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See a sample rate comparisonCPT 78456 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.
Scan Of Vein For Blood Clot, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights Blood Flow On A Scan Of The Vein So That Any Clots That Exist Can Be Viewed More Easily.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Nuclear Medicine Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 26 - Professional component GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 78456 |
| Medicaid Fee Schedule | View Medicaid rates for 78456 |
National average reimbursement for CPT 78456 by major payers:
$352.55
$358.46
$329.11
$433.59
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CPT 78456
5 of 25 sample ratesHigher to lower in this preview
Emily Jensen
Radiology Associates Of North Texas, PA
$830.09Published rateBrian Launius
Northern Arizona Healthcare Corporation
$569.40Published rateClaudia Camacho
Northern Arizona Healthcare Corporation
$228.53Published rateChristopher O'Neill
Northern Arizona Healthcare Corporation
$90.00Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$32.77Published rate
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See a sample payer proposalCPT 78456 vs. Other Nuclear Medicine Procedures Codes
The CPT 78456 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 78456 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 |
|---|---|---|
| 78454-CPT | Moderate | Ht Musc Image Planar Mult, Myocardial Perfusion Imaging Planar Including Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Multiple Studies At Rest And Or Stress Exercise Or Pharmacologic And Or Redistribution And Or Rest Reinjection |
| 78456-CPT | Moderate | Scan Of Vein For Blood Clot, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights Blood Flow On A Scan Of The Vein So That Any Clots That Exist Can Be Viewed More Easily. |
| 78457-CPT | Low | Scan Of Vein For Blood Clot, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights Blood Flow On A Scan Of The Vein So That Any Clots That Exist Can Be Viewed More Easily. |
| 78458-CPT | Moderate | Scan Of Vein For Blood Clot, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights Blood Flow On A Scan Of The Vein So That Any Clots That Exist Can Be Viewed More Easily. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78456. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78456 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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