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See a sample rate comparisonCPT 78099 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Scan Of Hormone System, After Giving A Radioactive Substance By Mouth Or Iv The Glands That Make Up The Hormone (Endocrine) System Can Be Viewed.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Nuclear Medicine Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 78099 |
National average reimbursement for CPT 78099 by major payers:
$1,381.24
$110.54
$203.83
$786.04
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CPT 78099
5 of 25 sample ratesHigher to lower in this preview
St. Luke'S Warren Hospital, Inc.
St Lukes Warren Hospital Inc
$1,154.96Published rateHospital Service District 2 Of The Parish Of Tangipahoa State Of La., Hood Memorial Hospital
Hospital Service District 2 Of The Parish Of Tangipahoa State Of La
$754.23Published ratePrime Healthcare Services, Saint Clare'S Hospital
$565.67Published rateEmerus Bhs Sa Thousand Oaks, LLC, Baptist Neighborhood Hospital Westover Hills
Emerus Bhs Sa Thousand Oaks LLC
$377.11Published rateTulsa Spine & Specialty Hospital, Tulsa Spine Hospital
Tulsa Spine And Specialty Hospital
$210.05Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 78099 vs. Other Nuclear Medicine Procedures Codes
The CPT 78099 code is part of the Radiology Procedures services used for Nuclear Medicine 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 78099 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 |
|---|---|---|
| 78099-CPT | High | Scan Of Hormone System, After Giving A Radioactive Substance By Mouth Or Iv The Glands That Make Up The Hormone (Endocrine) System Can Be Viewed. |
| 78104-CPT | Moderate | Scan Of Bone Marrow, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights Bone Marrow On A Scan So That It May Be Viewed More Easily. The Entire Body May Be Scanned. Multiple Images May Be Taken. |
| 78110-CPT | Low | Blood Cell Study, This Study Evaluates One Or More Blood Components Such As Plasma And Blood Cells After Injection Of A Radioactive Material. The Test May Help To Detect A Blood Condition. |
| 78120-CPT | Low | Blood Cell Study, This Study Evaluates One Or More Blood Components Such As Plasma And Blood Cells After Injection Of A Radioactive Material. The Test May Help To Detect A Blood Condition. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78099. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78099 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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