79101 Nuclear rx iv admin
What 79101 is
CMS fee schedule short descriptor: Nuclear rx iv admin.
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 79101 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 1.91 | 2.28 | 0.09 | 4.28 | $142.96 |
| Facility (hospital, ASC) | 1.91 | 2.28 | 0.09 | 4.28 | $142.96 |
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.
Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.
Medically Unlikely Edit (MUE)
Medicare caps 79101 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Nature of Service/Procedure. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 79101? These codes are bundled into it
79101 is a Column 1 code in 121 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 | |
|---|---|---|---|
0541T | Myocardial imaging mcg | 0 - no modifier bypass | Check pair |
0542T | Myocardial imaging mcg i&r | 0 - no modifier 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 |
36400 | Vnpnxr<3yrs phy/qhp fem/jug | 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 |
77790 | Radiation handling | 0 - no modifier bypass | Check pair |
78013 | Thyroid imaging w/blood flow | 0 - no modifier bypass | Check pair |
78014 | Thyroid imaging w/blood flow | 0 - no modifier bypass | Check pair |
78070 | Parathyroid planar imaging | 0 - no modifier bypass | Check pair |
78071 | Parathyrd planar w/wo subtrj | 0 - no modifier bypass | Check pair |
78072 | Parathyrd planar w/spect&ct | 0 - no modifier bypass | Check pair |
78075 | Adrenal cortex & medulla img | 0 - no modifier bypass | Check pair |
78102 | Bone marrow imaging ltd | 0 - no modifier bypass | Check pair |
78103 | Bone marrow imaging mult | 0 - no modifier bypass | Check pair |
78104 | Bone marrow imaging body | 0 - no modifier bypass | Check pair |
78110 | Plasma volume single | 0 - no modifier bypass | Check pair |
78111 | Plasma volume multiple | 0 - no modifier bypass | Check pair |
78120 | Red cell mass single | 0 - no modifier bypass | Check pair |
78121 | Red cell mass multiple | 0 - no modifier bypass | Check pair |
78122 | Whl bld volume determination | 0 - no modifier bypass | Check pair |
78130 | Red cell survival study | 0 - no modifier bypass | Check pair |
78140 | Red cell sequestration | 0 - no modifier bypass | Check pair |
78185 | Spleen imaging | 0 - no modifier bypass | Check pair |
78191 | Platelet survival study | 0 - no modifier bypass | Check pair |
78195 | Lymph system imaging | 0 - no modifier bypass | Check pair |
78201 | Liver imaging static only | 1 - modifier may bypass | Check pair |
Showing 30 of 121 column 2 codes. Use the pair checker for any specific combination.
79101 is bundled into these codes
79101 appears as a Column 2 code in 2 active edits. Reported with one of these Column 1 codes on the same date of service, 79101 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
77750 | Infuse radioactive materials | 0 | Check pair |
79403 | Hematopoietic nuclear tx | 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.