CPT 78730
Global ZZZ ActiveUrinary bladder retention
CPT 78730 Billing & Documentation Guide
CPT code 78730 (Urinary bladder retention) is classified under Radiology with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.15, a non-facility practice expense RVU of 2.03, and a malpractice RVU of 0.01, a total non-facility RVU of 2.19 and facility RVU of 2.19. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $76.16, though rates vary from $63.43 to $103.51 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 78730, 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 78730 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Add-on code (global concept does not apply)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 78730 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 78730
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.15 | 0.15 |
| Practice Expense RVU | 2.03 | 2.03 |
| Malpractice RVU | 0.01 | 0.01 |
| Total RVU | 2.19 | 2.19 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 78730
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 | $85.6 | $85.6 | $79.59 - $103.51 | 29 |
| Florida | $73.69 | $73.69 | $70.33 - $76.44 | 3 |
| Georgia | $70.1 | $70.1 | $65.89 - $74.31 | 2 |
| Illinois | $71.18 | $71.18 | $67.44 - $75.27 | 4 |
| Michigan | $69.15 | $69.15 | $67.29 - $71 | 2 |
| North Carolina | $68.48 | $68.48 | $68.48 - $68.48 | 1 |
| New York | $81.34 | $81.34 | $69.66 - $86.57 | 5 |
| Ohio | $67.25 | $67.25 | $67.25 - $67.25 | 1 |
| Pennsylvania | $71.82 | $71.82 | $67.57 - $76.08 | 2 |
| Texas | $72.1 | $72.1 | $67.02 - $77.05 | 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 78730
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 78730 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 36000 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36005 | Column 1 (primary), can be billed with modifier | 9 | 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 |
| 51701 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 51702 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 76000 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 76003 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 76375 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 78730
What does CPT code 78730 mean? +
CPT code 78730 represents: Urinary bladder retention. It's in the Radiology category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 78730? +
The 2026 Medicare national average non-facility payment for CPT 78730 is $76.16. Rates range from $63.43 to $103.51 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 78730? +
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 78730? +
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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