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See a sample rate comparisonCPT 78699 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 Nervous System, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights Nervous System Tissues On A Scan So That They May Be Viewed More Easily.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Nuclear Medicine Procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 78699 |
National average reimbursement for CPT 78699 by major payers:
$1,946.24
$123.79
$1,696.66
$797.97
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CPT 78699
5 of 25 sample ratesHigher to lower in this preview
Inova Health Care Services, Inova Fair Oaks Hospital
Inova Health Care Services
$1,058.71Published ratePiedmont Hospital, Inc, Piedmont Hospital
Piedmont Healthcare Inc
$920.33Published rateInspira Medical Centers, Inc., Inspira Medical Center Elmer
Inspira Medical Centers Inc
$631.40Published rateMercy Hospitals East Communities, Mercy Hospital Washington
Mercy Hospitals East Communities
$386.54Published rateMercy Health, Mercy Health - St. Anne Hospital
Mercy Health - St Vincent Medical Center LLC
$303.67Published rate
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See a sample payer proposalCPT 78699 vs. Other Nuclear Medicine Procedures Codes
The CPT 78699 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 78699 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. |
| 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. |
| 78606-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. |
| 78699-CPT | High | Scan Of Nervous System, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights Nervous System Tissues On A Scan So That They May 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 78699. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78699 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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