$178.22
Choose 78201 for static liver images alone; choose 78202 when vascular-flow imaging is part of the examination.
On this page
CMS RVU26D · Effective 2026-10-01
78201 Liver imaging Medicare reimbursement rates in Indiana
Reports radionuclide imaging focused on static liver images when the examination does not include vascular-flow imaging or spleen imaging. Compare 78201 office and facility rates across CMS payment localities in Indiana.
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 78201 in Indiana?
Indiana 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
$159.31
1 of 1 localities have a supported rate.
Payment area: Indiana
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 78201: Static liver scintigraphy
Reports radionuclide imaging focused on static liver images when the examination does not include vascular-flow imaging or spleen imaging.
78201 represents a radionuclide study that produces static images focused on the liver, without vascular-flow imaging. Nuclear medicine staff acquire the images, and a nuclear medicine physician interprets findings such as hepatic distribution, contour, or focal abnormalities. The study may be performed in a hospital imaging department or outpatient nuclear medicine facility when the clinical question calls for static liver scintigraphy rather than evaluation of biliary transit.
Select the code from the documented protocol and images: report 78201 for static liver imaging alone, 78202 when vascular-flow imaging is included, and 78215 or 78216 when the study also images the spleen. The order, imaging record, and interpretation should support the liver-only static examination. CMS recognizes separately priced professional and technical components: use modifier 26 for the interpretation and modifier TC for the equipment and staff; billing without either modifier represents the global service.
CMS billing rules for 78201
- 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 RVU0.43 · 8%
- Practice expense (office) RVU4.65 · 90%
- Malpractice RVU0.06 · 1%
934
Medicare services in 2024 · #3021 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.
78201 compared with similar codes
Office rates for Indiana, from the same CMS release.
$165.48
78215 covers static imaging of both the liver and spleen, while 78201 is limited to liver imaging.
$122.64
78216 includes liver and spleen imaging with vascular-flow imaging; 78201 is static liver imaging alone.
$264.54
78226 is for hepatobiliary system imaging, addressing biliary function or transit rather than static liver imaging alone.
Compare 78201 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
Indiana →
Office / nonfacility
$159.31
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 78201 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
9,257
- Code
- 78201
- Physician work
- 0.43
- Practice expense
- 4.65
- Malpractice
- 0.06
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.43 | × 1.000 | 0.4300 |
| Practice expense | 4.65 | × 0.927 | 4.3106 |
| Malpractice | 0.06 | × 0.486 | 0.0292 |
| Total RVUs | 4.7697 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Indiana$159.31
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.43 | 1 |
| Practice expense | 4.65 | 0.927 |
| Malpractice | 0.06 | 0.486 |
(0.43 × 1 + 4.65 × 0.927 + 0.06 × 0.486) × $33.4009 = $159.31
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.
78201 billing questions
How does 78201 differ from 78202?
78201 identifies static liver imaging alone. Use 78202 when the examination includes vascular-flow imaging.
When is 78215 a better fit?
Use 78215 for static imaging of both the liver and spleen. Code 78201 is focused on the liver alone.
Can the professional and technical services 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 78201?
The order, imaging record, and interpretation should establish that the service was static imaging of the liver alone, without vascular-flow imaging or spleen imaging.
Is 78201 the code for a hepatobiliary study?
No. 78201 describes static liver imaging; 78226 is used for imaging of the hepatobiliary system.
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.
9,25478199,,Unlstd hematop ret/endo lymp,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
9,25578199,26,Unlstd hematop ret/endo lymp,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
9,25678199,TC,Unlstd hematop ret/endo lymp,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
9,25778201,,Liver imaging static only,A,,0.43,4.65,,4.65,NA,0.06,5.14,5.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,16.60,16.60,0.17
9,25878201,26,Liver imaging static only,A,,0.43,0.14,,0.14,,0.02,0.59,0.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,25978201,TC,Liver imaging static only,A,,0.00,4.51,,4.51,NA,0.04,4.55,4.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,16.46,16.46,0.15
9,26078202,,Liver imaging with vasc flow,A,,0.50,5.18,,5.18,NA,0.07,5.75,5.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,16.64,16.64,0.16
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915