CPT 78300
Global XXX ActiveBone imaging limited area
CPT 78300 Billing & Documentation Guide
CPT code 78300 (Bone imaging limited area) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.6, a non-facility practice expense RVU of 5.31, and a malpractice RVU of 0.06, a total non-facility RVU of 5.97 and facility RVU of 5.97. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $207.26, though rates vary from $173.42 to $279.07 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 78300, 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 78300 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 78300 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 78300
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.6 | 0.6 |
| Practice Expense RVU | 5.31 | 5.31 |
| Malpractice RVU | 0.06 | 0.06 |
| Total RVU | 5.97 | 5.97 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 78300
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 | $231.71 | $231.71 | $215.84 - $279.07 | 29 |
| Florida | $201.89 | $201.89 | $192.61 - $209.74 | 3 |
| Georgia | $191.67 | $191.67 | $180.63 - $202.7 | 2 |
| Illinois | $195.32 | $195.32 | $185.1 - $205.88 | 4 |
| Michigan | $189.4 | $189.4 | $184.23 - $194.57 | 2 |
| North Carolina | $186.8 | $186.8 | $186.8 - $186.8 | 1 |
| New York | $221.58 | $221.58 | $189.94 - $235.92 | 5 |
| Ohio | $183.99 | $183.99 | $183.99 - $183.99 | 1 |
| Pennsylvania | $196.08 | $196.08 | $184.75 - $207.42 | 2 |
| Texas | $196.62 | $196.62 | $183.3 - $209.5 | 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 78300
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 78300 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0394T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 0395T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 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 |
| 36011 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36406 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36410 | Column 1 (primary), can be billed with modifier | Yes | CPT Separate procedure definition |
Frequently Asked Questions, CPT 78300
What does CPT code 78300 mean? +
CPT code 78300 represents: Bone imaging limited area. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 78300? +
The 2026 Medicare national average non-facility payment for CPT 78300 is $207.26. Rates range from $173.42 to $279.07 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 78300? +
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 78300? +
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 June 1, 2026.
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