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CMS RVU26D · Effective 2026-10-01

78258 in Redding

Office / nonfacility

$221.74

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 78258: Nuclear esophageal transit study

Reports radionuclide assessment of esophageal transit when a clinician evaluates impaired esophageal movement, such as in a patient with dysphagia.

This nuclear medicine study evaluates how material moves through the esophagus. The patient swallows a radiotracer-containing bolus while a gamma camera records its passage; the resulting images help assess esophageal transit in a patient with symptoms such as dysphagia or suspected motility impairment. Nuclear medicine staff typically perform the imaging, and a physician interprets the findings. It is distinct from pressure-based esophageal manometry.

Report the study when the record supports a radionuclide evaluation of esophageal movement, rather than a reflux or gastric-emptying assessment. Documentation should identify the clinical reason, the imaging performed, and the physician’s interpretation. CMS recognizes a professional component for interpretation, reported with modifier 26, and a technical component for equipment and staff, reported with modifier TC. Reporting without either modifier represents the global service.

CMS billing rules for 78258

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 RVU0.72 · 12%
  • Practice expense (office) RVU5.35 · 87%
  • Malpractice RVU0.08 · 1%

85

Medicare services in 2024 · #5003 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.

78258 compared with similar codes

Office rates for Redding, from the same CMS release.

78262

Reflux imaging

Gastroesophageal reflux

$235.08

78258 evaluates esophageal transit by radionuclide imaging; 78262 is focused on gastroesophageal reflux.

91010

Esophageal manometry

Standard pressure study

$264.45

Report 91010 for catheter-based esophageal pressure and motility measurement. Report 78258 for radionuclide imaging of esophageal transit.

78264

Gastric emptying

Stomach only

$314.04

78264 evaluates gastric emptying, not movement through the esophagus. Select according to the anatomic region and functional question studied.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 78258 is $221.98—$0.24 higher than the $221.74 rate in Redding. Both use the same code, release and participation basis.

78258 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $221.74

  2. Bakersfield

    $221.98

    $0.24 higher than Redding

  3. Chico

    $221.74

    The same base rate than Redding

  4. El Centro

    $221.75

    $0.01 higher than Redding

  5. Fresno

    $221.74

    The same base rate than Redding

  6. Hanford-Corcoran

    $221.74

    The same base rate than Redding

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

    $238.20

    $16.46 higher than Redding

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, 78258 ranges from $178.92 in Arkansas to $285.80 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 · 78258

    Office

    $221.74

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Merced

    California · 78258

    Office

    $221.74

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Modesto

    California · 78258

    Office

    $221.74

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Napa

    California · 78258

    Office

    $262.44

    Facility

    Unavailable

    $40.70 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 78258

    Office

    $237.60

    Facility

    Unavailable

    $15.86 higher than Redding for the office setting.

  • Rest Of California

    California · 78258

    Office

    $221.74

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 78258

    Office

    $222.61

    Facility

    Unavailable

    $0.87 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 78258

    Office

    $234.17

    Facility

    Unavailable

    $12.43 higher than Redding for the office setting.

  • Salinas

    California · 78258

    Office

    $233.33

    Facility

    Unavailable

    $11.59 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 78258

    Office

    $239.94

    Facility

    Unavailable

    $18.20 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 78258

    Office

    $279.52

    Facility

    Unavailable

    $57.78 higher than Redding for the office setting.

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

    California · 78258

    Office

    $279.43

    Facility

    Unavailable

    $57.69 higher than Redding for the office setting.

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

    California · 78258

    Office

    $285.80

    Facility

    Unavailable

    $64.06 higher than Redding for the office setting.

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

    California · 78258

    Office

    $285.43

    Facility

    Unavailable

    $63.69 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 78258

    Office

    $229.42

    Facility

    Unavailable

    $7.68 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 78258

    Office

    $243.10

    Facility

    Unavailable

    $21.36 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 78258

    Office

    $234.51

    Facility

    Unavailable

    $12.77 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 78258

    Office

    $245.64

    Facility

    Unavailable

    $23.90 higher than Redding for the office setting.

  • Stockton

    California · 78258

    Office

    $221.74

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 78258

    Office

    $262.31

    Facility

    Unavailable

    $40.57 higher than Redding for the office setting.

