$282.35–$365.09
This code describes parathyroid planar imaging. Use 78075 when the imaged tissue is adrenal, not parathyroid.
On this page
CMS RVU26D · Effective 2026-10-01
78075 Adrenal imaging Medicare reimbursement rates in California
Nuclear medicine imaging of adrenal cortical or medullary tissue is reported when a tracer study evaluates an adrenal abnormality or suspected functional disorder. Compare 78075 office and facility rates across CMS payment localities in California.
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 78075 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
$420.69–$547.39
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $126.70 per service.
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.
Where 78075 pays more and less in California
29 payment localities
$420.69 to $547.39
Nuclear medicine
About 78075: Adrenal cortex or medulla imaging
Nuclear medicine imaging of adrenal cortical or medullary tissue is reported when a tracer study evaluates an adrenal abnormality or suspected functional disorder.
This nuclear medicine study images adrenal cortical tissue, medullary tissue, or both after administration of an appropriate radiopharmaceutical. It may be used in evaluating selected adrenal lesions or suspected hormone-producing disorders, including suspected pheochromocytoma. A nuclear medicine physician or radiologist interprets the acquired images; the technical work includes the equipment and staff needed to perform the study. The exact tracer and imaging protocol depend on the tissue and clinical question being evaluated.
Select this code when the documented service is adrenal imaging, rather than imaging of the thyroid or parathyroid glands. The report should identify the clinical indication, the adrenal tissue evaluated, the study performed, and the interpreting findings. CMS recognizes a professional component for interpretation and a technical component for equipment and staff: report modifier 26 for the professional work, modifier TC for the technical work, or no component modifier when billing the global service.
CMS billing rules for 78075
- 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 · 6%
- Practice expense (office) RVU10.77 · 93%
- Malpractice RVU0.11 · 1%
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.
78075 compared with similar codes
Office rates for California, from the same CMS release.
$334.21–$430.18
This code is for parathyroid imaging with subtraction techniques. It does not describe adrenal cortex or medulla imaging.
$413.53–$531.51
This code describes parathyroid imaging with SPECT and CT. Choose 78075 for an adrenal study, regardless of the difference in target gland.
78099
No office rateUnlisted endocrine px dx nuc
This unlisted endocrine nuclear medicine code is a fallback when no specific code describes the study. Use 78075 when the service is adrenal imaging covered by its description.
Compare 78075 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.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office $421.00 | Facility Unavailable |
| Chico | Office $420.69 | Facility Unavailable |
| El Centro | Office $420.71 | Facility Unavailable |
| Fresno | Office $420.69 | Facility Unavailable |
| Hanford-Corcoran | Office $420.69 | Facility Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $453.03 | Facility Unavailable |
| Madera | Office $420.69 | Facility Unavailable |
| Merced | Office $420.69 | Facility Unavailable |
| Modesto | Office $420.69 | Facility Unavailable |
| Napa | Office $501.55 | Facility Unavailable |
| Oxnard-Thousand Oaks-Ventura | Office $452.21 | Facility Unavailable |
| Redding | Office $420.69 | Facility Unavailable |
| Rest Of California | Office $420.69 | Facility Unavailable |
| Riverside-San Bernardino-Ontario | Office $421.88 | Facility Unavailable |
| Sacramento-Roseville-Folsom | Office $445.25 | Facility Unavailable |
| Salinas | Office $443.69 | Facility Unavailable |
| San Diego-Chula Vista-Carlsbad | Office $457.00 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $535.24 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $535.11 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $547.39 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $546.88 | Facility Unavailable |
| San Luis Obispo-Paso Robles | Office $436.16 | Facility Unavailable |
| Santa Cruz-Watsonville | Office $463.59 | Facility Unavailable |
| Santa Maria-Santa Barbara | Office $446.13 | Facility Unavailable |
| Santa Rosa-Petaluma | Office $468.49 | Facility Unavailable |
| Stockton | Office $420.69 | Facility Unavailable |
| Vallejo | Office $501.37 | Facility Unavailable |
| Visalia | Office $420.69 | Facility Unavailable |
| Yuba City | Office $420.69 | Facility Unavailable |
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78075 billing questions
How is this code distinguished from parathyroid imaging codes 78070–78072?
Code 78075 is for imaging adrenal cortical or medullary tissue. Codes 78070–78072 describe parathyroid imaging, so select based on the gland actually imaged.
Which modifiers identify the professional and technical portions?
Append modifier 26 for the professional interpretation or modifier TC for the technical service. Billing without either modifier represents the global service.
What documentation supports reporting adrenal imaging?
Document the adrenal indication, the tissue or clinical question evaluated, the imaging performed, and the interpreting findings. The record should support that the study concerns adrenal tissue rather than another endocrine gland.
Can both the professional and technical portions be billed separately?
The CMS component rules identify separately priced professional and technical portions. Report 26 for interpretation and TC for equipment and staff when those portions are billed separately; use neither for the global service.
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.
9,20678072,,Parathyrd planar w/spect&ct,A,,1.56,9.79,,9.79,NA,0.12,11.47,11.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,17.01,17.01,0.16
9,20778072,26,Parathyrd planar w/spect&ct,A,,1.56,0.49,,0.49,,0.07,2.12,2.12,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,20878072,TC,Parathyrd planar w/spect&ct,A,,0.00,9.30,,9.30,NA,0.05,9.35,9.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,16.52,16.52,0.09
9,20978075,,Adrenal cortex & medulla img,A,,0.72,10.77,,10.77,NA,0.11,11.60,11.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,39.60,39.60,0.30
9,21078075,26,Adrenal cortex & medulla img,A,,0.72,0.26,,0.26,,0.04,1.02,1.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,21178075,TC,Adrenal cortex & medulla img,A,,0.00,10.51,,10.51,NA,0.07,10.58,10.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,39.34,39.34,0.26
9,21278099,,Unlisted endocrine px dx nuc,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00