$258.86
Use 78808 for the diagnostic IV radiopharmaceutical administration; 78800 describes tumor-localization imaging of a limited area.
On this page
CMS RVU26D · Effective 2026-10-01
78808 Radiopharmaceutical injection Medicare reimbursement rates in Guam
Reports intravenous administration of a radiopharmaceutical for a diagnostic study, separately from the imaging acquisition and interpretation. Compare 78808 office and facility rates across CMS payment localities in Guam.
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 78808 in Guam?
Guam 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
$45.33
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 78808: Diagnostic radiopharmaceutical intravenous injection
Reports intravenous administration of a radiopharmaceutical for a diagnostic study, separately from the imaging acquisition and interpretation.
This service covers an intravenous injection of a radiopharmaceutical used for diagnostic imaging. It is performed in connection with a nuclear medicine study, such as tumor-localization imaging. Nuclear medicine staff may administer the agent in an outpatient imaging department or hospital nuclear medicine service; the code describes the injection, not the images or their interpretation.
Report 78808 when the documented service is the diagnostic IV administration itself. The record should identify the agent administered, the IV route, the diagnostic indication, and the associated study. CMS identifies this as an incident-to service: it may be billed only when performed under physician supervision. The imaging acquisition and interpretation are distinct services and should be coded according to the study performed.
CMS billing rules for 78808
- Professional and technical components
- Incident-to service: billed only when performed under physician supervision.
Where the value comes from
- Work RVU0.18 · 15%
- Practice expense (office) RVU1.02 · 83%
- Malpractice RVU0.03 · 2%
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.
78808 compared with similar codes
Office rates for Guam, from the same CMS release.
Compare 78808 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
Hawaii, Guam →
Office / nonfacility
$45.33
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 78808 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
9,527
- Code
- 78808
- Physician work
- 0.18
- Practice expense
- 1.02
- Malpractice
- 0.03
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.18 | × 1.000 | 0.1800 |
| Practice expense | 1.02 | × 1.137 | 1.1597 |
| Malpractice | 0.03 | × 0.579 | 0.0174 |
| Total RVUs | 1.3571 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$45.33
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.18 | 1 |
| Practice expense | 1.02 | 1.137 |
| Malpractice | 0.03 | 0.579 |
(0.18 × 1 + 1.02 × 1.137 + 0.03 × 0.579) × $33.4009 = $45.33
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.
78808 billing questions
Does 78808 report the diagnostic images?
No. It reports the IV radiopharmaceutical injection. The imaging acquisition and interpretation are separate services.
How is 78808 different from 78800?
78808 describes IV administration of a diagnostic radiopharmaceutical. 78800 describes limited-area tumor-localization imaging.
Can 78808 be reported with a tumor-localization study?
It may be reported with a diagnostic study when the IV injection is performed and documented. The study code describes the imaging service, not the injection.
Who may perform the injection for billing 78808?
CMS treats 78808 as an incident-to service. It may be billed only when performed under physician supervision.
What documentation supports 78808?
Document the diagnostic radiopharmaceutical, IV administration, indication, and associated diagnostic study.
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.
9,52478804,,Rp loclzj tum whbdy 2+d img,A,,0.98,15.69,,15.69,NA,0.13,16.80,16.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,16.84,16.84,0.14
9,52578804,26,Rp loclzj tum whbdy 2+d img,A,,0.98,0.32,,0.32,,0.05,1.35,1.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,52678804,TC,Rp loclzj tum whbdy 2+d img,A,,0.00,15.37,,15.37,NA,0.08,15.45,15.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,16.52,16.52,0.09
9,52778808,,Iv inj ra drug dx study,A,,0.18,1.02,,1.02,NA,0.03,1.23,1.23,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,52878811,,Pet image ltd area,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,,33.4009,09,0,99,40.08,40.08,0.08
9,52978811,26,Pet image ltd area,A,,1.50,0.49,,0.49,,0.07,2.06,2.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,53078811,TC,Pet image ltd area,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,,33.4009,01,0,99,39.59,39.59,0.01
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014