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CMS RVU26D · Effective 2026-10-01

78290 in Redding

Office / nonfacility

$315.43

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 78290: Intestinal ectopic mucosa imaging

Reports intestinal scintigraphy, commonly used to locate ectopic gastric mucosa such as in suspected Meckel diverticulum, with professional and technical components available.

This nuclear medicine examination images the intestine, commonly to detect ectopic gastric mucosa in a patient being evaluated for a Meckel diverticulum. A nuclear medicine technologist performs the imaging, and a nuclear medicine physician interprets the study. It is typically performed in a hospital or outpatient nuclear medicine department; a common clinical presentation is a child with painless gastrointestinal bleeding and suspected Meckel diverticulum.

Select this code when the study is directed at intestinal localization, rather than gastric emptying, bowel transit, or active bleeding localization. Documentation should identify the clinical indication, imaging performed, and interpretation supporting the intestinal focus. CMS allows the service to be billed globally without a component modifier, or split between the professional interpretation with modifier 26 and the technical service with modifier TC. The technical component represents the equipment and staff; the professional component represents interpretation.

CMS billing rules for 78290

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 RVU0.66 · 8%
  • Practice expense (office) RVU7.96 · 91%
  • Malpractice RVU0.09 · 1%

233

Medicare services in 2024 · #4192 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.

78290 compared with similar codes

Office rates for Redding, from the same CMS release.

78261

Gastric mucosa scan

Ectopic tissue localization

$198.64

Choose 78290 for an intestine-directed study, commonly to locate ectopic gastric mucosa. Choose 78261 when the imaging target is the gastric mucosa.

78278

GI bleeding scan

Acute blood loss

$330.53

78278 is for imaging to localize acute gastrointestinal blood loss; 78290 is used for intestinal imaging such as evaluation for ectopic gastric mucosa.

78265

Gastric emptying

With small bowel transit

$376.49

78265 evaluates gastric emptying and includes small-bowel transit imaging. It is not the code for an intestinal study directed at ectopic gastric mucosa.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 78290 is $315.69—$0.26 higher than the $315.43 rate in Redding. Both use the same code, release and participation basis.

78290 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $315.43

  2. Bakersfield

    $315.69

    $0.26 higher than Redding

  3. Chico

    $315.43

    The same base rate than Redding

  4. El Centro

    $315.44

    $0.01 higher than Redding

  5. Fresno

    $315.43

    The same base rate than Redding

  6. Hanford-Corcoran

    $315.43

    The same base rate than Redding

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

    $339.47

    $24.04 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, 78290 ranges from $251.98 in Arkansas to $409.47 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 · 78290

    Office

    $315.43

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Merced

    California · 78290

    Office

    $315.43

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Modesto

    California · 78290

    Office

    $315.43

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Napa

    California · 78290

    Office

    $375.38

    Facility

    Unavailable

    $59.95 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 78290

    Office

    $338.79

    Facility

    Unavailable

    $23.36 higher than Redding for the office setting.

  • Rest Of California

    California · 78290

    Office

    $315.43

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 78290

    Office

    $316.40

    Facility

    Unavailable

    $0.97 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 78290

    Office

    $333.66

    Facility

    Unavailable

    $18.23 higher than Redding for the office setting.

  • Salinas

    California · 78290

    Office

    $332.48

    Facility

    Unavailable

    $17.05 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 78290

    Office

    $342.32

    Facility

    Unavailable

    $26.89 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 78290

    Office

    $400.40

    Facility

    Unavailable

    $84.97 higher than Redding for the office setting.

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

    California · 78290

    Office

    $400.29

    Facility

    Unavailable

    $84.86 higher than Redding for the office setting.

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

    California · 78290

    Office

    $409.47

    Facility

    Unavailable

    $94.04 higher than Redding for the office setting.

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

    California · 78290

    Office

    $409.05

    Facility

    Unavailable

    $93.62 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 78290

    Office

    $326.86

    Facility

    Unavailable

    $11.43 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 78290

    Office

    $347.15

    Facility

    Unavailable

    $31.72 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 78290

    Office

    $334.28

    Facility

    Unavailable

    $18.85 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 78290

    Office

    $350.81

    Facility

    Unavailable

    $35.38 higher than Redding for the office setting.

