CPT 78700
Global XXX ActiveKidney imaging morphol
CPT 78700 Billing & Documentation Guide
CPT code 78700 (Kidney imaging morphol) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.44, a non-facility practice expense RVU of 4.09, and a malpractice RVU of 0.06, a total non-facility RVU of 4.59 and facility RVU of 4.59. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $159.28, though rates vary from $133.08 to $214.38 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 78700, 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 78700 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 78700 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 78700
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.44 | 0.44 |
| Practice Expense RVU | 4.09 | 4.09 |
| Malpractice RVU | 0.06 | 0.06 |
| Total RVU | 4.59 | 4.59 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 78700
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 | $177.95 | $177.95 | $165.74 - $214.38 | 29 |
| Florida | $155.67 | $155.67 | $148.31 - $161.98 | 3 |
| Georgia | $147.44 | $147.44 | $138.94 - $155.94 | 2 |
| Illinois | $150.58 | $150.58 | $142.55 - $158.65 | 4 |
| Michigan | $145.79 | $145.79 | $141.68 - $149.9 | 2 |
| North Carolina | $143.43 | $143.43 | $143.43 - $143.43 | 1 |
| New York | $170.52 | $170.52 | $145.88 - $181.79 | 5 |
| Ohio | $141.44 | $141.44 | $141.44 - $141.44 | 1 |
| Pennsylvania | $150.78 | $150.78 | $142 - $159.56 | 2 |
| Texas | $151.13 | $151.13 | $140.87 - $161.03 | 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 78700
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 78700 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 |
| 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 |
Frequently Asked Questions, CPT 78700
What does CPT code 78700 mean? +
CPT code 78700 represents: Kidney imaging morphol. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 78700? +
The 2026 Medicare national average non-facility payment for CPT 78700 is $159.28. Rates range from $133.08 to $214.38 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 78700? +
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 78700? +
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 2, 2026.
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