$75.36
This represents the radioactive tracer injection used for sentinel-node identification; 78195 represents the subsequent lymphatic imaging.
On this page
CMS RVU26D · Effective 2026-10-01
78195 Lymphatic imaging Medicare reimbursement rates in Kansas
Lymphoscintigraphy tracks radiotracer through lymphatic channels and nodes to evaluate lymphatic drainage, including lymphedema or sentinel-node mapping. Compare 78195 office and facility rates across CMS payment localities in Kansas.
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 78195 in Kansas?
Kansas 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
$284.00
1 of 1 localities have a supported rate.
Payment area: Kansas
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 78195: Lymphatic system nuclear imaging
Lymphoscintigraphy tracks radiotracer through lymphatic channels and nodes to evaluate lymphatic drainage, including lymphedema or sentinel-node mapping.
This nuclear medicine study uses a radiotracer and gamma-camera images to show lymphatic drainage and regional nodes. It may help evaluate impaired drainage in a patient with suspected lymphedema or map sentinel nodes before cancer surgery, such as for breast cancer or melanoma. A nuclear medicine physician or radiologist typically interprets the images; imaging is performed in a nuclear medicine department or other equipped facility.
Report 78195 for imaging of the lymphatic system, rather than a study focused on the spleen or bone marrow. Documentation should identify the clinical indication, tracer and injection site when known, images obtained, and interpretation of lymphatic flow or nodal drainage. For sentinel-node work, 38792 may represent the tracer injection when that service is performed and documented. CMS recognizes professional and technical components: report modifier 26 for interpretation, modifier TC for equipment and staff, or neither for the global service.
CMS billing rules for 78195
- 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 RVU1.17 · 13%
- Practice expense (office) RVU8.05 · 86%
- Malpractice RVU0.11 · 1%
22.3K
Medicare services in 2024 · #1101 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.
78195 compared with similar codes
Office rates for Kansas, from the same CMS release.
$140.08
78185 evaluates the spleen. Choose 78195 when the study images lymphatic channels or nodal drainage.
78199
No office rateUnlstd hematop ret/endo lymp
78199 is an unlisted code for a hematopoietic, reticuloendothelial, or lymphatic procedure without a specific code; use 78195 when the service is lymphoscintigraphy.
Compare 78195 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
Kansas →
Office / nonfacility
$284.00
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 78195 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
9,251
- Code
- 78195
- Physician work
- 1.17
- Practice expense
- 8.05
- Malpractice
- 0.11
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.17 | × 1.000 | 1.1700 |
| Practice expense | 8.05 | × 0.904 | 7.2772 |
| Malpractice | 0.11 | × 0.504 | 0.0554 |
| Total RVUs | 8.5026 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kansas$284.00
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.17 | 1 |
| Practice expense | 8.05 | 0.904 |
| Malpractice | 0.11 | 0.504 |
(1.17 × 1 + 8.05 × 0.904 + 0.11 × 0.504) × $33.4009 = $284.00
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.
78195 billing questions
When is 78195 used for sentinel-node mapping?
Use it for the imaging that follows radiotracer administration to visualize lymphatic drainage and sentinel nodes. The injection procedure may be reported separately with 38792 when performed and documented.
Which modifier identifies the interpretation?
Append modifier 26 for the professional interpretation. Modifier TC identifies the technical service, including equipment and staff; no modifier represents the global service.
Does 78195 describe the tracer injection?
It describes lymphatic imaging. A separately performed radioactive tracer injection for sentinel-node identification may be represented by 38792.
How does 78195 differ from spleen imaging 78185?
78195 follows lymphatic drainage and nodes. 78185 is a spleen imaging study, not a substitute for lymphoscintigraphy.
What documentation supports 78195?
Record the indication, tracer and injection details available, imaging performed, and the interpreting clinician’s findings on lymphatic flow or nodal drainage.
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.
9,24878191,,Platelet survival study,A,,0.59,3.14,,3.14,NA,0.07,3.80,3.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,24978191,26,Platelet survival study,A,,0.59,0.11,,0.11,,0.01,0.71,0.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,25078191,TC,Platelet survival study,A,,0.00,3.03,,3.03,NA,0.06,3.09,3.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
9,25178195,,Lymph system imaging,A,,1.17,8.05,,8.05,NA,0.11,9.33,9.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,16.87,16.87,0.17
9,25278195,26,Lymph system imaging,A,,1.17,0.37,,0.37,,0.06,1.60,1.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,25378195,TC,Lymph system imaging,A,,0.00,7.68,,7.68,NA,0.05,7.73,7.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,16.50,16.50,0.11
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
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
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958