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CMS RVU26D · Effective 2026-10-01

78605 Brain imaging Medicare reimbursement rates in Oklahoma

Reports nuclear medicine brain imaging acquired in four or more views without a separately described flow sequence. Compare 78605 office and facility rates across CMS payment localities in Oklahoma.

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 78605 in Oklahoma?

Oklahoma 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

$161.76

1 of 1 localities have a supported rate.

Payment area: Oklahoma

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.

Find 78605 in your payment locality →

Nuclear medicine

About 78605: Brain imaging, four or more views

Reports nuclear medicine brain imaging acquired in four or more views without a separately described flow sequence.

This nuclear medicine study records radiopharmaceutical distribution in the brain using four or more views, without a separately described flow sequence. A nuclear medicine technologist typically acquires the images in a hospital imaging department, and a radiologist or nuclear medicine physician interprets the study. The ordering clinician uses the findings as part of evaluating a suspected intracranial abnormality.

Select this code based on the documented view count and whether flow imaging was performed. The report and imaging record should support the number of views and the services actually acquired. 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.

CMS billing rules for 78605

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 RVU0.52 · 10%
  • Practice expense (office) RVU4.78 · 89%
  • Malpractice RVU0.07 · 1%

28

Medicare services in 2024 · #5722 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.

78605 compared with similar codes

Office rates for Oklahoma, from the same CMS release.

78600

Brain imaging

Fewer than four views

$150.14

Use 78600 for fewer than four brain views; use 78605 when four or more views are acquired.

78601

Brain imaging

With flow, fewer than four views

$173.62

78601 includes flow imaging and fewer than four views. 78605 covers four or more views without the separately described flow sequence.

78606

Brain imaging

Flow, four or more views

$259.01

Both represent four or more views, but 78606 includes flow imaging while 78605 does not.

78608

Brain imaging (pet)

No office rate

78608 is brain PET imaging; 78605 is distinguished by a four-or-more-view brain imaging acquisition rather than PET.

Compare 78605 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

Office and facility base rates · shared scale starting at $0

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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 78605 in Oklahoma.

PPRRVU2026_Oct_nonQPP.csv

9,449

Code
78605
Physician work
0.52
Practice expense
4.78
Malpractice
0.07

GPCI2026.csv

86

Locality
Oklahoma
Physician work
1.000
Practice expense
0.893
Malpractice
0.777
Office / nonfacility calculation for 78605 in Oklahoma
ComponentRVULocality factorAdjusted
Physician work0.52× 1.0000.5200
Practice expense4.78× 0.8934.2685
Malpractice0.07× 0.7770.0544
Total RVUs4.8429
Conversion factor× 33.4009

Office / nonfacility rate, Oklahoma$161.76

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.521
Practice expense4.780.893
Malpractice0.070.777

(0.52 × 1 + 4.78 × 0.893 + 0.07 × 0.777) × $33.4009 = $161.76

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.

78605 billing questions

How does 78605 differ from 78600?

78605 is for brain imaging with four or more views; 78600 is for fewer than four views. Use the documented acquisition, not the number of images selected for the final report.

When should 78606 be reported instead?

78606 describes four-or-more-view brain imaging with a flow sequence. Use 78605 when the study does not include that flow imaging.

Can the professional and technical portions be billed separately?

Yes. Modifier 26 identifies the interpretation, and modifier TC identifies the equipment and staff portion. Billing without either modifier represents the global service.

What documentation supports the view count?

The imaging record should show the views acquired, and the report should identify the brain study and interpret its findings. The documentation should also make clear whether flow imaging was performed.

Is 78608 interchangeable with 78605?

No. 78608 is brain PET imaging, a different imaging method; 78605 represents brain imaging selected by its view count.

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.

RVUs for 78605PPRRVU2026_Oct_nonQPP.csv, line 9,449 (RVU26D)
Geographic factors for OklahomaGPCI2026.csv, line 86 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet