Both codes measure plasma volume; choose 78110 for a single-sample protocol and 78111 for a multiple-sample protocol.
On this page
CMS RVU26D · Effective 2026-10-01
78110 Plasma volume Medicare reimbursement rates in Utah
Reports a single-sample plasma volume study using tracer dilution and blood sampling to measure the circulating plasma compartment. Compare 78110 office and facility rates across CMS payment localities in Utah.
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 78110 in Utah?
Utah 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
$67.19
1 of 1 localities have a supported rate.
Payment area: Utah
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 78110: Plasma volume determination, single sample
Reports a single-sample plasma volume study using tracer dilution and blood sampling to measure the circulating plasma compartment.
This study measures circulating plasma volume through tracer dilution and analysis of a blood sample. It may be performed in a nuclear medicine department as part of an evaluation involving suspected abnormal plasma volume or a hematologic blood-volume question. Nuclear medicine staff typically perform the technical work, and a qualified physician interprets the study findings.
Choose this code when the plasma volume protocol uses a single sample; use 78111 when the study uses multiple samples. Documentation should support the plasma-volume measurement, the single-sample protocol, and the interpretation or technical work furnished. CMS recognizes professional and technical components: report modifier 26 for the interpretation, modifier TC for the equipment and staff, or neither modifier when billing the global service.
CMS billing rules for 78110
- 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 RVU0.19 · 9%
- Practice expense (office) RVU1.89 · 89%
- Malpractice RVU0.05 · 2%
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.
78110 compared with similar codes
Office rates for Utah, from the same CMS release.
Compare 78110 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
Utah →
Office / nonfacility
$67.19
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 78110 in Utah.
PPRRVU2026_Oct_nonQPP.csv
9,224
- Code
- 78110
- Physician work
- 0.19
- Practice expense
- 1.89
- Malpractice
- 0.05
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.19 | × 1.000 | 0.1900 |
| Practice expense | 1.89 | × 0.940 | 1.7766 |
| Malpractice | 0.05 | × 0.898 | 0.0449 |
| Total RVUs | 2.0115 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Utah$67.19
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.19 | 1 |
| Practice expense | 1.89 | 0.94 |
| Malpractice | 0.05 | 0.898 |
(0.19 × 1 + 1.89 × 0.94 + 0.05 × 0.898) × $33.4009 = $67.19
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.
78110 billing questions
How is 78110 different from 78111?
78110 is for a plasma volume study using a single sample. Use 78111 when the protocol uses multiple samples.
Which modifier identifies the physician interpretation?
Append modifier 26 when billing only the professional interpretation. Modifier TC identifies the technical work, including equipment and staff.
When is the global service reported?
Bill 78110 without modifier 26 or TC when the billing entity furnishes both the professional and technical components.
Is this code for red cell mass or total blood volume?
No. 78110 measures plasma volume; 78120 and 78121 measure red cell mass, while 78122 is for whole blood volume determination.
What documentation supports the single-sample code?
The record should identify the plasma volume study and support that its protocol used a single sample. The interpretation should document the physician's findings when the professional component is billed.
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.
