CPT 78608 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 | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component PI - PET tumor initial treatment strategy |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 78608 |
National average reimbursement for CPT 78608 by major payers:
$913.19
$1,599.78
$1,591.53
$1,493.70
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 78608 | $87.41 | 1295728186 - BAYCARE HOME CARE, INC. | 593582520 - (FL) BAYCARE HOME CARE INC | FL | Home Health Agency (251E00000X) |
United | 78608 | $1800.00 | 1386690014 - STEVEN SCHULTZ | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 78608 | $3229.22 | 1871098749 - KAI WANG | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | GA | Diagnostic Radiology Physician (2085R0202X) |
United | 78608 | $2259.87 | 1720195217 - CLAUDIA CAMACHO | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 78608 | $184.05 | 1396011771 - JUSTIN BECKER | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 78608 | $83.41 | 1669467684 - DAVID MILLER | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Orthopaedic Hand Surgery Physician (207XS0106X) |
United | 78608 | $3229.22 | 1720442890 - TONY ALIAS | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | VA | Diagnostic Radiology Physician (2085R0202X) |
United | 78608 | $184.05 | 1225802655 - ALEXANDER SMITH | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Physician Assistant (363A00000X) |
United | 78608 | $2134.21 | 1922457894 - AARON JAFFE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | FL | Internal Medicine Physician (207R00000X) |
United | 78608 | $184.05 | 1740284181 - CARSON JOHNSON | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 78608 | $6910.06 | 1104109552 - HEALTH IMAGING PARTNERS, LLC | 271385885 | TX | Physiological Laboratory (293D00000X) |
United | 78608 | $1288.69 | 1477843449 - LU PAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Internal Medicine Physician (207R00000X) |
United | 78608 | $943.67 | 1598375651 - E AND A MEDICAL ON THE GO HEALTHCARE OF SOUTH FLORIDA LLC, E AND A HEALTHCARE ON THE GO | 832289173 - (FL) E AND A MEDICAL ON THE GO HEALTHCARE OF SOUTH FLORIDA LLC | FL | Home Health Agency (251E00000X) |
United | 78608 | $125.65 | 1215461785 - AMANDA WADDELL | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Internal Medicine Physician (207R00000X) |
United | 78608 | $62.27 | 1588744270 - MICHAEL MACDONALD | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MI | Urology Physician (208800000X) |
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 78608 vs. Other Nuclear Medicine Procedures Codes
The CPT 78608 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 78608 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 |
|---|---|---|
| 78600-CPT | Moderate | Images Of The Brain, A Radioactive Substance Is Given By Mouth Or Iv. A Gamma Camera Creates Up To Three Images Of Brain Tissue By Detecting The Radiation. Views May Also Show Blood Flow. |
| 78601-CPT | Moderate | Images Of The Brain, A Radioactive Substance Is Given By Mouth Or Iv. A Gamma Camera Creates Up To Three Images Of Brain Tissue By Detecting The Radiation. Views May Also Show Blood Flow. |
| 78605-CPT | Moderate | Images Of The Brain, A Radioactive Substance Is Given By Mouth Or Iv. A Gamma Camera Creates At Least 4 Images Of Brain Tissue By Detecting The Radiation. Views May Also Show Blood Flow. |
| 78608-CPT | Moderate | Pet Scan Of The Brain, The Pet (Positron Emission Tomography) Scan Creates Images By Detecting A Radioactive Substance. The Scan Evaluates Brain Function Or Blood Flow. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78608. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78608 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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