingRVU20A
2019-10-01$176.74Not available in this settingRVU19D
2019-07-01$176.74Not available in this settingRVU19C
2019-04-01$176.74Not available in this settingRVU19B
2019-01-01$176.74Not available in this settingRVU19A
2018-10-01$179.33Not available in this settingRVU18D
2018-07-01$179.33Not available in this settingRVU18C
2018-04-01$179.33Not available in this settingRVU18B
2018-01-01$179.33Not available in this settingRVU18AR1
2017-10-01$176.30Not available in this settingRVU17D
2017-07-01$176.30Not available in this settingRVU17C
2017-04-01$176.30Not available in this settingRVU17B
2017-01-01$176.30Not available in this settingRVU17A
2016-10-01$173.55Not available in this settingRVU16D
2016-07-01$173.55Not available in this settingRVU16C
2016-04-01$173.55Not available in this settingRVU16B
2016-01-01$173.55Not available in this settingRVU16A
2015-10-01$172.82Not available in this settingRVU15D
2015-07-01$172.82Not available in this settingRVU15C
2015-04-01$171.96Not available in this settingRVU15B
2015-01-01$171.96Not available in this settingRVU15A
2014-10-01$169.28Not available in this settingRVU14D
2014-07-01$169.28Not available in this settingRVU14C
2014-04-01$169.28Not available in this settingRVU14B
2014-01-01$169.28Not available in this settingRVU14A
2013-10-01$170.18Not available in this settingRVU13D
2013-07-01$170.18Not available in this settingRVU13C
2013-04-01$170.18Not available in this settingRVU13B
2013-01-01$170.18Not available in this settingRVU13AR

Price 78215 for an earlier date of service

Where the West Virginia rate applies

West Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 439 cities and communities in West Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Accoville
  • Addison (Webster Springs)
  • Adrian
  • Albright
  • Alderson
  • Alum Creek
  • Amherstdale
  • Anawalt

Browse all communities in West Virginia

78215 billing questions

When should 78215 be chosen over 78216?

Use 78215 for static liver and spleen images without vascular-flow imaging. Use 78216 when the examination includes vascular-flow imaging.

How does 78215 differ from 78201?

78215 covers static imaging of both the liver and spleen. 78201 is for static liver imaging alone.

Which modifier reports the interpretation?

Use modifier 26 for the professional interpretation and report. Use TC for the technical service, or bill without a modifier when billing the global service.

What documentation supports reporting 78215?

The record should support imaging of both the liver and spleen and identify the static examination performed. The report should reflect the organs imaged and the findings.

Is this the same type of study as hepatobiliary imaging?

No. 78215 images the liver and spleen, while 78226 evaluates the hepatobiliary system.

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 78215PPRRVU2026_Oct_nonQPP.csv, line 9,263 (RVU26D)
Geographic factors for West VirginiaGPCI2026.csv, line 110 (RVU26D)

Open CMS sourceHow we calculate rates

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