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See a sample rate comparisonCPT 78799 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 Genitourinary System, A Scan Of The Urinary Tract Or Reproductive System Makes Use Of A Radioactive Substance To Highlight Specific Areas.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Nuclear Medicine Procedures |
| Common Modifiers | None |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 78799 |
National average reimbursement for CPT 78799 by major payers:
$1,446.79
$106.40
$842.25
$606.75
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CPT 78799
5 of 25 sample ratesHigher to lower in this preview
Hmh Hospitals Corporation, Riverview Medical Center
Hackensack Meridian Health Inc
$942.79Published rateSt. Vincent'S Birmingham, Ascension St. Vincent'S Birmingham
St Vincents Birmingham
$754.23Published rateMountain Vista Medical Center, Lp, Florence Hospital, A Campus Of Mountain Vista Medical Center
Mountain Vista Medical Center Lp
$625.82Published rateLehigh Hma LLC, Lehigh Regional Medical Center
$441.76Published rateEoh Acquisition Group, LLC, Carewell Health Medical Center
Eoh Acquisitions Group, LLC Dba Carewell Health
$377.11Published rate
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See a sample payer proposalCPT 78799 vs. Other Nuclear Medicine Procedures Codes
The CPT 78799 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 78799 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. |
| 78799-CPT | High | Scan Of Genitourinary System, A Scan Of The Urinary Tract Or Reproductive System Makes Use Of A Radioactive Substance To Highlight Specific Areas. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78799. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78799 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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