$177.91–$188.25
Both describe fewer than four views, but 78601 includes flow imaging; 78600 is the limited-view study without flow.
On this page
CMS RVU26D · Effective 2026-10-01
78600 Brain imaging Medicare reimbursement rates in Michigan
Report limited-view nuclear brain imaging when a radiopharmaceutical study depicts the brain in fewer than four views without a separately acquired flow sequence. Compare 78600 office and facility rates across CMS payment localities in Michigan.
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 78600 in Michigan?
Michigan 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
$153.85–$162.78
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 78600: Limited-view nuclear brain imaging
Report limited-view nuclear brain imaging when a radiopharmaceutical study depicts the brain in fewer than four views without a separately acquired flow sequence.
This service captures nuclear medicine images of the brain after administration of a radiopharmaceutical, using fewer than four views. It may be ordered to assess intracranial tracer distribution, including in the evaluation of a suspected brain lesion. Nuclear medicine technologists perform the acquisition; a qualified physician, commonly a nuclear medicine radiologist, interprets the study. The code distinguishes limited-view brain imaging from studies that include flow imaging or use four or more views.
Select the code from the documented acquisition: fewer than four views, with no flow sequence included in this service. The record should support the brain study performed, the views acquired, and the interpreting physician’s findings. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies equipment and staff, and reporting without either modifier represents the global service. The professional and technical components are separately priced in the fee schedule.
CMS billing rules for 78600
- 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 · 9%
- Practice expense (office) RVU4.50 · 90%
- Malpractice RVU0.06 · 1%
533
Medicare services in 2024 · #3497 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.
78600 compared with similar codes
Office rates for Michigan, from the same CMS release.
$165.77–$175.38
Both describe brain imaging without flow. Choose 78605 when four or more views are acquired; 78600 is for fewer than four.
$144.30–$152.95
78610 describes brain flow imaging only. 78600 represents limited-view brain imaging without a flow sequence.
Compare 78600 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
Detroit →
Office / nonfacility
$162.78
Facility
Unavailable
Rest Of Michigan →
Office / nonfacility
$153.85
Facility
Unavailable
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78600 billing questions
How does this differ from 78601?
78600 describes limited-view brain imaging without flow imaging. Use 78601 when the study includes a flow sequence and fewer than four views.
When should 78605 be considered instead?
78605 is the related brain imaging service for four or more views without flow imaging. Base the choice on the views actually acquired and documented.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Without either modifier, the claim represents the global service.
What documentation supports reporting this code?
Document the brain imaging performed, the number of views acquired, and the physician’s interpretation. The record should also make clear whether a flow sequence was part of the study.
Is this the code for a brain flow study alone?
No. 78600 represents limited-view brain imaging without a flow sequence; 78610 describes brain flow imaging only.
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.
9,44078599,,Unlisted resp px dx nuc med,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
9,44178599,26,Unlisted resp px dx nuc med,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
9,44278599,TC,Unlisted resp px dx nuc med,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
9,44378600,,Brain image < 4 views,A,,0.43,4.50,,4.50,NA,0.06,4.99,4.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,12.27,12.27,0.13
9,44478600,26,Brain image < 4 views,A,,0.43,0.15,,0.15,,0.02,0.60,0.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,44578600,TC,Brain image < 4 views,A,,0.00,4.35,,4.35,NA,0.04,4.39,4.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,12.12,12.12,0.11
9,44678601,,Brain image w/flow < 4 views,A,,0.50,5.20,,5.20,NA,0.07,5.77,5.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,12.30,12.30,0.13