78227 Hepatobil syst image with drug
Also known as: HIDA with CCK, hepatobiliary imaging with drug
Hepatobiliary system imaging with pharmacologic intervention performed to assess gallbladder function and biliary dynamics.
In Plain Language
gallbladder function test with medication; HIDA scan with stimulation
Clinical Context
Evaluates gallbladder ejection fraction and contractility response to cholecystokinin stimulation. Diagnoses biliary dyskinesia and functional cholecystitis.
RVU Breakdown
| Work RVU | 0.88 |
| Total RVU | 0.88 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
Radiology codes require a written order, clinical indication, and a formal interpretation report. The professional component (modifier -26) and technical component (modifier -TC) may be billed separately.
How This Code Compares
With a work RVU of 0.88, this code ranks in the 54th percentile among Radiology codes — 1.1x the median (0.81). The highest wRVU in this category is 11.57.
Specialties
Frequently Asked Questions
What is CPT code 78227?
CPT 78227 (Hepatobil syst image with drug) is a Radiology code. Hepatobiliary system imaging with pharmacologic intervention performed to assess gallbladder function and biliary dynamics.
Who uses CPT code 78227?
CPT 78227 is used by Nuclear Medicine, Gastroenterology, Radiology. Evaluates gallbladder ejection fraction and contractility response to cholecystokinin stimulation. Diagnoses biliary dyskinesia and functional cholecystitis.
When is CPT 78227 used?
Evaluates gallbladder ejection fraction and contractility response to cholecystokinin stimulation. Diagnoses biliary dyskinesia and functional cholecystitis.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.