  • Visalia

    California · 78258

    Office

    $221.74

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 78258

    Office

    $221.74

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 78258

    Office

    $238.82

    Facility

    Unavailable

    $17.08 higher than Redding for the office setting.

  • Miami

    Florida · 78258

    Office

    $216.83

    Facility

    Unavailable

    $4.91 lower than Redding for the office setting.

  • Chicago

    Illinois · 78258

    Office

    $209.94

    Facility

    Unavailable

    $11.80 lower than Redding for the office setting.

  • Manhattan

    New York · 78258

    Office

    $237.47

    Facility

    Unavailable

    $15.73 higher than Redding for the office setting.

  • Alaska*

    Alaska · 78258

    Office

    $227.86

    Facility

    Unavailable

    $6.12 higher than Redding for the office setting.

  • Alabama

    Alabama · 78258

    Office

    $181.92

    Facility

    Unavailable

    $39.82 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 78258

    Office

    $178.92

    Facility

    Unavailable

    $42.82 lower than Redding for the office setting.

  • Arizona

    Arizona · 78258

    Office

    $199.49

    Facility

    Unavailable

    $22.25 lower than Redding for the office setting.

  • Colorado

    Colorado · 78258

    Office

    $216.56

    Facility

    Unavailable

    $5.18 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 78258

    Office

    $220.22

    Facility

    Unavailable

    $1.52 lower than Redding for the office setting.

  • Delaware

    Delaware · 78258

    Office

    $203.12

    Facility

    Unavailable

    $18.62 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 78258

    Office

    $209.90

    Facility

    Unavailable

    $11.84 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 78258

    Office

    $198.90

    Facility

    Unavailable

    $22.84 lower than Redding for the office setting.

  • Atlanta

    Georgia · 78258

    Office

    $208.88

    Facility

    Unavailable

    $12.86 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 78258

    Office

    $186.63

    Facility

    Unavailable

    $35.11 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 78258

    Office

    $228.77

    Facility

    Unavailable

    $7.03 higher than Redding for the office setting.

  • Iowa

    Iowa · 78258

    Office

    $188.62

    Facility

    Unavailable

    $33.12 lower than Redding for the office setting.

  • Idaho

    Idaho · 78258

    Office

    $189.71

    Facility

    Unavailable

    $32.03 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 78258

    Office

    $193.83

    Facility

    Unavailable

    $27.91 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 78258

    Office

    $191.37

    Facility

    Unavailable

    $30.37 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 78258

    Office

    $212.47

    Facility

    Unavailable

    $9.27 lower than Redding for the office setting.

  • Indiana

    Indiana · 78258

    Office

    $191.00

    Facility

    Unavailable

    $30.74 lower than Redding for the office setting.

  • Kansas

    Kansas · 78258

    Office

    $186.94

    Facility

    Unavailable

    $34.80 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 78258

    Office

    $185.35

    Facility

    Unavailable

    $36.39 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 78258

    Office

    $195.24

    Facility

    Unavailable

    $26.50 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 78258

    Office

    $184.75

    Facility

    Unavailable

    $36.99 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 78258

    Office

    $240.77

    Facility

    Unavailable

    $19.03 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 78258

    Office

    $214.73

    Facility

    Unavailable

    $7.01 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 78258

    Office

    $219.48

    Facility

    Unavailable

    $2.26 lower than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 78258

    Office

    $207.58

    Facility

    Unavailable

    $14.16 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 78258

    Office

    $190.11

    Facility

    Unavailable

    $31.63 lower than Redding for the office setting.

  • Southern Maine

    Maine · 78258

    Office

    $202.82

    Facility

    Unavailable

    $18.92 lower than Redding for the office setting.

  • Detroit

    Michigan · 78258

    Office

    $200.99

    Facility

    Unavailable

    $20.75 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 78258

    Office

    $190.21

    Facility

    Unavailable

    $31.53 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 78258

    Office

    $208.72

    Facility

    Unavailable

    $13.02 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 78258

    Office

    $194.45

    Facility

    Unavailable

    $27.29 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 78258

    Office

    $196.84

    Facility

    Unavailable

    $24.90 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 78258

    Office

    $180.69

    Facility

    Unavailable

    $41.05 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 78258

    Office

    $179.88

    Facility

    Unavailable

    $41.86 lower than Redding for the office setting.

