$198.62
Choose 78708 when the renal flow-and-function imaging includes a pharmacologic intervention. Choose 78707 for the corresponding study without one.
On this page
CMS RVU26D · Effective 2026-10-01
78708 Renal imaging Medicare reimbursement rates in Utah
A renal nuclear medicine study combining perfusion and function imaging with a pharmacologic challenge to assess drainage or functional response. Compare 78708 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 78708 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
$164.22
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 78708: Renal flow and function imaging with drug
A renal nuclear medicine study combining perfusion and function imaging with a pharmacologic challenge to assess drainage or functional response.
A renal renogram uses a radiotracer and serial imaging to assess blood flow, relative renal function, and tracer washout after a pharmacologic challenge. Common situations include evaluating suspected urinary obstruction with delayed drainage or assessing renal response to an ACE inhibitor, such as captopril. A nuclear medicine physician or radiologist interprets images acquired in a hospital or outpatient nuclear medicine department; technologists perform the imaging, and the drug challenge is part of the study.
Select this code when the renal flow-and-function imaging includes a pharmacologic intervention. Document the clinical indication, intervention, imaging performed, and interpretation. Use 78707 for the corresponding study without a drug intervention; 78709 describes studies involving multiple pharmacologic interventions. CMS allows the professional component with modifier 26, the technical component with modifier TC, or the global service without either modifier.
CMS billing rules for 78708
- 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 RVU1.18 · 23%
- Practice expense (office) RVU3.87 · 75%
- Malpractice RVU0.11 · 2%
19.5K
Medicare services in 2024 · #1159 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.
78708 compared with similar codes
Office rates for Utah, from the same CMS release.
$309.31
78709 describes the related study involving multiple pharmacologic interventions; 78708 is for a study with a pharmacologic intervention.
$94.22
78725 is a renal function study without imaging. Use 78708 when the service includes renal imaging with flow and function assessment.
$191.76
78701 covers renal imaging with vascular flow. 78708 is the flow-and-function study performed with a pharmacologic intervention.
Compare 78708 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
$164.22
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 78708 in Utah.
PPRRVU2026_Oct_nonQPP.csv
9,491
- Code
- 78708
- Physician work
- 1.18
- Practice expense
- 3.87
- Malpractice
- 0.11
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.18 | × 1.000 | 1.1800 |
| Practice expense | 3.87 | × 0.940 | 3.6378 |
| Malpractice | 0.11 | × 0.898 | 0.0988 |
| Total RVUs | 4.9166 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Utah$164.22
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.18 | 1 |
| Practice expense | 3.87 | 0.94 |
| Malpractice | 0.11 | 0.898 |
(1.18 × 1 + 3.87 × 0.94 + 0.11 × 0.898) × $33.4009 = $164.22
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.
78708 billing questions
How does 78708 differ from 78707?
78708 describes renal flow-and-function imaging performed with a pharmacologic intervention. Use 78707 when the study is performed without one.
When is 78709 more appropriate?
78709 is the related code for a renal flow-and-function study involving multiple pharmacologic interventions. 78708 describes the study with a pharmacologic intervention.
Can the professional and technical portions be billed separately?
Yes. Report modifier 26 for the interpretation and report modifier TC for the equipment and staff portion. Without either modifier, the claim represents the global service.
What documentation supports reporting 78708?
Document the reason for the study, the pharmacologic intervention used, the imaging performed, and the interpreting clinician’s findings.
Is this the same as a non-imaging renal function study?
No. 78708 describes renal flow-and-function imaging with a pharmacologic intervention; 78725 is a renal function study without imaging.
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.
9,48878707,,K flow/funct image w/o drug,A,,0.94,5.24,,5.24,NA,0.09,6.27,6.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,16.78,16.78,0.18
9,48978707,26,K flow/funct image w/o drug,A,,0.94,0.31,,0.31,,0.05,1.30,1.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,49078707,TC,K flow/funct image w/o drug,A,,0.00,4.93,,4.93,NA,0.04,4.97,4.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,16.47,16.47,0.13
9,49178708,,K flow/funct image w/drug,A,,1.18,3.87,,3.87,NA,0.11,5.16,5.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,16.75,16.75,0.30
9,49278708,26,K flow/funct image w/drug,A,,1.18,0.38,,0.38,,0.06,1.62,1.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,49378708,TC,K flow/funct image w/drug,A,,0.00,3.49,,3.49,NA,0.05,3.54,3.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,16.37,16.37,0.24
9,49478709,,K flow/funct image multiple,A,,1.37,8.27,,8.27,NA,0.13,9.77,9.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,16.93,16.93,0.20
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985