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See a sample rate comparisonCPT 78195 Fee Schedule
Last Verified: September 2026
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.
Lymph Node Scan, A Scan Of The Lymph System Or Specific Lymph Nodes. A Radioactive Substance Is Injected So That The Areas Stand Out On Images.
| 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 | Moderate |
| Medicare Fee Schedule | View Medicare rates for 78195 |
| Medicaid Fee Schedule | View Medicaid rates for 78195 |
National average reimbursement for CPT 78195 by major payers:
$389.66
$392.94
$422.35
$476.77
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CPT 78195
5 of 25 sample ratesHigher to lower in this preview
Western Missouri Medical Center
$1,124.51Published rateAhmad Tarhini
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$473.16Published rateJoseph Pidala
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$392.85Published rateRobert Ackerman
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$80.30Published rateAlexander Cadavid
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$68.25Published rate
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See a sample payer proposalCPT 78195 vs. Other Nuclear Medicine Procedures Codes
The CPT 78195 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 78195 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 |
|---|---|---|
| 78185-CPT | Low | Scan Of The Spleen, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights The Spleen Tissue On A Scan. Blood Flow To From And Within The Organ May Also Be Viewed. |
| 78195-CPT | Moderate | Lymph Node Scan, A Scan Of The Lymph System Or Specific Lymph Nodes. A Radioactive Substance Is Injected So That The Areas Stand Out On Images. |
| 78199-CPT | High | Scan Of Blood Or Lymph Flow, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights Blood Or Lymph Fluid Cells On A Scan So That They May Be Viewed More Easily. |
| 78215-CPT | Moderate | Scan Of Liver And Spleen, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights The Liver And Spleen On A Scan So That Their Function Is Viewed More Easily. Blood Flow Through The Organs May Be Viewed. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78195. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78195 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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