$102.03
Choose 78185 for images of splenic tissue; choose 78140 when the service is a red cell sequestration study.
On this page
CMS RVU26D · Effective 2026-10-01
78185 Spleen imaging Medicare reimbursement rates in Nebraska
Reports a nuclear medicine study of splenic tissue when clinicians need imaging assessment, such as evaluating suspected accessory or ectopic splenic tissue. Compare 78185 office and facility rates across CMS payment localities in Nebraska.
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 78185 in Nebraska?
Nebraska 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
$142.52
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 78185: Radionuclide spleen imaging
Reports a nuclear medicine study of splenic tissue when clinicians need imaging assessment, such as evaluating suspected accessory or ectopic splenic tissue.
This code covers a nuclear medicine examination that produces images of splenic tissue and its distribution. It may be used when a clinician needs to assess splenic tissue, including in a workup for suspected accessory or ectopic spleen. A nuclear medicine technologist typically performs the imaging in a hospital department or imaging facility, and a qualified physician interprets the study.
Select the code when the documented service is spleen imaging, rather than a blood-volume, cell-survival, or sequestration study. The imaging record should support the spleen study performed, and the physician report should document the interpretation. CMS allows the service to be billed globally, with both components, or as the professional component using modifier 26 or the technical component using modifier TC. Use the component claim that reflects the work furnished by the billing entity.
CMS billing rules for 78185
- 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 RVU0.39 · 8%
- Practice expense (office) RVU4.18 · 90%
- Malpractice RVU0.05 · 1%
16
Medicare services in 2024 · #6053 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.
78185 compared with similar codes
Office rates for Nebraska, from the same CMS release.
Compare 78185 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
Nebraska →
Office / nonfacility
$142.52
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 78185 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
9,245
- Code
- 78185
- Physician work
- 0.39
- Practice expense
- 4.18
- Malpractice
- 0.05
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.39 | × 1.000 | 0.3900 |
| Practice expense | 4.18 | × 0.923 | 3.8581 |
| Malpractice | 0.05 | × 0.378 | 0.0189 |
| Total RVUs | 4.2670 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$142.52
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.39 | 1 |
| Practice expense | 4.18 | 0.923 |
| Malpractice | 0.05 | 0.378 |
(0.39 × 1 + 4.18 × 0.923 + 0.05 × 0.378) × $33.4009 = $142.52
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.
78185 billing questions
How is 78185 different from a red cell sequestration study?
78185 reports imaging of splenic tissue. Code 78140 describes a red cell sequestration study, which evaluates red-cell handling rather than reporting spleen images.
Can the professional and technical portions be billed separately?
Yes. Report modifier 26 for the physician's interpretation or TC for the equipment and staff portion. A claim without either modifier represents the global service.
When should a combined liver-and-spleen imaging code be considered?
Use a combined liver-and-spleen imaging code when the documented examination images both organs. Code 78185 is for the spleen imaging service.
What documentation supports reporting 78185?
The record should identify the spleen imaging performed, and the interpreting physician's report should document the findings. Technical-component documentation should support the imaging acquisition.
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.
9,24278140,,Red cell sequestration,A,,0.59,2.65,,2.65,NA,0.05,3.29,3.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,12.15,12.15,0.20
9,24378140,26,Red cell sequestration,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
9,24478140,TC,Red cell sequestration,A,,0.00,2.54,,2.54,NA,0.04,2.58,2.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,12.04,12.04,0.19
9,24578185,,Spleen imaging,A,,0.39,4.18,,4.18,NA,0.05,4.62,4.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,12.18,12.18,0.13
9,24678185,26,Spleen imaging,A,,0.39,0.07,,0.07,,0.01,0.47,0.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,24778185,TC,Spleen imaging,A,,0.00,4.11,,4.11,NA,0.04,4.15,4.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,12.11,12.11,0.12
9,24878191,,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
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068