CPT 78804
Global XXX ActiveRp loclzj tum whbdy 2+d img
CPT 78804 Billing & Documentation Guide
CPT code 78804 (Rp loclzj tum whbdy 2+d img) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.98, a non-facility practice expense RVU of 15.69, and a malpractice RVU of 0.13, a total non-facility RVU of 16.8 and facility RVU of 16.8. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $584.05, though rates vary from $485.14 to $794.36 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 78804, 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 78804 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 78804 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 78804
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.98 | 0.98 |
| Practice Expense RVU | 15.69 | 15.69 |
| Malpractice RVU | 0.13 | 0.13 |
| Total RVU | 16.8 | 16.8 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 78804
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 | $656.37 | $656.37 | $609.99 - $794.36 | 29 |
| Florida | $566.99 | $566.99 | $540.26 - $589.26 | 3 |
| Georgia | $537.93 | $537.93 | $505.37 - $570.49 | 2 |
| Illinois | $547.52 | $547.52 | $517.99 - $578.87 | 4 |
| Michigan | $530.94 | $530.94 | $516.1 - $545.77 | 2 |
| North Carolina | $524.46 | $524.46 | $524.46 - $524.46 | 1 |
| New York | $624.83 | $624.83 | $533.64 - $666 | 5 |
| Ohio | $515.58 | $515.58 | $515.58 - $515.58 | 1 |
| Pennsylvania | $550.98 | $550.98 | $517.92 - $584.05 | 2 |
| Texas | $552.88 | $552.88 | $513.66 - $591.1 | 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 78804
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 78804 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 | Standards of medical/surgical practice |
| 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 78804
What does CPT code 78804 mean? +
CPT code 78804 represents: Rp loclzj tum whbdy 2+d img. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 78804? +
The 2026 Medicare national average non-facility payment for CPT 78804 is $584.05. Rates range from $485.14 to $794.36 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 78804? +
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 78804? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 2, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team