CPT code 78227: Hepatobiliary scan, with pharmacologic intervention2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $378.32 for 78227 in the office.

Check a contract rate as a % of Medicare · 78227 nationwide

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

What 78227 covers

A nuclear medicine team administers a hepatobiliary radiotracer and obtains images of tracer movement through the liver and biliary system, including the gallbladder when present. A medication may be used to stimulate gallbladder contraction for an emptying assessment or to alter biliary transit. Studies may help evaluate suspected gallbladder dysfunction or selected biliary disorders. A nuclear medicine physician interprets the images; technologists typically perform the acquisition in a hospital or imaging center.

Choose this code when the study includes pharmacologic intervention, rather than imaging without that intervention. The report should identify the medication and its purpose, describe the imaging and any quantitative measurements, and document the clinical question and interpretation. CMS recognizes a professional component for interpretation and a technical component for equipment and staff: report modifier 26 for the professional service, modifier TC for the technical service, or neither modifier when billing the global service. The study’s medication intervention is part of the described imaging service; radiopharmaceutical supply may be represented by a separate applicable code.

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 78227

Across 109 of 109 payment localities, the office rate for 78227 runs from $331.57 in Arkansas to $538.57 in San Benito County, CA. Delaware pays $378.32. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

78227 rates by state

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

See 78227 in every payment locality

How the 78227 rate is calculated

Each of 78227’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.

Payment rules and modifiers for 78227

The CMS indicators that decide how 78227 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

Codes related to 78227

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

How 78227 has changed in Delaware

Price 78227 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

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

Open CMS sourceHow we calculate rates