78451
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Published by RVUDoc. Numeric data: CMS RVU26D, effective 2026-10-01, checked 2026-10-03. Coding guidance reviewed 2026-09-23. Calculation limits and editorial policy.
Fee-schedule estimate before claim adjustments. Coverage, setting and payer rules still apply.
Billing guidance for 78451 is locked
- When to use it: the exact clinical situations that support billing 78451
- Documentation checklist: the 3 elements your note needs before submitting
- Common pitfalls: the 4 mistakes that get 78451 downcoded or denied
Payer notes
Verify current coverage, component indicators, unit limits, multiple-procedure adjustments and authorization requirements. Medicare physician fee-schedule estimates do not represent hospital facility reimbursement.
Related codes
These include alternative services and possible add-ons. Listing codes together does not establish that they can be billed together; check the applicable edits and payer policy.
See what 78451 adds to your year
Add it to the wRVU calculator with your own volume, or paste a note and let the chart audit check your coding.