$184.50
78300 applies to bone imaging of a limited area. Use 78305 when multiple skeletal areas are examined.
On this page
CMS RVU26D · Effective 2026-10-01
78305 Bone imaging Medicare reimbursement rates in Nebraska
Reports radionuclide imaging of multiple skeletal regions when the study targets several areas rather than a limited site or the whole skeleton. Compare 78305 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 78305 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
$224.57
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 78305: Bone imaging of multiple areas
Reports radionuclide imaging of multiple skeletal regions when the study targets several areas rather than a limited site or the whole skeleton.
A bone scan uses an injected radiopharmaceutical and a gamma camera to assess skeletal uptake in several regions. A nuclear medicine technologist performs the acquisition, and a radiologist or other qualified physician interprets the images. Typical clinical questions include evaluation of multifocal bone pain, suspected skeletal metastases, or possible bone infection involving more than one area. The study may be performed in a hospital or outpatient imaging center.
Choose this code when the documented examination covers multiple skeletal areas but is not a whole-body bone study or a three-phase study. The report should identify the regions imaged and include the interpreting physician’s findings. CMS recognizes professional and technical components: report modifier 26 for the interpretation, modifier TC for equipment and staff, or neither modifier when billing the global service. The claim should reflect the component actually furnished by the billing entity.
CMS billing rules for 78305
- 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 RVU0.81 · 11%
- Practice expense (office) RVU6.37 · 88%
- Malpractice RVU0.09 · 1%
1.1K
Medicare services in 2024 · #2905 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.
78305 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$239.94
78306 describes a whole-body bone study. This code is for multiple areas without a whole-body examination.
$280.65
78315 is selected for a three-phase bone imaging protocol. The multiple-area code reflects examination extent, not a three-phase protocol.
Compare 78305 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
$224.57
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 78305 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
9,322
- Code
- 78305
- Physician work
- 0.81
- Practice expense
- 6.37
- Malpractice
- 0.09
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.81 | × 1.000 | 0.8100 |
| Practice expense | 6.37 | × 0.923 | 5.8795 |
| Malpractice | 0.09 | × 0.378 | 0.0340 |
| Total RVUs | 6.7235 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$224.57
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.81 | 1 |
| Practice expense | 6.37 | 0.923 |
| Malpractice | 0.09 | 0.378 |
(0.81 × 1 + 6.37 × 0.923 + 0.09 × 0.378) × $33.4009 = $224.57
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.
78305 billing questions
How is this code distinguished from a limited-area bone scan?
Use this code when the examination images multiple skeletal areas. A scan confined to a limited area is reported with 78300.
When should the whole-body bone imaging code be used instead?
Use 78306 when the study is a whole-body bone scan. This code describes imaging of multiple areas rather than the whole skeleton.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Billing without either modifier represents the global service.
Does a three-phase protocol use this code?
A three-phase bone imaging study is reported with 78315. Select the code that matches the documented imaging protocol, not simply the number of body regions.
What should the report document?
Document the skeletal areas examined and the physician’s interpretation. The report should support that multiple areas were imaged rather than a limited region 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.
9,31978300,,Bone imaging limited area,A,,0.60,5.31,,5.31,NA,0.06,5.97,5.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,12.37,12.37,0.10
9,32078300,26,Bone imaging limited area,A,,0.60,0.21,,0.21,,0.03,0.84,0.84,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,32178300,TC,Bone imaging limited area,A,,0.00,5.10,,5.10,NA,0.03,5.13,5.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,12.16,12.16,0.07
9,32278305,,Bone imaging multiple areas,A,,0.81,6.37,,6.37,NA,0.09,7.27,7.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,12.43,12.43,0.13
9,32378305,26,Bone imaging multiple areas,A,,0.81,0.28,,0.28,,0.05,1.14,1.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,32478305,TC,Bone imaging multiple areas,A,,0.00,6.09,,6.09,NA,0.04,6.13,6.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,12.15,12.15,0.08
9,32578306,,Bone imaging whole body,A,,0.84,6.84,,6.84,NA,0.08,7.76,7.76,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,12.43,12.43,0.11
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