CPT 78707
Global XXX ActiveK flow/funct image w/o drug
CPT 78707 Billing & Documentation Guide
CPT code 78707 (K flow/funct image w/o drug) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.94, a non-facility practice expense RVU of 5.24, and a malpractice RVU of 0.09, a total non-facility RVU of 6.27 and facility RVU of 6.27. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $217.27, though rates vary from $183.29 to $288.84 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 78707, 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 78707 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 78707 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 78707
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.94 | 0.94 |
| Practice Expense RVU | 5.24 | 5.24 |
| Malpractice RVU | 0.09 | 0.09 |
| Total RVU | 6.27 | 6.27 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 78707
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 | $241.25 | $241.25 | $225.36 - $288.84 | 29 |
| Florida | $212.85 | $212.85 | $203.23 - $221.2 | 3 |
| Georgia | $202.01 | $202.01 | $191.1 - $212.92 | 2 |
| Illinois | $206.37 | $206.37 | $195.89 - $216.69 | 4 |
| Michigan | $199.97 | $199.97 | $194.58 - $205.36 | 2 |
| North Carolina | $196.61 | $196.61 | $196.61 - $196.61 | 1 |
| New York | $232.23 | $232.23 | $199.78 - $247.09 | 5 |
| Ohio | $194.22 | $194.22 | $194.22 - $194.22 | 1 |
| Pennsylvania | $206.33 | $206.33 | $194.91 - $217.74 | 2 |
| Texas | $206.67 | $206.67 | $193.46 - $219.29 | 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 78707
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 78707 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 78707
What does CPT code 78707 mean? +
CPT code 78707 represents: K flow/funct image w/o drug. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 78707? +
The 2026 Medicare national average non-facility payment for CPT 78707 is $217.27. Rates range from $183.29 to $288.84 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 78707? +
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 78707? +
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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