$214.16–$226.82
Choose 78803 for SPECT localization in one area. Choose 78800 when tumor localization imaging is performed without SPECT.
On this page
CMS RVU26D · Effective 2026-10-01
78803 Tumor SPECT Medicare reimbursement rates in Michigan
Reports radiopharmaceutical tumor localization with SPECT in one body area, such as the chest or pelvis, when functional imaging is performed. Compare 78803 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 78803 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
$310.28–$327.58
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 imaging
About 78803: Tumor localization SPECT, single area
Reports radiopharmaceutical tumor localization with SPECT in one body area, such as the chest or pelvis, when functional imaging is performed.
This service uses a radiopharmaceutical and a gamma camera to create SPECT images that help localize tumor activity in one body area. A nuclear medicine physician interprets the study; imaging may be performed in a hospital department or outpatient imaging center. Examples of a single area include the chest, pelvis, or head and neck region.
Select this code when the study uses SPECT for one area; the number and location of imaged areas should be clear in the order and imaging report. The record should support the radiopharmaceutical study, the body area examined, the acquisition performed, and the physician’s interpretation. Report the global service without a component modifier, or separate the interpretation with modifier 26 from the equipment and staff component with modifier TC. When multiple diagnostic imaging procedures are performed, CMS multiple procedure reduction applies to both the professional and technical components.
CMS billing rules for 78803
- 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.
- Multiple procedures
- Diagnostic imaging multiple procedure reduction applies to the technical and professional components.
Where the value comes from
- Work RVU1.06 · 11%
- Practice expense (office) RVU8.89 · 88%
- Malpractice RVU0.10 · 1%
43.3K
Medicare services in 2024 · #834 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.
78803 compared with similar codes
Office rates for Michigan, from the same CMS release.
$389.32–$410.71
78830 includes SPECT with a concurrently acquired CT scan for anatomic localization; 78803 reports single-area SPECT without that CT component.
$575.03–$607.05
78803 is for SPECT localization in one area; 78831 is for studies covering two areas.
Compare 78803 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
$327.58
Facility
Unavailable
Rest Of Michigan →
Office / nonfacility
$310.28
Facility
Unavailable
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78803 billing questions
How does 78803 differ from 78800?
78803 describes SPECT imaging of one body area. 78800 is the related limited-area tumor localization code for imaging without SPECT.
When should 78830 be considered instead?
Use 78830 when the tumor localization study combines SPECT with a concurrently acquired CT scan for anatomic localization in one area.
Can the professional and technical services be billed separately?
Yes. Modifier 26 identifies the interpretation, and modifier TC identifies the equipment and staff component. Without either modifier, the claim represents the global service.
Does CMS apply a multiple procedure reduction to 78803?
Yes. When multiple diagnostic imaging procedures are performed, the reduction applies to both the professional and technical components.
What supports reporting one area?
The order and imaging report should identify the body area studied and document the SPECT acquisition and interpretation. Use a code for a different extent when the study covers multiple areas or the whole body.
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.
9,51878802,,Rp loclzj tum whbdy 1 d img,A,,0.78,7.23,,7.23,NA,0.08,8.09,8.09,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,16.76,16.76,0.14
9,51978802,26,Rp loclzj tum whbdy 1 d img,A,,0.78,0.25,,0.25,,0.04,1.07,1.07,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
9,52078802,TC,Rp loclzj tum whbdy 1 d img,A,,0.00,6.98,,6.98,NA,0.04,7.02,7.02,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,01,0,88,16.51,16.51,0.10
9,52178803,,Rp loclzj tum spect 1 area,A,,1.06,8.89,,8.89,NA,0.10,10.05,10.05,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,16.87,16.87,0.15
9,52278803,26,Rp loclzj tum spect 1 area,A,,1.06,0.36,,0.36,,0.05,1.47,1.47,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
9,52378803,TC,Rp loclzj tum spect 1 area,A,,0.00,8.53,,8.53,NA,0.05,8.58,8.58,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,01,0,88,16.51,16.51,0.10
9,52478804,,Rp loclzj tum whbdy 2+d img,A,,0.98,15.69,,15.69,NA,0.13,16.80,16.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,16.84,16.84,0.14