  • Montana**

    Montana · 78258

    Office

    $205.41

    Facility

    Unavailable

    $16.33 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 78258

    Office

    $192.48

    Facility

    Unavailable

    $29.26 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 78258

    Office

    $203.83

    Facility

    Unavailable

    $17.91 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 78258

    Office

    $189.99

    Facility

    Unavailable

    $31.75 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 78258

    Office

    $212.41

    Facility

    Unavailable

    $9.33 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 78258

    Office

    $235.70

    Facility

    Unavailable

    $13.96 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 78258

    Office

    $223.08

    Facility

    Unavailable

    $1.34 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 78258

    Office

    $191.12

    Facility

    Unavailable

    $30.62 lower than Redding for the office setting.

  • Nevada**

    Nevada · 78258

    Office

    $205.15

    Facility

    Unavailable

    $16.59 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 78258

    Office

    $243.02

    Facility

    Unavailable

    $21.28 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 78258

    Office

    $224.03

    Facility

    Unavailable

    $2.29 higher than Redding for the office setting.

  • Queens

    New York · 78258

    Office

    $240.66

    Facility

    Unavailable

    $18.92 higher than Redding for the office setting.

  • Rest Of New York

    New York · 78258

    Office

    $195.69

    Facility

    Unavailable

    $26.05 lower than Redding for the office setting.

  • Ohio

    Ohio · 78258

    Office

    $189.89

    Facility

    Unavailable

    $31.85 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 78258

    Office

    $185.70

    Facility

    Unavailable

    $36.04 lower than Redding for the office setting.

  • Portland

    Oregon · 78258

    Office

    $224.95

    Facility

    Unavailable

    $3.21 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 78258

    Office

    $203.91

    Facility

    Unavailable

    $17.83 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 78258

    Office

    $213.69

    Facility

    Unavailable

    $8.05 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 78258

    Office

    $190.62

    Facility

    Unavailable

    $31.12 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 78258

    Office

    $207.34

    Facility

    Unavailable

    $14.40 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 78258

    Office

    $211.48

    Facility

    Unavailable

    $10.26 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 78258

    Office

    $191.43

    Facility

    Unavailable

    $30.31 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 78258

    Office

    $203.64

    Facility

    Unavailable

    $18.10 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 78258

    Office

    $187.92

    Facility

    Unavailable

    $33.82 lower than Redding for the office setting.

  • Austin

    Texas · 78258

    Office

    $215.52

    Facility

    Unavailable

    $6.22 lower than Redding for the office setting.

  • Beaumont

    Texas · 78258

    Office

    $189.14

    Facility

    Unavailable

    $32.60 lower than Redding for the office setting.

  • Brazoria

    Texas · 78258

    Office

    $203.41

    Facility

    Unavailable

    $18.33 lower than Redding for the office setting.

  • Dallas

    Texas · 78258

    Office

    $204.54

    Facility

    Unavailable

    $17.20 lower than Redding for the office setting.

  • Fort Worth

    Texas · 78258

    Office

    $202.79

    Facility

    Unavailable

    $18.95 lower than Redding for the office setting.

  • Galveston

    Texas · 78258

    Office

    $203.90

    Facility

    Unavailable

    $17.84 lower than Redding for the office setting.

  • Houston

    Texas · 78258

    Office

    $205.36

    Facility

    Unavailable

    $16.38 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 78258

    Office

    $196.04

    Facility

    Unavailable

    $25.70 lower than Redding for the office setting.

  • Utah

    Utah · 78258

    Office

    $194.42

    Facility

    Unavailable

    $27.32 lower than Redding for the office setting.

  • Virginia

    Virginia · 78258

    Office

    $201.59

    Facility

    Unavailable

    $20.15 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 78258

    Office

    $207.34

    Facility

    Unavailable

    $14.40 lower than Redding for the office setting.

