$145.48–$155.22
78102 describes a limited-area bone marrow examination. Use 78104 when imaging covers the whole body.
On this page
CMS RVU26D · Effective 2026-10-01
78104 Bone marrow imaging Medicare reimbursement rates in Maine
Reports nuclear medicine imaging of bone marrow throughout the body when the examination covers the whole body rather than limited or multiple areas. Compare 78104 office and facility rates across CMS payment localities in Maine.
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 78104 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$204.71–$218.40
2 of 2 localities have a supported rate.
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 78104: Whole-body bone marrow imaging
Reports nuclear medicine imaging of bone marrow throughout the body when the examination covers the whole body rather than limited or multiple areas.
This nuclear medicine examination depicts bone marrow distribution throughout the body after administration of a radiopharmaceutical and image acquisition. It is generally performed in a hospital or other nuclear medicine setting, with a nuclear medicine physician or radiologist interpreting the images. The study may be used to assess marrow distribution or suspected marrow involvement when a whole-body examination is requested.
Select this code for a whole-body study, rather than the limited-area or multiple-area services in the same code family. The record should support the clinical reason for imaging, the extent of the examination, the images obtained, and the physician’s interpretation and report. CMS recognizes separately priced professional and technical components: report modifier 26 for interpretation, modifier TC for equipment and staff, or no component modifier for the global service.
CMS billing rules for 78104
- 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 RVU0.78 · 12%
- Practice expense (office) RVU5.76 · 87%
- Malpractice RVU0.08 · 1%
116
Medicare services in 2024 · #4768 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.
78104 compared with similar codes
Office rates for Maine, from the same CMS release.
$158.17–$168.43
78103 is for imaging multiple areas; 78104 is selected when the examination extends throughout the body.
78199
No office rateUnlstd hematop ret/endo lymp
78199 is an unlisted hematopoietic, reticuloendothelial, or lymphatic imaging service. Use 78104 when the service is specifically whole-body bone marrow imaging.
Compare 78104 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
$204.71
Facility
Unavailable
Southern Maine →
Office / nonfacility
$218.40
Facility
Unavailable
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78104 billing questions
How is 78104 distinguished from 78102 and 78103?
Choose 78104 when the bone marrow examination covers the whole body. Codes 78102 and 78103 represent limited-area and multiple-area examinations, respectively.
How should the professional and technical portions be billed?
Report modifier 26 for the interpretation and report, or modifier TC for the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
What documentation supports whole-body reporting?
Document the clinical reason for the study, the whole-body extent of imaging, and the images and interpretation supporting the examination.
Can this code be reported for a scan limited to selected regions?
No. Use the code that matches the documented extent: 78102 for a limited area or 78103 for multiple areas; reserve 78104 for 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.
9,21878103,,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
9,21978103,26,Bone marrow imaging mult,A,,0.73,0.13,,0.13,,0.01,0.87,0.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,22078103,TC,Bone marrow imaging mult,A,,0.00,4.19,,4.19,NA,0.04,4.23,4.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,12.11,12.11,0.12
9,22178104,,Bone marrow imaging body,A,,0.78,5.76,,5.76,NA,0.08,6.62,6.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,12.39,12.39,0.13
9,22278104,26,Bone marrow imaging body,A,,0.78,0.25,,0.25,,0.04,1.07,1.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,22378104,TC,Bone marrow imaging body,A,,0.00,5.51,,5.51,NA,0.04,5.55,5.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,12.14,12.14,0.09
9,22478110,,Plasma volume single,A,,0.19,1.89,,1.89,NA,0.05,2.13,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00