CPT 78140 Fee Schedule
Healthcare 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 • Nuclear Medicine Procedures |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • TC - Technical component |
| Complexity Level | Low |
National average reimbursement for CPT 78140 by major payers:

$137.18

$151.01

$136.42

$182.54
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 78140 | ||||||
United | 78140 | $78.50 | 1699204081 - KEVIN HOANG | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 78140 | $78.50 | 1629137831 - RADIOLOGY ASSOCIATES OF NORTH TEXAS COUNTY PA | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Ultrasound Physician (2085U0001X) |
United | 78140 | $193.19 | 1508329525 - MEGAN BRENNAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MO | Certified Registered Nurse Anesthetist (367500000X) |
United | 78140 | $22.39 | 1235732702 - NORTHERN ARIZONA HEALTHCARE CORPORATION, NORTHERN ARIZONA HEALTHCARE CHILDREN'S HEALTH CENTER | 742410496 - (AZ) NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Multi-Specialty Clinic/Center (261QM1300X) |
United | 78140 | $52.20 | 1043713878 - KYLE RICHARDSON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Anesthesiology Physician (207L00000X) |
United | 78140 | $52.20 | 1154378164 - HASSAN SHAFEEQ | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Internal Medicine Physician (207R00000X) |
United | 78140 | $358.19 | 1487828596 - CHARLES CRUM | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 78140 | $345.01 | 1982317079 - HEALTH IMAGING PARTNERS, LLC | 271385885 | TX | Physiological Laboratory (293D00000X) |
United | 78140 | $358.19 | 1801884606 - JAMES LOWE | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 78140 | $279.69 | 1023542677 - ABIOLA FEMI-ABODUNDE | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 78140 | $193.19 | 1528052560 - BRIAN MULKERIN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Anesthesiology Physician (207L00000X) |
United | 78140 | $125.37 | 1568451110 - RICHARD LLOYD | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Internal Medicine Physician (207R00000X) |
United | 78140 | $52.20 | 1467879627 - DU NGUYEN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NY | Surgery Physician (208600000X) |
United | 78140 | $75.45 | 1295977718 - CHRISTOPHER MUELLER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WI | Cardiovascular Disease Physician (207RC0000X) |
United | 78140 | $22.39 | 1922413285 - STEVEN NUANES | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Internal Medicine Physician (207R00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 78140 vs. Other Nuclear Medicine Procedures Codes
The CPT 78140 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 78140 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 |
|---|---|---|
| 78072-CPT | Moderate | Parathyroid Planar Imaging (Including Subtraction, When Performed); With Tomographic (Spect), And Concurrently Acquired Computed Tomography (Ct) For Anatomical Localization |
| 78075-CPT | Moderate | Adrenal Imag;Cortex/Medulla |
| 78122-CPT | Low | Whole Blood Volume Determination, Including Separate Measurement Of Plasma Volume And Red Cell Volume (Radiopharmaceutical Volume-Dilution Technique) |
| 78140-CPT | Low | Lab. Red Cell;Diff. Organ/Tiss |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78140. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78140 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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