$194.29–$206.74
Use 78707 for one renal flow and function study without pharmacological intervention. This code describes multiple studies.
On this page
CMS RVU26D · Effective 2026-10-01
78709 Renal imaging Medicare reimbursement rates in Maine
Reports nuclear medicine kidney imaging that evaluates blood flow and function across multiple studies, rather than a single renal flow and function study. Compare 78709 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 78709 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
$302.59–$322.24
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 78709: Multiple renal flow and function studies
Reports nuclear medicine kidney imaging that evaluates blood flow and function across multiple studies, rather than a single renal flow and function study.
This service uses a radiopharmaceutical and nuclear imaging to assess renal perfusion and function across multiple studies. A nuclear medicine technologist typically acquires the images in a hospital department or imaging center, and a physician interprets the findings. Such imaging may help evaluate renal function or suspected urinary obstruction; the documented protocol should make clear what studies were performed and what they assessed.
Select this code when the service comprises multiple kidney flow and function studies, not simply multiple images or views within one study. The report should identify the study protocols and findings supporting that scope. CMS recognizes professional and technical components: report modifier 26 for the physician’s interpretation, modifier TC for the equipment and staff, or neither modifier for the global service. CMS separately prices both modifiers.
CMS billing rules for 78709
- 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 RVU1.37 · 14%
- Practice expense (office) RVU8.27 · 85%
- Malpractice RVU0.13 · 1%
3.8K
Medicare services in 2024 · #2032 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.
78709 compared with similar codes
Office rates for Maine, from the same CMS release.
$160.62–$169.83
Use 78708 for one renal flow and function study with pharmacological intervention. This code is for multiple studies.
$187.42–$200.55
78701 focuses on kidney morphology with vascular flow; this code describes multiple studies evaluating renal flow and function.
Compare 78709 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
$302.59
Facility
Unavailable
Southern Maine →
Office / nonfacility
$322.24
Facility
Unavailable
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78709 billing questions
How is this different from a single renal flow and function study?
This code is for multiple renal flow and function studies. A single study without pharmacological intervention is described by 78707, while a single study with pharmacological intervention is described by 78708.
Do multiple images or views qualify as multiple studies?
Not by themselves. The documentation should identify multiple studies or protocols, rather than merely multiple images acquired as part of one study.
How should the professional and technical portions be billed?
Use modifier 26 for the physician’s interpretation and modifier TC for the technical service. Report the code without either modifier when billing the global service.
What documentation supports reporting this code?
Document the renal flow and function protocols performed, the findings for each study, and why the service involved multiple studies rather than one study with multiple images.
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.
9,49178708,,K flow/funct image w/drug,A,,1.18,3.87,,3.87,NA,0.11,5.16,5.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,16.75,16.75,0.30
9,49278708,26,K flow/funct image w/drug,A,,1.18,0.38,,0.38,,0.06,1.62,1.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,49378708,TC,K flow/funct image w/drug,A,,0.00,3.49,,3.49,NA,0.05,3.54,3.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,16.37,16.37,0.24
9,49478709,,K flow/funct image multiple,A,,1.37,8.27,,8.27,NA,0.13,9.77,9.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,16.93,16.93,0.20
9,49578709,26,K flow/funct image multiple,A,,1.37,0.45,,0.45,,0.07,1.89,1.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,49678709,TC,K flow/funct image multiple,A,,0.00,7.82,,7.82,NA,0.06,7.88,7.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,16.48,16.48,0.13
9,49778725,,Kidney function study,A,,0.37,2.55,,2.55,NA,0.06,2.98,2.98,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00