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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Ultrasound Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 19 - Off Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 76978 |
| Medicaid Fee Schedule | View Medicaid rates for 76978 |
National average reimbursement for CPT 76978 by major payers:

$318.82

$379.12

$338.53

$416.56
Choose a payer to see a sample of rates for CPT 76978.
Radiology Associates Of North Texas, PA
Northern Arizona Healthcare Corporation
Northern Arizona Healthcare Corporation
Northern Arizona Healthcare Corporation
Samaritan Emergency Medical Services PC
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 76978 vs. Other Diagnostic Ultrasound Procedures Codes
The CPT 76978 code is part of the Radiology Procedures services used for Diagnostic Ultrasound Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 76978 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 76978-CPT | Moderate | Ultrasound Targeted Dynamic M, Ultrasound Targeted Dynamic Microbubble Sonographic Contrast Characterization (Non-Cardiac) Initial Lesion |
| 76979-CPT | Moderate | Ultrasound Targeted Dynamic M, Ultrasound Targeted Dynamic Microbubble Sonographic Contrast Characterization (Non-Cardiac) Each Additional Lesion With Separate Injection (List Separately In Addition To Code For Primary Procedure) |
| 76998-CPT | Low | Ultrasound Guidance In Surgery, Ultrasound (Sound Wave) Guidance During Surgery Enhances The View Of A Body Area. This Enables Precise Placement Of Instruments Or Devices As Well As Accurate Work In Difficult Areas. |
| 77001-CPT | Low | Fluoroguide For Vein Device, Fluoroscopic Guidance For Central Venous Access Device Placement Replacement Catheter Only Or Complete Or Removal Includes Fluoroscopic Guidance For Vascular Access And Catheter Manipulation Any Necessary Contrast Injections Through Access Site Or Catheter With Related Venography Radiologic Supervision And Interpretation And Radiographic Documentation Of Final Catheter Position List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76978. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76978 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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