`78709` K flow/funct image multiple

What 78709 is

CMS fee schedule short descriptor: K flow/funct image multiple.

Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.

Medicare payment for 78709 (CY2026)

	Work RVU	Practice expense RVU	Malpractice RVU	Total	Medicare rate
Non-facility (office)	1.37	8.27	0.13	9.77	$326.33
Facility (hospital, ASC)	1.37	8.27	0.13	9.77	$326.33

National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.

Adjust for a Medicare locality:

Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.

Medically Unlikely Edit (MUE)

Medicare caps 78709 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 78709? These codes are bundled into it

78709 is a Column 1 code in 43 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 code	Short description	Modifier indicator
`0694T`	3d vol img&rcnstj brst/ax	1 - modifier may bypass	Check pair
`0708T`	Id ca immntx prep & 1st njx	1 - modifier may bypass	Check pair
`0709T`	Id ca immntx each addl njx	1 - modifier may bypass	Check pair
`36000`	Place needle in vein	1 - modifier may bypass	Check pair
`36005`	Injection ext venography	1 - modifier may bypass	Check pair
`36410`	Vnpnxr 3yr/> phy/qhp dx/ther	1 - modifier may bypass	Check pair
`36591`	Draw blood off venous device	0 - no modifier bypass	Check pair
`36592`	Collect blood from picc	0 - no modifier bypass	Check pair
`76000`	Fluoroscopy <1 hr phys/qhp	1 - modifier may bypass	Check pair
`76376`	3d render w/intrp postproces	1 - modifier may bypass	Check pair
`76377`	3d render w/intrp postproces	1 - modifier may bypass	Check pair
`76942`	Echo guide for biopsy	1 - modifier may bypass	Check pair
`76998`	Us guide intraop	1 - modifier may bypass	Check pair
`77001`	Fluoroguide for vein device	1 - modifier may bypass	Check pair
`77002`	Needle localization by xray	1 - modifier may bypass	Check pair
`77790`	Radiation handling	0 - no modifier bypass	Check pair
`78445`	Vascular flow imaging	0 - no modifier bypass	Check pair
`78700`	Kidney imaging morphol	0 - no modifier bypass	Check pair
`78701`	Kidney imaging with flow	0 - no modifier bypass	Check pair
`78707`	K flow/funct image w/o drug	0 - no modifier bypass	Check pair
`78708`	K flow/funct image w/drug	0 - no modifier bypass	Check pair
`78725`	Kidney function study	0 - no modifier bypass	Check pair
`78803`	Rp loclzj tum spect 1 area	0 - no modifier bypass	Check pair
`96360`	Hydration iv infusion init	1 - modifier may bypass	Check pair
`96365`	Ther/proph/diag iv inf init	1 - modifier may bypass	Check pair
`96372`	Ther/proph/diag inj sc/im	1 - modifier may bypass	Check pair
`96374`	Ther/proph/diag inj iv push	1 - modifier may bypass	Check pair
`96375`	Tx/pro/dx inj new drug addon	1 - modifier may bypass	Check pair
`96376`	Tx/pro/dx inj same drug adon	1 - modifier may bypass	Check pair
`96377`	Applicaton on-body injector	1 - modifier may bypass	Check pair

Showing 30 of 43 column 2 codes. Use the pair checker for any specific combination.

78709 is bundled into these codes

78709 appears as a Column 2 code in 1 active edits. Reported with one of these Column 1 codes on the same date of service, 78709 is the code that denies.

Column 1 code	Short description	Modifier indicator
`79101`	Nuclear rx iv admin	0	Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.