$267.94
Use 78264 for gastric emptying imaging alone. 78266 also evaluates transit through the small bowel and colon.
On this page
CMS RVU26D · Effective 2026-10-01
78266 GI transit imaging Medicare reimbursement rates in Nebraska
Reports scintigraphic assessment of gastric emptying together with small-bowel and colonic transit when clinicians evaluate suspected gastrointestinal motility delay. Compare 78266 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 78266 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
$365.10
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 78266: Gastric and whole-gut transit imaging
Reports scintigraphic assessment of gastric emptying together with small-bowel and colonic transit when clinicians evaluate suspected gastrointestinal motility delay.
This nuclear medicine study tracks a radiolabeled meal as it moves from the stomach through the small bowel and colon. It can help evaluate suspected gastroparesis or broader gastrointestinal transit delay. A nuclear medicine physician or radiologist interprets the images, commonly following a study performed in an imaging department or hospital radiology service.
Report 78266 when the examination assesses gastric emptying and transit through both the small bowel and colon; the documented scope of the study distinguishes it from gastric-only or gastric-plus-small-bowel imaging. The record should support the combined evaluation and include the interpreting physician’s findings. CMS recognizes professional and technical components: report modifier 26 for interpretation, modifier TC for equipment and staff, or neither modifier when billing the global service. The global service includes both components.
CMS billing rules for 78266
- 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 RVU1.05 · 9%
- Practice expense (office) RVU10.66 · 90%
- Malpractice RVU0.11 · 1%
316
Medicare services in 2024 · #3957 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.
78266 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$321.40
Use 78265 for gastric emptying with small-bowel transit when colonic transit is not part of the study; 78266 includes colonic transit.
$200.94
78262 evaluates gastroesophageal reflux. It is not the code for tracking gastric emptying and subsequent intestinal transit.
Compare 78266 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
$365.10
Facility
Unavailable
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 78266 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
9,299
- Code
- 78266
- Physician work
- 1.05
- Practice expense
- 10.66
- Malpractice
- 0.11
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.05 | × 1.000 | 1.0500 |
| Practice expense | 10.66 | × 0.923 | 9.8392 |
| Malpractice | 0.11 | × 0.378 | 0.0416 |
| Total RVUs | 10.9308 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$365.10
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.05 | 1 |
| Practice expense | 10.66 | 0.923 |
| Malpractice | 0.11 | 0.378 |
(1.05 × 1 + 10.66 × 0.923 + 0.11 × 0.378) × $33.4009 = $365.10
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.
78266 billing questions
How does 78266 differ from 78265?
78266 includes assessment of colonic transit in addition to gastric emptying and small-bowel transit. Use 78265 when the study does not include the colonic transit assessment.
Can 78264 or 78265 also be reported for the same examination?
Do not separately report a gastric-only or gastric-plus-small-bowel code for portions of the same combined examination represented by 78266.
When should modifier 26 or TC be used?
Use modifier 26 for the physician’s interpretation and modifier TC for the technical service, including equipment and staff. Bill without either modifier when billing the global service.
What documentation supports 78266?
Document that the imaging evaluation covers gastric emptying and transit through both the small bowel and colon, along with the interpreting physician’s findings.
Are serial images reported as separate units?
The serial images are part of the combined transit study. Report the study rather than billing a separate unit for each image or time point.
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.
9,29678265,,Gstr emptg img sm bwl trnst,A,,0.96,9.34,,9.34,NA,0.11,10.41,10.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,12.48,12.48,0.13
9,29778265,26,Gstr emptg img sm bwl trnst,A,,0.96,0.33,,0.33,,0.05,1.34,1.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,29878265,TC,Gstr emptg img sm bwl trnst,A,,0.00,9.01,,9.01,NA,0.06,9.07,9.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,12.15,12.15,0.08
9,29978266,,Gstr empt img sm bwl&colon,A,,1.05,10.66,,10.66,NA,0.11,11.82,11.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,16.83,16.83,0.15
9,30078266,26,Gstr empt img sm bwl&colon,A,,1.05,0.33,,0.33,,0.04,1.42,1.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,30178266,TC,Gstr empt img sm bwl&colon,A,,0.00,10.33,,10.33,NA,0.07,10.40,10.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,16.50,16.50,0.11
9,30278267,,Urea breath tst c-14 acquisj,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,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