  • Stockton

    California · 78290

    Office

    $315.43

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 78290

    Office

    $375.23

    Facility

    Unavailable

    $59.80 higher than Redding for the office setting.

  • Visalia

    California · 78290

    Office

    $315.43

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 78290

    Office

    $315.43

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 78290

    Office

    $339.78

    Facility

    Unavailable

    $24.35 higher than Redding for the office setting.

  • Miami

    Florida · 78290

    Office

    $306.42

    Facility

    Unavailable

    $9.01 lower than Redding for the office setting.

  • Chicago

    Illinois · 78290

    Office

    $296.30

    Facility

    Unavailable

    $19.13 lower than Redding for the office setting.

  • Manhattan

    New York · 78290

    Office

    $337.17

    Facility

    Unavailable

    $21.74 higher than Redding for the office setting.

  • Alaska*

    Alaska · 78290

    Office

    $317.88

    Facility

    Unavailable

    $2.45 higher than Redding for the office setting.

  • Alabama

    Alabama · 78290

    Office

    $256.38

    Facility

    Unavailable

    $59.05 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 78290

    Office

    $251.98

    Facility

    Unavailable

    $63.45 lower than Redding for the office setting.

  • Arizona

    Arizona · 78290

    Office

    $282.25

    Facility

    Unavailable

    $33.18 lower than Redding for the office setting.

  • Colorado

    Colorado · 78290

    Office

    $307.54

    Facility

    Unavailable

    $7.89 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 78290

    Office

    $312.47

    Facility

    Unavailable

    $2.96 lower than Redding for the office setting.

  • Delaware

    Delaware · 78290

    Office

    $287.54

    Facility

    Unavailable

    $27.89 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 78290

    Office

    $296.81

    Facility

    Unavailable

    $18.62 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 78290

    Office

    $280.74

    Facility

    Unavailable

    $34.69 lower than Redding for the office setting.

  • Atlanta

    Georgia · 78290

    Office

    $295.85

    Facility

    Unavailable

    $19.58 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 78290

    Office

    $262.78

    Facility

    Unavailable

    $52.65 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 78290

    Office

    $326.08

    Facility

    Unavailable

    $10.65 higher than Redding for the office setting.

  • Iowa

    Iowa · 78290

    Office

    $266.51

    Facility

    Unavailable

    $48.92 lower than Redding for the office setting.

  • Idaho

    Idaho · 78290

    Office

    $268.07

    Facility

    Unavailable

    $47.36 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 78290

    Office

    $272.70

    Facility

    Unavailable

    $42.73 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 78290

    Office

    $269.48

    Facility

    Unavailable

    $45.95 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 78290

    Office

    $300.58

    Facility

    Unavailable

    $14.85 lower than Redding for the office setting.

  • Indiana

    Indiana · 78290

    Office

    $269.97

    Facility

    Unavailable

    $45.46 lower than Redding for the office setting.

  • Kansas

    Kansas · 78290

    Office

    $263.91

    Facility

    Unavailable

    $51.52 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 78290

    Office

    $261.15

    Facility

    Unavailable

    $54.28 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 78290

    Office

    $275.64

    Facility

    Unavailable

    $39.79 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 78290

    Office

    $260.22

    Facility

    Unavailable

    $55.21 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 78290

    Office

    $343.07

    Facility

    Unavailable

    $27.64 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 78290

    Office

    $304.76

    Facility

    Unavailable

    $10.67 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 78290

    Office

    $311.40

    Facility

    Unavailable

    $4.03 lower than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 78290

    Office

    $294.09

    Facility

    Unavailable

    $21.34 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 78290

    Office

    $268.52

    Facility

    Unavailable

    $46.91 lower than Redding for the office setting.

  • Southern Maine

    Maine · 78290

    Office

    $287.42

    Facility

    Unavailable

    $28.01 lower than Redding for the office setting.

  • Detroit

    Michigan · 78290

    Office

    $283.68

    Facility

    Unavailable

    $31.75 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 78290

    Office

    $268.18

    Facility

    Unavailable

    $47.25 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 78290

    Office

    $296.52

    Facility

    Unavailable

    $18.91 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 78290

    Office

    $274.63

    Facility

    Unavailable

    $40.80 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 78290

    Office

    $278.17

    Facility

    Unavailable

    $37.26 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 78290

    Office

    $254.15

    Facility

    Unavailable

    $61.28 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 78290

    Office

    $253.18

    Facility

    Unavailable

    $62.25 lower than Redding for the office setting.

  • Montana**

    Montana · 78290

    Office

    $290.92

    Facility

    Unavailable

    $24.51 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 78290

    Office

    $272.02

    Facility

    Unavailable

    $43.41 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 78290

    Office

    $289.14

    Facility

    Unavailable

    $26.29 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 78290

    Office

    $268.58

    Facility

    Unavailable

    $46.85 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 78290

    Office

    $301.45

    Facility

    Unavailable

    $13.98 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 78290

    Office

    $335.05

    Facility

    Unavailable

    $19.62 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 78290

    Office

    $316.56

    Facility

    Unavailable

    $1.13 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 78290

    Office

    $269.46

    Facility

    Unavailable

    $45.97 lower than Redding for the office setting.

  • Nevada**

    Nevada · 78290

    Office

    $290.69

    Facility

    Unavailable

    $24.74 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 78290

    Office

    $345.16

    Facility

    Unavailable

    $29.73 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 78290

    Office

    $317.80

    Facility

    Unavailable

    $2.37 higher than Redding for the office setting.

  • Queens

    New York · 78290

    Office

    $342.05

    Facility

    Unavailable

    $26.62 higher than Redding for the office setting.

  • Rest Of New York

    New York · 78290

    Office

    $276.74

    Facility

    Unavailable

    $38.69 lower than Redding for the office setting.

  • Ohio

    Ohio · 78290

    Office

    $267.82

    Facility

    Unavailable

    $47.61 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 78290

    Office

    $261.80

    Facility

    Unavailable

    $53.63 lower than Redding for the office setting.

  • Portland

    Oregon · 78290

    Office

    $320.02

    Facility

    Unavailable

    $4.59 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 78290

    Office

    $288.97

    Facility

    Unavailable

    $26.46 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 78290

    Office

    $302.80

    Facility

    Unavailable

    $12.63 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 78290

    Office

    $268.96

    Facility

    Unavailable

    $46.47 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 78290

    Office

    $293.80

    Facility

    Unavailable

    $21.63 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 78290

    Office

    $299.79

    Facility

    Unavailable

    $15.64 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 78290

    Office

    $270.26

    Facility

    Unavailable

    $45.17 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 78290

    Office

    $288.93

    Facility

    Unavailable

    $26.50 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 78290

    Office

    $265.34

    Facility

    Unavailable

    $50.09 lower than Redding for the office setting.

  • Austin

    Texas · 78290

    Office

    $306.04

    Facility

    Unavailable

    $9.39 lower than Redding for the office setting.

  • Beaumont

    Texas · 78290

    Office

    $266.78

    Facility

    Unavailable

    $48.65 lower than Redding for the office setting.

  • Brazoria

    Texas · 78290

    Office

    $288.04

    Facility

    Unavailable

    $27.39 lower than Redding for the office setting.

  • Dallas

    Texas · 78290

    Office

    $289.63

    Facility

    Unavailable

    $25.80 lower than Redding for the office setting.

  • Fort Worth

    Texas · 78290

    Office

    $287.01

    Facility

    Unavailable

    $28.42 lower than Redding for the office setting.

  • Galveston

    Texas · 78290

    Office

    $288.72

    Facility

    Unavailable

    $26.71 lower than Redding for the office setting.

  • Houston

    Texas · 78290

    Office

    $290.37

    Facility

    Unavailable

    $25.06 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 78290

    Office

    $277.07

    Facility

    Unavailable

    $38.36 lower than Redding for the office setting.

  • Utah

    Utah · 78290

    Office

    $274.66

    Facility

    Unavailable

    $40.77 lower than Redding for the office setting.

  • Virginia

    Virginia · 78290

    Office

    $285.52

    Facility

    Unavailable

    $29.91 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 78290

    Office

    $293.80

    Facility

    Unavailable

    $21.63 lower than Redding for the office setting.

