Home / Medicare fees / 71270

71270 Ct thorax dx c-/c+

What 71270 is

CMS fee schedule short descriptor: Ct thorax dx c-/c+.

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 71270 (CY2026)

Work RVUPractice expense RVUMalpractice RVUTotalMedicare rate
Non-facility (office)1.224.550.095.86$195.73
Facility (hospital, ASC)1.224.550.095.86$195.73

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.

Advertisement

Medically Unlikely Edit (MUE)

Medicare caps 71270 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: Anatomic Consideration. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 71270? These codes are bundled into it

71270 is a Column 1 code in 32 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 codeShort descriptionModifier indicator
01922Anes n-invas img/radj ther0 - no modifier bypassCheck pair
0558TCt scan f/biomchn ct alys1 - modifier may bypassCheck pair
0708TId ca immntx prep & 1st njx1 - modifier may bypassCheck pair
0709TId ca immntx each addl njx1 - modifier may bypassCheck pair
36000Place needle in vein1 - modifier may bypassCheck pair
36005Injection ext venography1 - modifier may bypassCheck pair
36011Place catheter in vein1 - modifier may bypassCheck pair
36406Vnpnxr<3yrs phy/qhp other vn1 - modifier may bypassCheck pair
36410Vnpnxr 3yr/> phy/qhp dx/ther1 - modifier may bypassCheck pair
36591Draw blood off venous device0 - no modifier bypassCheck pair
36592Collect blood from picc0 - no modifier bypassCheck pair
75571Ct hrt w/o dye w/ca test1 - modifier may bypassCheck pair
76000Fluoroscopy <1 hr phys/qhp1 - modifier may bypassCheck pair
76380Cat scan follow-up study1 - modifier may bypassCheck pair
76942Echo guide for biopsy1 - modifier may bypassCheck pair
76998Us guide intraop1 - modifier may bypassCheck pair
77001Fluoroguide for vein device1 - modifier may bypassCheck pair
77002Needle localization by xray1 - modifier may bypassCheck pair
78803Rp loclzj tum spect 1 area0 - no modifier bypassCheck pair
78830Rp loclzj tum spect w/ct 10 - no modifier bypassCheck pair
78831Rp loclzj tum spect 2 areas0 - no modifier bypassCheck pair
78832Rp loclzj tum spect w/ct 20 - no modifier bypassCheck pair
96360Hydration iv infusion init1 - modifier may bypassCheck pair
96365Ther/proph/diag iv inf init1 - modifier may bypassCheck pair
96372Ther/proph/diag inj sc/im1 - modifier may bypassCheck pair
96374Ther/proph/diag inj iv push1 - modifier may bypassCheck pair
96375Tx/pro/dx inj new drug addon1 - modifier may bypassCheck pair
96376Tx/pro/dx inj same drug adon1 - modifier may bypassCheck pair
96377Applicaton on-body injector1 - modifier may bypassCheck pair
96523Irrig drug delivery device0 - no modifier bypassCheck pair

Showing 30 of 32 column 2 codes. Use the pair checker for any specific combination.

71270 is bundled into these codes

71270 appears as a Column 2 code in 20 active edits. Reported with one of these Column 1 codes on the same date of service, 71270 is the code that denies.

Column 1 codeShort descriptionModifier indicator
0633TCt breast w/3d uni c-0Check pair
0634TCt breast w/3d uni c+0Check pair
0635TCt breast w/3d uni c-/c+0Check pair
0636TCt breast w/3d bi c-0Check pair
0637TCt breast w/3d bi c+0Check pair
0638TCt breast w/3d bi c-/c+0Check pair
0691TAuto alys xst ct std vrt fx0Check pair
0721TQuan ct tiss charac w/o ct1Check pair
0877TAugmnt alys ch ct ild w/o ct1Check pair
0878TAugmnt alys ch ct ild w/ct1Check pair
0879TAugmnt alys ch ct ild prep1Check pair
0880TAugmnt alys ch ct ild i&r1Check pair
71271Ct thorax lung cancer scr c-0Check pair
71275Ct angiography chest1Check pair
75572Ct hrt w/3d image1Check 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.