$101.26
Use 78761 for testicular nuclear medicine imaging with flow; 76870 is an ultrasound examination of the scrotum.
On this page
CMS RVU26D · Effective 2026-10-01
78761 Testicular scan Medicare reimbursement rates in Rhode Island
Nuclear medicine imaging evaluates testicular perfusion and tracer distribution, typically when acute scrotal pain raises concern for impaired blood flow or inflammation. Compare 78761 office and facility rates across CMS payment localities in Rhode Island.
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 78761 in Rhode Island?
Rhode Island 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
$195.62
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 78761: Testicular radionuclide imaging with blood-flow assessment
Nuclear medicine imaging evaluates testicular perfusion and tracer distribution, typically when acute scrotal pain raises concern for impaired blood flow or inflammation.
This nuclear medicine study uses an administered radiopharmaceutical and gamma-camera imaging to assess testicular blood flow and tracer distribution. It is used in evaluating acute scrotal pain, particularly when torsion or an inflammatory process is considered. A nuclear medicine physician or radiologist interprets the images; technologists perform the acquisition in a hospital or imaging department equipped for nuclear medicine.
Report 78761 when the documented study includes testicular imaging with flow, rather than a kidney or urinary-tract nuclear study. The order and report should identify the clinical indication, radiopharmaceutical and imaging performed, and interpretation findings. Billing without a modifier represents the global service when one entity furnishes both acquisition and interpretation. Modifier 26 identifies the professional interpretation; modifier TC identifies the technical service, including equipment and staff. CMS separately prices these modifier components, so report the component matching the service furnished.
CMS billing rules for 78761
- 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 RVU0.69 · 12%
- Practice expense (office) RVU4.92 · 86%
- Malpractice RVU0.08 · 1%
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.
78761 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
93976
No office rateVascular study
93976 is a limited duplex ultrasound vascular study. It does not describe the radiopharmaceutical imaging reported with 78761.
$266.60
93975 describes a complete duplex vascular study of scrotal contents; 78761 describes testicular nuclear medicine imaging with flow.
Compare 78761 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
Rhode Island →
Office / nonfacility
$195.62
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 78761 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
9,506
- Code
- 78761
- Physician work
- 0.69
- Practice expense
- 4.92
- Malpractice
- 0.08
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.69 | × 1.019 | 0.7031 |
| Practice expense | 4.92 | × 1.033 | 5.0824 |
| Malpractice | 0.08 | × 0.892 | 0.0714 |
| Total RVUs | 5.8568 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$195.62
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.69 | 1.019 |
| Practice expense | 4.92 | 1.033 |
| Malpractice | 0.08 | 0.892 |
(0.69 × 1.019 + 4.92 × 1.033 + 0.08 × 0.892) × $33.4009 = $195.62
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.
78761 billing questions
How does 78761 differ from scrotal ultrasound?
78761 reports nuclear medicine imaging of testicular blood flow and tracer distribution. Scrotal ultrasound, such as 76870, uses sonography rather than a radiopharmaceutical and gamma camera.
What does the global service include?
Billing 78761 without a modifier represents the global service, combining the technical acquisition and professional interpretation when furnished together.
When should modifier 26 or TC be reported?
Use modifier 26 for the professional interpretation and modifier TC for the technical service, including equipment and staff. CMS separately prices these components.
Is 93976 the same study as 78761?
No. 93976 is a limited duplex ultrasound study of vascular flow, while 78761 is testicular nuclear medicine imaging with flow.
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.
9,50378740,,Ureteral reflux study,A,,0.56,5.99,,5.99,NA,0.06,6.61,6.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,12.37,12.37,0.11
9,50478740,26,Ureteral reflux study,A,,0.56,0.23,,0.23,,0.02,0.81,0.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,50578740,TC,Ureteral reflux study,A,,0.00,5.76,,5.76,NA,0.04,5.80,5.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,12.14,12.14,0.09
9,50678761,,Testicular imaging w/flow,A,,0.69,4.92,,4.92,NA,0.08,5.69,5.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,12.37,12.37,0.14
9,50778761,26,Testicular imaging w/flow,A,,0.69,0.25,,0.25,,0.04,0.98,0.98,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,50878761,TC,Testicular imaging w/flow,A,,0.00,4.67,,4.67,NA,0.04,4.71,4.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,12.12,12.12,0.10
9,50978799,,Unlisted gu px dx nuc med,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537