  • Vermont

    Vermont · 78290

    Office

    $286.78

    Facility

    Unavailable

    $28.65 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 78290

    Office

    $304.58

    Facility

    Unavailable

    $10.85 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 78290

    Office

    $351.83

    Facility

    Unavailable

    $36.40 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 78290

    Office

    $277.68

    Facility

    Unavailable

    $37.75 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 78290

    Office

    $257.39

    Facility

    Unavailable

    $58.04 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 78290

    Office

    $290.14

    Facility

    Unavailable

    $25.29 lower than Redding for the office setting.

See how rates vary across the country

78290 · 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.

$251.98

$362.45

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$317.881
AL$256.381
AR$251.981
AZ$282.251
CA$315.43–$409.4729
CO$307.541
CT$312.471
DC$339.781
DE$287.541
FL$280.74–$306.423
GA$262.78–$295.852
GU$326.081
HI$326.081
IA$266.511
ID$268.071
IL$269.48–$300.584
IN$269.971
KS$263.911
KY$261.151
LA$260.22–$275.642
MA$304.76–$343.072
MD$294.09–$339.783
ME$268.52–$287.422
MI$268.18–$283.682
MN$296.521
MO$254.15–$278.173
MS$253.181
MT$290.921
NC$272.021
ND$289.141
NE$268.581
NH$301.451
NJ$316.56–$335.052
NM$269.461
NV$290.691
NY$276.74–$345.165
OH$267.821
OK$261.801
OR$288.97–$320.022
PA$268.96–$302.802
PR$293.801
RI$299.791
SC$270.261
SD$288.931
TN$265.341
TX$266.78–$306.048
UT$274.661
VA$285.52–$339.782
VI$293.801
VT$286.781
WA$304.58–$351.832
WI$277.681
WV$257.391
WY$290.141

Explore 78290 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 78290 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$346.97

$315.43 × 110% = $346.97

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 78290 in Redding.

PPRRVU2026_Oct_nonQPP.csv

9,310

Code
78290
Physician work
0.66
Practice expense
7.96
Malpractice
0.09

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 78290 in Redding
ComponentRVULocality factorAdjusted
Physician work0.66× 1.0170.6712
Practice expense7.96× 1.0968.7242
Malpractice0.09× 0.5360.0482
Total RVUs9.4436
Conversion factor× 33.4009

Office / nonfacility rate, Redding$315.43

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

Open 78290 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.661.017
Practice expense7.961.096
Malpractice0.090.536

(0.66 × 1.017 + 7.96 × 1.096 + 0.09 × 0.536) × $33.4009 = $315.43

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

78290 · Office / nonfacility

$315.43

Effective 2026-10-01

The base rate is $5.66 higher than on 2025-10-01, moving from $309.77 to $315.43 (1.8%).

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

    $309.77changed to$315.43

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.68 changed to 0.66
    • Practice expense RVU 8.09 changed to 7.96
    • Malpractice RVU 0.08 changed to 0.09
    • 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: $309.77

    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$315.43Not available in this settingRVU26D
2026-07-01$315.43Not available in this settingRVU26C
2026-04-01$315.43Not available in this settingRVU26B
2026-01-01$315.43Not available in this settingRVU26A
2025-10-01$309.77Not available in this settingRVU25D
2025-07-01$309.77Not available in this settingRVU25C
2025-04-01$309.77Not available in this settingRVU25B
2025-01-01$309.77Not available in this settingRVU25A

78290 billing questions

When is this code appropriate for a suspected Meckel diverticulum?

Use it when the nuclear medicine study is directed at locating ectopic gastric mucosa in the intestine, a common reason to evaluate for Meckel diverticulum.

How does this differ from gastric mucosa imaging?

This code represents intestine-directed imaging, often for ectopic gastric mucosa. Use gastric mucosa imaging when the study is directed at the stomach itself.

Can the professional and technical services be billed separately?

Yes. Report modifier 26 for the professional interpretation or modifier TC for the technical service; without either modifier, the claim represents the global service.

What documentation supports reporting this code?

The record should establish the intestinal imaging indication, such as suspected ectopic gastric mucosa, and include the imaging performed and the interpreting physician's findings.

Is this the code for locating active gastrointestinal bleeding?

Use the acute gastrointestinal blood-loss imaging code when the study is directed at localizing active bleeding. This code is for intestinal imaging such as evaluation for ectopic gastric mucosa.

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 78290PPRRVU2026_Oct_nonQPP.csv, line 9,310 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet