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CMS RVU26D · Effective 2026-10-01

78201 in Modesto

Office / nonfacility

$185.91

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Nuclear medicine

About 78201: Static liver scintigraphy

Reports radionuclide imaging focused on static liver images when the examination does not include vascular-flow imaging or spleen imaging.

78201 represents a radionuclide study that produces static images focused on the liver, without vascular-flow imaging. Nuclear medicine staff acquire the images, and a nuclear medicine physician interprets findings such as hepatic distribution, contour, or focal abnormalities. The study may be performed in a hospital imaging department or outpatient nuclear medicine facility when the clinical question calls for static liver scintigraphy rather than evaluation of biliary transit.

Select the code from the documented protocol and images: report 78201 for static liver imaging alone, 78202 when vascular-flow imaging is included, and 78215 or 78216 when the study also images the spleen. The order, imaging record, and interpretation should support the liver-only static examination. CMS recognizes separately priced professional and technical components: use modifier 26 for the interpretation and modifier TC for the equipment and staff; billing without either modifier represents the global service.

CMS billing rules for 78201

Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.

Where the value comes from

  • Work RVU0.43 · 8%
  • Practice expense (office) RVU4.65 · 90%
  • Malpractice RVU0.06 · 1%

934

Medicare services in 2024 · #3021 by national volume

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.

78201 compared with similar codes

Office rates for Modesto, from the same CMS release.

78202

Liver imaging

With vascular-flow phase

$207.86

Choose 78201 for static liver images alone; choose 78202 when vascular-flow imaging is part of the examination.

78215

Liver-spleen scan

Static images only

$192.91

78215 covers static imaging of both the liver and spleen, while 78201 is limited to liver imaging.

78216

Liver-spleen scan

With vascular flow

$141.81

78216 includes liver and spleen imaging with vascular-flow imaging; 78201 is static liver imaging alone.

78226

Hepatobiliary imaging

Without drug intervention

$308.68

78226 is for hepatobiliary system imaging, addressing biliary function or transit rather than static liver imaging alone.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 78201 is $186.08—$0.17 higher than the $185.91 rate in Modesto. Both use the same code, release and participation basis.

78201 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $185.91

  2. Bakersfield

    $186.08

    $0.17 higher than Modesto

  3. Chico

    $185.91

    The same base rate than Modesto

  4. El Centro

    $185.92

    $0.01 higher than Modesto

  5. Fresno

    $185.91

    The same base rate than Modesto

  6. Hanford-Corcoran

    $185.91

    The same base rate than Modesto

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $200.02

    $14.11 higher than Modesto

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 78201 ranges from $148.81 in Arkansas to $240.98 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Madera

    California · 78201

    Office

    $185.91

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Merced

    California · 78201

    Office

    $185.91

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Napa

    California · 78201

    Office

    $220.99

    Facility

    Unavailable

    $35.08 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 78201

    Office

    $199.59

    Facility

    Unavailable

    $13.68 higher than Modesto for the office setting.

  • Redding

    California · 78201

    Office

    $185.91

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 78201

    Office

    $185.91

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 78201

    Office

    $186.55

    Facility

    Unavailable

    $0.64 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 78201

    Office

    $196.58

    Facility

    Unavailable

    $10.67 higher than Modesto for the office setting.

  • Salinas

    California · 78201

    Office

    $195.89

    Facility

    Unavailable

    $9.98 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 78201

    Office

    $201.64

    Facility

    Unavailable

    $15.73 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 78201

    Office

    $235.64

    Facility

    Unavailable

    $49.73 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 78201

    Office

    $235.57

    Facility

    Unavailable

    $49.66 higher than Modesto for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 78201

    Office

    $240.98

    Facility

    Unavailable

    $55.07 higher than Modesto for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 78201

    Office

    $240.70

    Facility

    Unavailable

    $54.79 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 78201

    Office

    $192.58

    Facility

    Unavailable

    $6.67 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 78201

    Office

    $204.44

    Facility

    Unavailable

    $18.53 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 78201

    Office

    $196.94

    Facility

    Unavailable

    $11.03 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 78201

    Office

    $206.59

    Facility

    Unavailable

    $20.68 higher than Modesto for the office setting.

