Billing code 78305: Bone imagingMedicare rate & RVUs in Ohio
Reports radionuclide imaging of multiple skeletal regions when the study targets several areas rather than a limited site or the whole skeleton.
Medicare pays $224.34 for 78305 in the office in Ohio (Ohio). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 78305 covers
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.
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 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | $224.34 | Unavailable |
How the 78305 rate is calculated
Each of 78305’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 78305
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.81Practice expense 6.37Malpractice 0.09
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 78305
The CMS indicators that decide how 78305 is paid alongside other services.
CMS payment indicators · 78305
Bone imaging
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
78305 without 26 · national office
$242.82
Bone imaging
78305-26 · Professional component
$38.08
Pays only the interpretation and report.
78305 compared with similar codes
Compare codes
78305 vs 78300 vs 78306 vs 78315: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 78300Bone scan
- 78300 applies to bone imaging of a limited area. Use 78305 when multiple skeletal areas are examined.
- 78306Bone imaging
- 78306 describes a whole-body bone study. This code is for multiple areas without a whole-body examination.
- 78315Bone imaging
- 78315 is selected for a three-phase bone imaging protocol. The multiple-area code reflects examination extent, not a three-phase protocol.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets
Put 78305 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →