CPT 78072
Global XXX ActiveParathyrd planar w/spect&ct
CPT 78072 Billing & Documentation Guide
CPT code 78072 (Parathyrd planar w/spect&ct) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.56, a non-facility practice expense RVU of 9.79, and a malpractice RVU of 0.12, a total non-facility RVU of 11.47 and facility RVU of 11.47. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $397.87, though rates vary from $335.06 to $531.51 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 78072, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 78072 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 78072 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 78072
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.56 | 1.56 |
| Practice Expense RVU | 9.79 | 9.79 |
| Malpractice RVU | 0.12 | 0.12 |
| Total RVU | 11.47 | 11.47 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 78072
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $443.07 | $443.07 | $413.53 - $531.51 | 29 |
| Florida | $387.99 | $387.99 | $370.74 - $402.64 | 3 |
| Georgia | $368.93 | $368.93 | $348.56 - $389.3 | 2 |
| Illinois | $375.91 | $375.91 | $356.92 - $395.4 | 4 |
| Michigan | $364.8 | $364.8 | $355.18 - $374.41 | 2 |
| North Carolina | $359.75 | $359.75 | $359.75 - $359.75 | 1 |
| New York | $424.82 | $424.82 | $365.57 - $451.68 | 5 |
| Ohio | $354.69 | $354.69 | $354.69 - $354.69 | 1 |
| Pennsylvania | $377.15 | $377.15 | $356.07 - $398.23 | 2 |
| Texas | $378.04 | $378.04 | $353.39 - $401.72 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 78072
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 78072 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0694T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36000 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36005 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 36410 | Column 1 (primary), can be billed with modifier | Yes | CPT Separate procedure definition |
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 76000 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 76001 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 78072
What does CPT code 78072 mean? +
CPT code 78072 represents: Parathyrd planar w/spect&ct. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 78072? +
The 2026 Medicare national average non-facility payment for CPT 78072 is $397.87. Rates range from $335.06 to $531.51 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 78072? +
Radiology codes rely heavily on the professional/technical split: modifier 26 (professional component only) and TC (technical component only). Also common: 50 (bilateral imaging), 76 (repeat by same physician), 77 (repeat by different physician), and LT/RT for laterality.
What bundling edits apply to CPT 78072? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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