Billing code 78761: Testicular scanMedicare rate & RVUs in Utah
Nuclear medicine imaging evaluates testicular perfusion and tracer distribution, typically when acute scrotal pain raises concern for impaired blood flow or inflammation.
Medicare pays $179.92 for 78761 in the office in Utah (Utah). 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 78761 covers
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.
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 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | $179.92 | Unavailable |
How the 78761 rate is calculated
Each of 78761’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 · 78761
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.69Practice expense 4.92Malpractice 0.08
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 78761
The CMS indicators that decide how 78761 is paid alongside other services.
CMS payment indicators · 78761
Testicular scan
| 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
78761 without 26 · national office
$190.05
Testicular scan
78761-26 · Professional component
$32.73
Pays only the interpretation and report.
78761 compared with similar codes
Compare codes
78761 vs 76870 vs 93976 vs 93975: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 76870Scrotal ultrasound
- Use 78761 for testicular nuclear medicine imaging with flow; 76870 is an ultrasound examination of the scrotum.
- 93976Vascular study
- 93976 is a limited duplex ultrasound vascular study. It does not describe the radiopharmaceutical imaging reported with 78761.
- 93975Vascular duplex
- 93975 describes a complete duplex vascular study of scrotal contents; 78761 describes testicular nuclear medicine imaging with flow.
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 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
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