  • Vermont

    Vermont · 78258

    Office

    $202.31

    Facility

    Unavailable

    $19.43 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 78258

    Office

    $214.56

    Facility

    Unavailable

    $7.18 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 78258

    Office

    $246.69

    Facility

    Unavailable

    $24.95 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 78258

    Office

    $196.06

    Facility

    Unavailable

    $25.68 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 78258

    Office

    $183.16

    Facility

    Unavailable

    $38.58 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 78258

    Office

    $204.72

    Facility

    Unavailable

    $17.02 lower than Redding for the office setting.

See how rates vary across the country

78258 · 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.

$178.92

$253.77

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$227.861
AL$181.921
AR$178.921
AZ$199.491
CA$221.74–$285.8029
CO$216.561
CT$220.221
DC$238.821
DE$203.121
FL$198.90–$216.833
GA$186.63–$208.882
GU$228.771
HI$228.771
IA$188.621
ID$189.711
IL$191.37–$212.474
IN$191.001
KS$186.941
KY$185.351
LA$184.75–$195.242
MA$214.73–$240.772
MD$207.58–$238.823
ME$190.11–$202.822
MI$190.21–$200.992
MN$208.721
MO$180.69–$196.843
MS$179.881
MT$205.411
NC$192.481
ND$203.831
NE$189.991
NH$212.411
NJ$223.08–$235.702
NM$191.121
NV$205.151
NY$195.69–$243.025
OH$189.891
OK$185.701
OR$203.91–$224.952
PA$190.62–$213.692
PR$207.341
RI$211.481
SC$191.431
SD$203.641
TN$187.921
TX$189.14–$215.528
UT$194.421
VA$201.59–$238.822
VI$207.341
VT$202.311
WA$214.56–$246.692
WI$196.061
WV$183.161
WY$204.721

Explore 78258 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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 78258 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$243.91

$221.74 × 110% = $243.91

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.

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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 78258 in Redding.

PPRRVU2026_Oct_nonQPP.csv

9,284

Code
78258
Physician work
0.72
Practice expense
5.35
Malpractice
0.08

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 78258 in Redding
ComponentRVULocality factorAdjusted
Physician work0.72× 1.0170.7322
Practice expense5.35× 1.0965.8636
Malpractice0.08× 0.5360.0429
Total RVUs6.6387
Conversion factor× 33.4009

Office / nonfacility rate, Redding$221.74

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

Open 78258 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.721.017
Practice expense5.351.096
Malpractice0.080.536

(0.72 × 1.017 + 5.35 × 1.096 + 0.08 × 0.536) × $33.4009 = $221.74

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

78258 · Office / nonfacility

$221.74

Effective 2026-10-01

The base rate is $16.60 higher than on 2025-10-01, moving from $205.14 to $221.74 (8.1%).

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

    $205.14changed to$221.74

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.74 changed to 0.72
    • Practice expense RVU 5.08 changed to 5.35
    • Malpractice RVU 0.07 changed to 0.08
    • 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: $205.14

    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$221.74Not available in this settingRVU26D
2026-07-01$221.74Not available in this settingRVU26C
2026-04-01$221.74Not available in this settingRVU26B
2026-01-01$221.74Not available in this settingRVU26A
2025-10-01$205.14Not available in this settingRVU25D
2025-07-01$205.14Not available in this settingRVU25C
2025-04-01$205.14Not available in this settingRVU25B
2025-01-01$205.14Not available in this settingRVU25A

78258 billing questions

How is this different from esophageal manometry?

This code represents radionuclide imaging of esophageal transit. Manometry, reported with 91010, measures pressure and coordination using a catheter rather than imaging a swallowed tracer.

When should 78262 be considered instead?

Use 78262 for a radionuclide study focused on gastroesophageal reflux. Use 78258 when the clinical question is esophageal movement or transit.

Can the professional and technical portions be billed separately?

Yes. Report modifier 26 for the physician’s interpretation or modifier TC for the equipment and staff portion. Without either modifier, the claim represents the global service.

What documentation supports reporting 78258?

The record should support a radionuclide esophageal transit evaluation and include the clinical indication, imaging performed, and interpretation. Dysphagia or suspected impaired esophageal movement may support the study when documented.

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 78258PPRRVU2026_Oct_nonQPP.csv, line 9,284 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet