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See a sample rate comparisonCPT 78725 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.
Kidney Function Study, A Radioactive Substance Is Injected And Then Blood Samples Are Taken At Periodic Intervals. Changes In The Amount Of The Substance Help To Evaluate Kidney Function.
| 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 TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 78725 |
| Medicaid Fee Schedule | View Medicaid rates for 78725 |
National average reimbursement for CPT 78725 by major payers:
$124.81
$122.43
$131.96
$151.19
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CPT 78725
5 of 25 sample ratesHigher to lower in this preview
Gregory Poe
Radiology Associates Of North Texas, PA
$285.10Published rateVictoria Ignace-Todd
Northern Arizona Healthcare Corporation
$131.99Published rateTiffany Witek
Northern Arizona Healthcare Corporation
$83.69Published rateDavid Delman
Northern Arizona Healthcare Corporation
$31.80Published rateRobert Gloyna
Radiology Associates Of North Texas, PA
$15.64Published rate
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See a sample payer proposalCPT 78725 vs. Other Nuclear Medicine Procedures Codes
The CPT 78725 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 78725 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 |
|---|---|---|
| 78700-CPT | Moderate | Scan Of Kidney Function, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights A Kidney On A Scan So That Its Function May Be Viewed More Easily. Blood Flow Through The Organ May Be Viewed. A Drug May Be Given To Stimulate Kidney Function For The Evaluation. |
| 78701-CPT | Moderate | Scan Of Kidney Function, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights A Kidney On A Scan So That Its Function May Be Viewed More Easily. Blood Flow Through The Organ May Be Viewed. A Drug May Be Given To Stimulate Kidney Function For The Evaluation. |
| 78707-CPT | Moderate | Scan Of Kidney Function, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights A Kidney On A Scan So That Its Function May Be Viewed More Easily. Blood Flow Through The Organ May Be Viewed. A Drug May Be Given To Stimulate Kidney Function For The Evaluation. |
| 78725-CPT | Low | Kidney Function Study, A Radioactive Substance Is Injected And Then Blood Samples Are Taken At Periodic Intervals. Changes In The Amount Of The Substance Help To Evaluate Kidney Function. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78725. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78725 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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