$251.63
78264 covers gastric emptying imaging alone. Choose 78265 when the study also assesses transit through the small bowel.
On this page
CMS RVU26D · Effective 2026-10-01
78265 Gastric emptying Medicare reimbursement rates in Arkansas
Reports gastric emptying imaging that also tracks transit through the small bowel, providing assessment of gastric and small bowel movement. Compare 78265 office and facility rates across CMS payment localities in Arkansas.
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.
What does Medicare pay for 78265 in Arkansas?
Arkansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$301.93
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Nuclear medicine
About 78265: Gastric emptying with small bowel transit
Reports gastric emptying imaging that also tracks transit through the small bowel, providing assessment of gastric and small bowel movement.
This nuclear medicine study follows a radiolabeled meal as it leaves the stomach and moves through the small bowel. A nuclear medicine technologist typically prepares or administers the tracer meal and obtains serial images; a nuclear medicine physician interprets the study. It is used when the clinical question includes both gastric emptying and small bowel transit, such as evaluation of delayed gastric emptying with downstream transit assessment.
Select this code when the imaging study includes small bowel transit, rather than gastric emptying alone or transit through both the small bowel and colon. The report should identify the study performed and document the imaging and interpretation. CMS recognizes separately billable professional and technical components: use modifier 26 for the interpretation, modifier TC for equipment and staff, or bill without a modifier for the global service.
CMS billing rules for 78265
- 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 RVU0.96 · 9%
- Practice expense (office) RVU9.34 · 90%
- Malpractice RVU0.11 · 1%
207
Medicare services in 2024 · #4295 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.
78265 compared with similar codes
Office rates for Arkansas, from the same CMS release.
$342.81
78266 includes transit through both the small bowel and colon. Choose 78265 when the documented study includes small bowel transit but not colon transit.
$188.97
78262 is a gastroesophageal reflux study, not imaging that tracks gastric emptying and small bowel transit.
Compare 78265 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Arkansas →
Office / nonfacility
$301.93
Facility
Unavailable
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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 78265 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
9,296
- Code
- 78265
- Physician work
- 0.96
- Practice expense
- 9.34
- Malpractice
- 0.11
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.96 | × 1.000 | 0.9600 |
| Practice expense | 9.34 | × 0.859 | 8.0231 |
| Malpractice | 0.11 | × 0.515 | 0.0566 |
| Total RVUs | 9.0397 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Arkansas$301.93
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.96 | 1 |
| Practice expense | 9.34 | 0.859 |
| Malpractice | 0.11 | 0.515 |
(0.96 × 1 + 9.34 × 0.859 + 0.11 × 0.515) × $33.4009 = $301.93
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.
78265 billing questions
How does this differ from 78264?
Use 78265 when the study includes small bowel transit as well as gastric emptying. Code 78264 describes gastric emptying imaging without that transit component.
When is 78266 a better fit?
Use 78266 when the study follows transit through the small bowel and colon. This code covers gastric emptying with small bowel transit, without the colon-transit scope.
Can the professional and technical portions 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 this code?
Document that gastric emptying imaging included assessment of small bowel transit, along with the study performed and the interpretation. The documented scope helps distinguish it from gastric-only imaging and studies that also include colon transit.
Should 78264 also be reported for the gastric portion?
When the single study includes both gastric emptying and small bowel transit, report the code matching that combined scope rather than separately reporting 78264 for its gastric portion.
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.
9,29378264,,Gastric emptying img study,A,,0.77,7.82,,7.82,NA,0.09,8.68,8.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,12.41,12.41,0.12
9,29478264,26,Gastric emptying img study,A,,0.77,0.26,,0.26,,0.04,1.07,1.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,29578264,TC,Gastric emptying img study,A,,0.00,7.56,,7.56,NA,0.05,7.61,7.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,12.15,12.15,0.08
9,29678265,,Gstr emptg img sm bwl trnst,A,,0.96,9.34,,9.34,NA,0.11,10.41,10.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,12.48,12.48,0.13
9,29778265,26,Gstr emptg img sm bwl trnst,A,,0.96,0.33,,0.33,,0.05,1.34,1.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,29878265,TC,Gstr emptg img sm bwl trnst,A,,0.00,9.01,,9.01,NA,0.06,9.07,9.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,12.15,12.15,0.08
9,29978266,,Gstr empt img sm bwl&colon,A,,1.05,10.66,,10.66,NA,0.11,11.82,11.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,16.83,16.83,0.15
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541