$157.07
Use 78103 when the examination covers multiple areas. A study confined to a limited area is reported with 78102.
On this page
CMS RVU26D · Effective 2026-10-01
78102 Bone marrow imaging Medicare reimbursement rates in Iowa
A limited-field radionuclide bone marrow scan used to assess marrow distribution in a defined region rather than multiple regions or the whole body. Compare 78102 office and facility rates across CMS payment localities in Iowa.
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 78102 in Iowa?
Iowa 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
$144.27
1 of 1 localities have a supported rate.
Payment area: Iowa
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 78102: Limited-area bone marrow imaging
A limited-field radionuclide bone marrow scan used to assess marrow distribution in a defined region rather than multiple regions or the whole body.
78102 represents a limited-field radionuclide bone marrow study, rather than imaging several separate regions or surveying the entire body. Nuclear medicine staff administer a marrow-localizing radiopharmaceutical and acquire gamma-camera images of the specified region; a nuclear medicine physician interprets the marrow distribution and any abnormalities. The study may be used to evaluate a focused question about marrow activity. The record should identify the imaged region and the clinical reason for the examination.
Choose this code by the extent actually imaged: a limited area supports 78102, multiple areas support 78103, and whole-body imaging supports 78104. The imaging record and interpretation should substantiate the study’s scope and findings. CMS recognizes professional and technical components: report modifier 26 for interpretation only, modifier TC for equipment and staff only, or neither modifier when billing the global service. The interpreting physician and the entity performing the acquisition may bill their respective components.
CMS billing rules for 78102
- 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 RVU0.54 · 11%
- Practice expense (office) RVU4.10 · 87%
- Malpractice RVU0.07 · 1%
534
Medicare services in 2024 · #3495 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.
78102 compared with similar codes
Office rates for Iowa, from the same CMS release.
$203.15
Use 78104 for whole-body bone marrow imaging; 78102 represents a limited-field examination.
$238.16
78306 is whole-body skeletal imaging, not a limited-field bone marrow study. Select based on whether the examination evaluates skeletal uptake or marrow distribution.
Compare 78102 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
Iowa →
Office / nonfacility
$144.27
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 78102 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
9,215
- Code
- 78102
- Physician work
- 0.54
- Practice expense
- 4.10
- Malpractice
- 0.07
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.54 | × 1.000 | 0.5400 |
| Practice expense | 4.10 | × 0.915 | 3.7515 |
| Malpractice | 0.07 | × 0.397 | 0.0278 |
| Total RVUs | 4.3193 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$144.27
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.54 | 1 |
| Practice expense | 4.1 | 0.915 |
| Malpractice | 0.07 | 0.397 |
(0.54 × 1 + 4.1 × 0.915 + 0.07 × 0.397) × $33.4009 = $144.27
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.
78102 billing questions
How is 78102 distinguished from 78103 and 78104?
Choose 78102 for imaging of a limited area. Use 78103 for multiple areas and 78104 for whole-body imaging; the documented scope of the study drives the choice.
When should modifier 26 or TC be reported?
Use modifier 26 when billing only the physician’s interpretation and modifier TC when billing only the technical service. Bill the global service without either component modifier.
What documentation supports 78102?
Document the clinical reason, the specific region imaged, the technical acquisition, and the physician’s interpretation. The record should support that the examination was limited in scope.
Are units based on the number of images?
The distinction among 78102, 78103, and 78104 is the extent of the examination, not a count of individual images. Report the code that matches the documented area or areas imaged.
Can the professional and technical services be billed separately?
Yes. The interpreting physician may report the professional component with modifier 26, while the entity furnishing the equipment and staff may report the technical component with modifier TC.
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.
9,21278099,,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
9,21378099,26,Unlisted endocrine px dx nuc,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
9,21478099,TC,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
9,21578102,,Bone marrow imaging ltd,A,,0.54,4.10,,4.10,NA,0.07,4.71,4.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,12.27,12.27,0.15
9,21678102,26,Bone marrow imaging ltd,A,,0.54,0.17,,0.17,,0.03,0.74,0.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,21778102,TC,Bone marrow imaging ltd,A,,0.00,3.93,,3.93,NA,0.04,3.97,3.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,12.10,12.10,0.12
9,21878103,,Bone marrow imaging mult,A,,0.73,4.32,,4.32,NA,0.05,5.10,5.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,12.24,12.24,0.13
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136