$260.38
78300 covers a limited skeletal region; 78305 is for imaging multiple areas. The documented scope of imaging distinguishes them.
On this page
CMS RVU26D · Effective 2026-10-01
78300 Bone scan Medicare reimbursement rates in Connecticut
Reports radionuclide imaging of a defined, limited skeletal region when the clinical question concerns a localized bone finding rather than a broader survey. Compare 78300 office and facility rates across CMS payment localities in Connecticut.
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 78300 in Connecticut?
Connecticut 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
$213.88
1 of 1 localities have a supported rate.
Payment area: Connecticut
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 78300: Limited-area bone scintigraphy
Reports radionuclide imaging of a defined, limited skeletal region when the clinical question concerns a localized bone finding rather than a broader survey.
This nuclear medicine study images a defined, limited portion of the skeleton. A gamma camera records the distribution of radiopharmaceutical uptake in that region. It may be used to investigate a localized concern, such as focal bone pain or suspected occult injury. The study is typically performed in a nuclear medicine department, with interpretation by a nuclear medicine physician or radiologist.
Select 78300 when the imaging is confined to a limited region; the documented area and images should support that scope. Imaging of multiple areas or the whole body is represented by different bone-imaging codes, while a three-phase study has its own code. Documentation should identify the region examined and include the images and interpreting physician’s report. For Medicare, modifier 26 identifies the professional interpretation and modifier TC identifies the technical service, including equipment and staff. Reporting without either modifier represents the global service.
CMS billing rules for 78300
- 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 RVU0.60 · 10%
- Practice expense (office) RVU5.31 · 89%
- Malpractice RVU0.06 · 1%
2.9K
Medicare services in 2024 · #2211 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.
78300 compared with similar codes
Office rates for Connecticut, from the same CMS release.
$277.90
78306 represents whole-body bone imaging, while 78300 is limited to a defined region.
$325.19
78315 is the code for three-phase bone imaging. 78300 describes limited-area imaging without that three-phase distinction.
78350
No office rateBone mineral single photon
78350 is a bone mineral measurement study using single-photon absorptiometry, not radionuclide imaging of bone uptake.
Compare 78300 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
Connecticut →
Office / nonfacility
$213.88
Facility
Unavailable
Need rates for a whole code list?
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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 78300 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
9,319
- Code
- 78300
- Physician work
- 0.60
- Practice expense
- 5.31
- Malpractice
- 0.06
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.60 | × 1.020 | 0.6120 |
| Practice expense | 5.31 | × 1.077 | 5.7189 |
| Malpractice | 0.06 | × 1.210 | 0.0726 |
| Total RVUs | 6.4035 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$213.88
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.6 | 1.02 |
| Practice expense | 5.31 | 1.077 |
| Malpractice | 0.06 | 1.21 |
(0.6 × 1.02 + 5.31 × 1.077 + 0.06 × 1.21) × $33.4009 = $213.88
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.
78300 billing questions
How do I distinguish 78300 from 78305?
Use 78300 for imaging confined to a limited skeletal region. Use 78305 when multiple skeletal areas are imaged.
When is 78306 more appropriate?
78306 represents whole-body bone imaging. Choose based on the extent of the study performed and documented, not simply the reason for the scan.
How does 78315 differ from 78300?
78315 identifies a three-phase bone imaging study. Use 78300 for a limited-area study that is not reported as a three-phase examination.
How are the professional and technical services reported?
Use modifier 26 for the professional interpretation and modifier TC for the technical service. Reporting without a modifier represents the global service.
What documentation supports 78300?
Document the limited skeletal region examined, the imaging performed, and the interpreting physician’s report. The recorded extent should support a limited-area study rather than multiple-area or whole-body imaging.
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.
9,31678299,,Unlisted gi px dx nuc med,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
9,31778299,26,Unlisted gi px dx nuc med,C,,0.00,0.00,,0.00,,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
9,31878299,TC,Unlisted gi px dx nuc med,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
9,31978300,,Bone imaging limited area,A,,0.60,5.31,,5.31,NA,0.06,5.97,5.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,12.37,12.37,0.10
9,32078300,26,Bone imaging limited area,A,,0.60,0.21,,0.21,,0.03,0.84,0.84,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,32178300,TC,Bone imaging limited area,A,,0.00,5.10,,5.10,NA,0.03,5.13,5.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,12.16,12.16,0.07
9,32278305,,Bone imaging multiple areas,A,,0.81,6.37,,6.37,NA,0.09,7.27,7.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,12.43,12.43,0.13
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808