  • Stockton

    California · 78201

    Office

    $185.91

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 78201

    Office

    $220.89

    Facility

    Unavailable

    $34.98 higher than Modesto for the office setting.

  • Visalia

    California · 78201

    Office

    $185.91

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 78201

    Office

    $185.91

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 78201

    Office

    $200.33

    Facility

    Unavailable

    $14.42 higher than Modesto for the office setting.

  • Miami

    Florida · 78201

    Office

    $181.11

    Facility

    Unavailable

    $4.80 lower than Modesto for the office setting.

  • Chicago

    Illinois · 78201

    Office

    $175.15

    Facility

    Unavailable

    $10.76 lower than Modesto for the office setting.

  • Manhattan

    New York · 78201

    Office

    $198.94

    Facility

    Unavailable

    $13.03 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 78201

    Office

    $188.06

    Facility

    Unavailable

    $2.15 higher than Modesto for the office setting.

  • Alabama

    Alabama · 78201

    Office

    $151.40

    Facility

    Unavailable

    $34.51 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 78201

    Office

    $148.81

    Facility

    Unavailable

    $37.10 lower than Modesto for the office setting.

  • Arizona

    Arizona · 78201

    Office

    $166.58

    Facility

    Unavailable

    $19.33 lower than Modesto for the office setting.

  • Colorado

    Colorado · 78201

    Office

    $181.35

    Facility

    Unavailable

    $4.56 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 78201

    Office

    $184.35

    Facility

    Unavailable

    $1.56 lower than Modesto for the office setting.

  • Delaware

    Delaware · 78201

    Office

    $169.69

    Facility

    Unavailable

    $16.22 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 78201

    Office

    $175.32

    Facility

    Unavailable

    $10.59 lower than Modesto for the office setting.

  • Rest Of Florida

    Florida · 78201

    Office

    $165.85

    Facility

    Unavailable

    $20.06 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 78201

    Office

    $174.61

    Facility

    Unavailable

    $11.30 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 78201

    Office

    $155.29

    Facility

    Unavailable

    $30.62 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 78201

    Office

    $192.11

    Facility

    Unavailable

    $6.20 higher than Modesto for the office setting.

  • Iowa

    Iowa · 78201

    Office

    $157.27

    Facility

    Unavailable

    $28.64 lower than Modesto for the office setting.

  • Idaho

    Idaho · 78201

    Office

    $158.20

    Facility

    Unavailable

    $27.71 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 78201

    Office

    $161.29

    Facility

    Unavailable

    $24.62 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 78201

    Office

    $159.30

    Facility

    Unavailable

    $26.61 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 78201

    Office

    $177.52

    Facility

    Unavailable

    $8.39 lower than Modesto for the office setting.

  • Indiana

    Indiana · 78201

    Office

    $159.31

    Facility

    Unavailable

    $26.60 lower than Modesto for the office setting.

  • Kansas

    Kansas · 78201

    Office

    $155.78

    Facility

    Unavailable

    $30.13 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 78201

    Office

    $154.27

    Facility

    Unavailable

    $31.64 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 78201

    Office

    $162.79

    Facility

    Unavailable

    $23.12 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 78201

    Office

    $153.74

    Facility

    Unavailable

    $32.17 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 78201

    Office

    $202.18

    Facility

    Unavailable

    $16.27 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 78201

    Office

    $179.74

    Facility

    Unavailable

    $6.17 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 78201

    Office

    $183.72

    Facility

    Unavailable

    $2.19 lower than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 78201

    Office

    $173.52

    Facility

    Unavailable

    $12.39 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 78201

    Office

    $158.50

    Facility

    Unavailable

    $27.41 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 78201

    Office

    $169.54

    Facility

    Unavailable

    $16.37 lower than Modesto for the office setting.

  • Detroit

    Michigan · 78201

    Office

    $167.62

    Facility

    Unavailable

    $18.29 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 78201

    Office

    $158.43

    Facility

    Unavailable

    $27.48 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 78201

    Office

    $174.77

    Facility

    Unavailable

    $11.14 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 78201

    Office

    $162.16

    Facility

    Unavailable

    $23.75 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 78201

    Office

    $164.23

    Facility

    Unavailable

    $21.68 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 78201

    Office

    $150.20

    Facility

    Unavailable

    $35.71 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 78201

    Office

    $149.57

    Facility

    Unavailable

    $36.34 lower than Modesto for the office setting.

  • Montana**

    Montana · 78201

    Office

    $171.68

    Facility

    Unavailable

    $14.23 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 78201

    Office

    $160.55

    Facility

    Unavailable

    $25.36 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 78201

    Office

    $170.49

    Facility

    Unavailable

    $15.42 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 78201

    Office

    $158.47

    Facility

    Unavailable

    $27.44 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 78201

    Office

    $177.80

    Facility

    Unavailable

    $8.11 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 78201

    Office

    $197.57

    Facility

    Unavailable

    $11.66 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 78201

    Office

    $186.74

    Facility

    Unavailable

    $0.83 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 78201

    Office

    $159.19

    Facility

    Unavailable

    $26.72 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 78201

    Office

    $171.50

    Facility

    Unavailable

    $14.41 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 78201

    Office

    $203.67

    Facility

    Unavailable

    $17.76 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 78201

    Office

    $187.50

    Facility

    Unavailable

    $1.59 higher than Modesto for the office setting.

  • Queens

    New York · 78201

    Office

    $201.75

    Facility

    Unavailable

    $15.84 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 78201

    Office

    $163.32

    Facility

    Unavailable

    $22.59 lower than Modesto for the office setting.

  • Ohio

    Ohio · 78201

    Office

    $158.18

    Facility

    Unavailable

    $27.73 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 78201

    Office

    $154.62

    Facility

    Unavailable

    $31.29 lower than Modesto for the office setting.

  • Portland

    Oregon · 78201

    Office

    $188.64

    Facility

    Unavailable

    $2.73 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 78201

    Office

    $170.46

    Facility

    Unavailable

    $15.45 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 78201

    Office

    $178.69

    Facility

    Unavailable

    $7.22 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 78201

    Office

    $158.83

    Facility

    Unavailable

    $27.08 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 78201

    Office

    $173.36

    Facility

    Unavailable

    $12.55 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 78201

    Office

    $176.86

    Facility

    Unavailable

    $9.05 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 78201

    Office

    $159.58

    Facility

    Unavailable

    $26.33 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 78201

    Office

    $170.35

    Facility

    Unavailable

    $15.56 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 78201

    Office

    $156.62

    Facility

    Unavailable

    $29.29 lower than Modesto for the office setting.

  • Austin

    Texas · 78201

    Office

    $180.49

    Facility

    Unavailable

    $5.42 lower than Modesto for the office setting.

  • Beaumont

    Texas · 78201

    Office

    $157.56

    Facility

    Unavailable

    $28.35 lower than Modesto for the office setting.

  • Brazoria

    Texas · 78201

    Office

    $169.96

    Facility

    Unavailable

    $15.95 lower than Modesto for the office setting.

  • Dallas

    Texas · 78201

    Office

    $170.90

    Facility

    Unavailable

    $15.01 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 78201

    Office

    $169.38

    Facility

    Unavailable

    $16.53 lower than Modesto for the office setting.

  • Galveston

    Texas · 78201

    Office

    $170.36

    Facility

    Unavailable

    $15.55 lower than Modesto for the office setting.

  • Houston

    Texas · 78201

    Office

    $171.46

    Facility

    Unavailable

    $14.45 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 78201

    Office

    $163.57

    Facility

    Unavailable

    $22.34 lower than Modesto for the office setting.

  • Utah

    Utah · 78201

    Office

    $162.16

    Facility

    Unavailable

    $23.75 lower than Modesto for the office setting.

  • Virginia

    Virginia · 78201

    Office

    $168.45

    Facility

    Unavailable

    $17.46 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 78201

    Office

    $173.36

    Facility

    Unavailable

    $12.55 lower than Modesto for the office setting.

  • Vermont

    Vermont · 78201

    Office

    $169.14

    Facility

    Unavailable

    $16.77 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 78201

    Office

    $179.62

    Facility

    Unavailable

    $6.29 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 78201

    Office

    $207.29

    Facility

    Unavailable

    $21.38 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 78201

    Office

    $163.77

    Facility

    Unavailable

    $22.14 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 78201

    Office

    $152.20

    Facility

    Unavailable

    $33.71 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 78201

    Office

    $171.16

    Facility

    Unavailable

    $14.75 lower than Modesto for the office setting.

See how rates vary across the country

78201 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$148.81

$213.45

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$188.061
AL$151.401
AR$148.811
AZ$166.581
CA$185.91–$240.9829
CO$181.351
CT$184.351
DC$200.331
DE$169.691
FL$165.85–$181.113
GA$155.29–$174.612
GU$192.111
HI$192.111
IA$157.271
ID$158.201
IL$159.30–$177.524
IN$159.311
KS$155.781
KY$154.271
LA$153.74–$162.792
MA$179.74–$202.182
MD$173.52–$200.333
ME$158.50–$169.542
MI$158.43–$167.622
MN$174.771
MO$150.20–$164.233
MS$149.571
MT$171.681
NC$160.551
ND$170.491
NE$158.471
NH$177.801
NJ$186.74–$197.572
NM$159.191
NV$171.501
NY$163.32–$203.675
OH$158.181
OK$154.621
OR$170.46–$188.642
PA$158.83–$178.692
PR$173.361
RI$176.861
SC$159.581
SD$170.351
TN$156.621
TX$157.56–$180.498
UT$162.161
VA$168.45–$200.332
VI$173.361
VT$169.141
WA$179.62–$207.292
WI$163.771
WV$152.201
WY$171.161

Explore 78201 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 78201 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$204.50

$185.91 × 110% = $204.50

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 78201 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

9,257

Code
78201
Physician work
0.43
Practice expense
4.65
Malpractice
0.06

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 78201 in Modesto
ComponentRVULocality factorAdjusted
Physician work0.43× 1.0170.4373
Practice expense4.65× 1.0965.0964
Malpractice0.06× 0.5360.0322
Total RVUs5.5659
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$185.91

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 78201 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.431.017
Practice expense4.651.096
Malpractice0.060.536

(0.43 × 1.017 + 4.65 × 1.096 + 0.06 × 0.536) × $33.4009 = $185.91

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

78201 · Office / nonfacility

$185.91

Effective 2026-10-01

The base rate is $2.46 higher than on 2025-10-01, moving from $183.45 to $185.91 (1.3%).

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

    $183.45changed to$185.91

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.44 changed to 0.43
    • Practice expense RVU 4.75 changed to 4.65
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $183.45

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$185.91Not available in this settingRVU26D
2026-07-01$185.91Not available in this settingRVU26C
2026-04-01$185.91Not available in this settingRVU26B
2026-01-01$185.91Not available in this settingRVU26A
2025-10-01$183.45Not available in this settingRVU25D
2025-07-01$183.45Not available in this settingRVU25C
2025-04-01$183.45Not available in this settingRVU25B
2025-01-01$183.45Not available in this settingRVU25A

78201 billing questions

How does 78201 differ from 78202?

78201 identifies static liver imaging alone. Use 78202 when the examination includes vascular-flow imaging.

When is 78215 a better fit?

Use 78215 for static imaging of both the liver and spleen. Code 78201 is focused on the liver alone.

Can the professional and technical services be billed separately?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service.

What documentation supports reporting 78201?

The order, imaging record, and interpretation should establish that the service was static imaging of the liver alone, without vascular-flow imaging or spleen imaging.

Is 78201 the code for a hepatobiliary study?

No. 78201 describes static liver imaging; 78226 is used for imaging of 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 78201PPRRVU2026_Oct_nonQPP.csv, line 9,257 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet