Billing code 78103: Bone marrow imagingMedicare rate & RVUs
Reports nuclear medicine imaging of bone marrow using multiple views to assess marrow distribution or abnormal marrow activity.
Medicare pays $170.34 for 78103 nationally in the office. Local office rates run $149.19–$236.03.
Medicare rate · 78103
Bone marrow imaging
- Work RVUs
- 0.73
- Total RVUs
- 5.10
- Global days
- XXX
National rate · 2026
$170.34
Office setting, before claim adjustments.
See every locality for 78103 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 10 sections
What 78103 covers
This service uses radiopharmaceutical imaging to show the distribution and activity of bone marrow across multiple views. It is performed in a nuclear medicine setting, with imaging acquired by technologists and interpreted by a qualified physician, commonly a nuclear medicine physician. The clinical question may involve abnormal marrow distribution or activity; the documented study extent distinguishes this service from limited-area and whole-body marrow imaging.
Select the code based on the study performed and its documented extent: limited-area imaging is reported with 78102, while whole-body imaging is reported with 78104. The record should support the marrow-imaging indication, views or anatomic coverage obtained, and the physician’s interpretation. Report the global service without a component modifier, or report the interpretation with modifier 26 and the equipment-and-staff portion with modifier TC.
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.
Where 78103 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$149.19 to $236.03
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $151.58 | Unavailable |
| Alaska* | $191.17 | Unavailable |
| Arizona | $165.63 | Unavailable |
| Arkansas | $149.19 | Unavailable |
| Atlanta | $173.06 | Unavailable |
| Austin | $178.57 | Unavailable |
| Bakersfield | $184.01 | Unavailable |
| Baltimore/Surr. Cntys | $181.66 | Unavailable |
| Beaumont | $157.24 | Unavailable |
| Brazoria | $168.87 | Unavailable |
| Chicago | $173.40 | Unavailable |
| Chico | $183.84 | Unavailable |
| Colorado | $179.51 | Unavailable |
| Connecticut | $182.29 | Unavailable |
| Dallas | $169.75 | Unavailable |
| Dc + Md/Va Suburbs | $197.53 | Unavailable |
| Delaware | $168.57 | Unavailable |
| Detroit | $166.44 | Unavailable |
| East St. Louis | $160.49 | Unavailable |
| El Centro | $183.84 | Unavailable |
| Fort Lauderdale | $173.57 | Unavailable |
| Fort Worth | $168.33 | Unavailable |
| Fresno | $183.84 | Unavailable |
| Galveston | $169.24 | Unavailable |
| Hanford-Corcoran | $183.84 | Unavailable |
| Hawaii, Guam | $189.41 | Unavailable |
| Houston | $170.16 | Unavailable |
| Idaho | $157.92 | Unavailable |
| Indiana | $158.95 | Unavailable |
| Iowa | $157.07 | Unavailable |
| Kansas | $155.66 | Unavailable |
| Kentucky | $154.19 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $197.19 | Unavailable |
| Madera | $183.84 | Unavailable |
| Manhattan | $196.26 | Unavailable |
| Merced | $183.84 | Unavailable |
| Metropolitan Boston | $199.15 | Unavailable |
| Metropolitan Kansas City | $161.50 | Unavailable |
| Metropolitan Philadelphia | $177.02 | Unavailable |
| Metropolitan St. Louis | $163.42 | Unavailable |
| Miami | $178.81 | Unavailable |
| Minnesota | $173.35 | Unavailable |
| Mississippi | $149.85 | Unavailable |
| Modesto | $183.84 | Unavailable |
| Montana** | $170.34 | Unavailable |
| Napa | $216.94 | Unavailable |
| Nebraska | $158.20 | Unavailable |
| Nevada** | $170.21 | Unavailable |
| New Hampshire | $176.05 | Unavailable |
| New Mexico | $158.70 | Unavailable |
| New Orleans | $162.06 | Unavailable |
| North Carolina | $160.07 | Unavailable |
| North Dakota** | $169.35 | Unavailable |
| Northern Nj | $195.08 | Unavailable |
| Nyc Suburbs/Long Island | $200.61 | Unavailable |
| Ohio | $157.80 | Unavailable |
| Oklahoma | $154.53 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $196.66 | Unavailable |
| Portland | $186.32 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $185.50 | Unavailable |
| Puerto Rico | $171.91 | Unavailable |
| Queens | $198.90 | Unavailable |
| Redding | $183.84 | Unavailable |
| Rest Of California | $183.84 | Unavailable |
| Rest Of Florida | $164.84 | Unavailable |
| Rest Of Georgia | $155.08 | Unavailable |
| Rest Of Illinois | $158.73 | Unavailable |
| Rest Of Louisiana | $153.68 | Unavailable |
| Rest Of Maine | $158.17 | Unavailable |
| Rest Of Maryland | $172.18 | Unavailable |
| Rest Of Massachusetts | $178.04 | Unavailable |
| Rest Of Michigan | $158.01 | Unavailable |
| Rest Of Missouri | $150.39 | Unavailable |
| Rest Of New Jersey | $184.76 | Unavailable |
| Rest Of New York | $162.63 | Unavailable |
| Rest Of Oregon | $169.27 | Unavailable |
| Rest Of Pennsylvania | $158.42 | Unavailable |
| Rest Of Texas | $162.82 | Unavailable |
| Rest Of Washington | $177.91 | Unavailable |
| Rhode Island | $175.39 | Unavailable |
| Riverside-San Bernardino-Ontario | $184.39 | Unavailable |
| Sacramento-Roseville-Folsom | $193.97 | Unavailable |
| Salinas | $193.27 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $198.59 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $230.92 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $230.86 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $236.03 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $235.80 | Unavailable |
| San Luis Obispo-Paso Robles | $190.04 | Unavailable |
| Santa Cruz-Watsonville | $201.10 | Unavailable |
| Santa Maria-Santa Barbara | $194.20 | Unavailable |
| Santa Rosa-Petaluma | $203.20 | Unavailable |
| Seattle (King Cnty) | $204.01 | Unavailable |
| South Carolina | $159.13 | Unavailable |
| South Dakota** | $169.24 | Unavailable |
| Southern Maine | $168.43 | Unavailable |
| Stockton | $183.84 | Unavailable |
| Suburban Chicago | $175.70 | Unavailable |
| Tennessee | $156.44 | Unavailable |
| Utah | $161.52 | Unavailable |
| Vallejo | $216.86 | Unavailable |
| Vermont | $168.08 | Unavailable |
| Virgin Islands | $171.91 | Unavailable |
| Virginia | $167.40 | Unavailable |
| Visalia | $183.84 | Unavailable |
| West Virginia | $152.16 | Unavailable |
| Wisconsin | $163.13 | Unavailable |
| Wyoming** | $169.91 | Unavailable |
| Yuba City | $183.84 | Unavailable |
78103 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$149.19
$209.94
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $191.17 | 1 |
| AL | $151.58 | 1 |
| AR | $149.19 | 1 |
| AZ | $165.63 | 1 |
| CA | $183.84–$236.03 | 29 |
| CO | $179.51 | 1 |
| CT | $182.29 | 1 |
| DC | $197.53 | 1 |
| DE | $168.57 | 1 |
| FL | $164.84–$178.81 | 3 |
| GA | $155.08–$173.06 | 2 |
| GU | $189.41 | 1 |
| HI | $189.41 | 1 |
| IA | $157.07 | 1 |
| ID | $157.92 | 1 |
| IL | $158.73–$175.70 | 4 |
| IN | $158.95 | 1 |
| KS | $155.66 | 1 |
| KY | $154.19 | 1 |
| LA | $153.68–$162.06 | 2 |
| MA | $178.04–$199.15 | 2 |
| MD | $172.18–$197.53 | 3 |
| ME | $158.17–$168.43 | 2 |
| MI | $158.01–$166.44 | 2 |
| MN | $173.35 | 1 |
| MO | $150.39–$163.42 | 3 |
| MS | $149.85 | 1 |
| MT | $170.34 | 1 |
| NC | $160.07 | 1 |
| ND | $169.35 | 1 |
| NE | $158.20 | 1 |
| NH | $176.05 | 1 |
| NJ | $184.76–$195.08 | 2 |
| NM | $158.70 | 1 |
| NV | $170.21 | 1 |
| NY | $162.63–$200.61 | 5 |
| OH | $157.80 | 1 |
| OK | $154.53 | 1 |
| OR | $169.27–$186.32 | 2 |
| PA | $158.42–$177.02 | 2 |
| PR | $171.91 | 1 |
| RI | $175.39 | 1 |
| SC | $159.13 | 1 |
| SD | $169.24 | 1 |
| TN | $156.44 | 1 |
| TX | $157.24–$178.57 | 8 |
| UT | $161.52 | 1 |
| VA | $167.40–$197.53 | 2 |
| VI | $171.91 | 1 |
| VT | $168.08 | 1 |
| WA | $177.91–$204.01 | 2 |
| WI | $163.13 | 1 |
| WV | $152.16 | 1 |
| WY | $169.91 | 1 |
How the 78103 rate is calculated
Each of 78103’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 · 78103
RVUs × geographic indexes × conversion factor
Work0.73
0.73 RVUs× 1.000 GPCI
Practice expense4.32
4.32 RVUs× 1.000 GPCI
Malpractice0.05
0.05 RVUs× 1.000 GPCI
Adjusted RVUs
5.1000
Conversion factor
$33.4009
Medicare rate
$170.34
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 78103
The CMS indicators that decide how 78103 is paid alongside other services.
CMS payment indicators · 78103
Bone marrow imaging
| 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
78103 without 26 · national office
$170.34
Bone marrow imaging
78103-26 · Professional component
$29.06
Pays only the interpretation and report.
78103 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 78102Bone marrow imaging
- Choose 78102 when the marrow study is limited to an area; 78103 represents multiple views.
- 78104Bone marrow imaging
- Choose 78104 for whole-body marrow imaging. 78103 represents a multiple-view study rather than whole-body coverage.
- 78306Bone imaging
- 78306 reports whole-body bone imaging, which evaluates the skeleton; 78103 images bone marrow.
78103 billing questions
How does 78103 differ from 78102 and 78104?
78103 describes multiple-view marrow imaging. Use 78102 for a limited-area study and 78104 for a whole-body study, based on the documented study extent.
Can the professional and technical portions be billed separately?
Yes. Report the interpretation with modifier 26 and the equipment-and-staff portion with modifier TC; billing without either modifier represents the global service.
What documentation supports reporting 78103?
Document the clinical indication, the views or anatomic coverage obtained, and the physician’s interpretation. The record should support a multiple-view marrow study rather than limited-area or whole-body imaging.
Does 78103 describe whole-body marrow imaging?
No. Whole-body marrow imaging is represented by 78104; 78103 is for the multiple-view study.
Is 78103 a component code or an add-on code?
It is a diagnostic imaging service that may be billed globally or divided into professional and technical portions using modifiers 26 and TC.
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
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