`G0278` Iliac art angio,cardiac cath

What G0278 is

Iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation (list separately in addition to primary procedure)

HCPCS Level II long description, CMS October 2026 file. See the G codes page for the full section.

Medicare payment for G0278 (CY2026)

	Work RVU	Practice expense RVU	Malpractice RVU	Total	Medicare rate
Non-facility (office)	0.24	0.05	0.06	0.35	$11.69
Facility (hospital, ASC)	0.24	0.05	0.06	0.35	$11.69

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: Add-on code: global period of the primary procedure applies.

Medically Unlikely Edit (MUE)

Medicare caps G0278 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 G0278? These codes are bundled into it

G0278 is a Column 1 code in 37 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
`11000`	Dbrdmt ecz/infected skin<10%	1 - modifier may bypass	Check pair
`11001`	Dbrdmt ecz/infct skn ea addl	1 - modifier may bypass	Check pair
`11004`	Dbrdmt skin xtrnl gent&per	1 - modifier may bypass	Check pair
`11005`	Dbrdmt skin abdominal wall	1 - modifier may bypass	Check pair
`11006`	Dbrdmt skin xtrnl gent per	1 - modifier may bypass	Check pair
`11042`	Dbrdmt subq tis 1st 20sqcm/<	1 - modifier may bypass	Check pair
`11043`	Dbrdmt musc&/fsca 1st 20/<	1 - modifier may bypass	Check pair
`11044`	Dbrdmt bone 1st 20 sq cm/<	1 - modifier may bypass	Check pair
`11045`	Dbrdmt subq tiss each addl	1 - modifier may bypass	Check pair
`11046`	Dbrdmt musc&/fsca ea addl	1 - modifier may bypass	Check pair
`11047`	Dbrdmt bone each addl	1 - modifier may bypass	Check pair
`36140`	Intro ndl icath upr/lxtr art	0 - no modifier bypass	Check pair
`36200`	Place catheter in aorta	0 - no modifier bypass	Check pair
`36245`	Ins cath abd/l-ext art 1st	1 - modifier may bypass	Check pair
`36246`	Ins cath abd/l-ext art 2nd	1 - modifier may bypass	Check pair
`36247`	Ins cath abd/l-ext art 3rd	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
`75625`	Contrast exam abdominl aorta	1 - modifier may bypass	Check pair
`75630`	X-ray aorta leg arteries	0 - no modifier bypass	Check pair
`75710`	Artery x-rays arm/leg	1 - modifier may bypass	Check pair
`75716`	Artery x-rays arms/legs	0 - no modifier bypass	Check pair
`76000`	Fluoroscopy <1 hr phys/qhp	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
`96523`	Irrig drug delivery device	0 - no modifier bypass	Check pair
`97597`	Dbrdmt opn wnd 1st 20 cm/<	1 - modifier may bypass	Check pair
`97598`	Dbrdmt opn wnd addl 20cm/<	1 - modifier may bypass	Check pair

Showing 30 of 37 column 2 codes. Use the pair checker for any specific combination.

G0278 is bundled into these codes

G0278 appears as a Column 2 code in 27 active edits. Reported with one of these Column 1 codes on the same date of service, G0278 is the code that denies.

Column 1 code	Short description
`34701`	Evasc rpr a-ao ndgft	Check pair
`34702`	Evasc rpr a-ao ndgft rpt	Check pair
`34703`	Evasc rpr a-unilac ndgft	Check pair
`34704`	Evasc rpr a-unilac ndgft rpt	Check pair
`34705`	Evac rpr a-biiliac ndgft	Check pair
`34706`	Evasc rpr a-biiliac rpt	Check pair
`34709`	Plmt xtn prosth evasc rpr	Check pair
`34712`	Tcat dlvr enhncd fixj dev	Check pair
`34713`	Perq access & clsr fem art	Check pair
`34714`	Opn fem art expos cndt crtj	Check pair
`34715`	Opn ax/subcla art expos	Check pair
`34716`	Opn ax/subcla art expos cndt	Check pair
`34812`	Opn fem art expos	Check pair
`34820`	Opn iliac art expos	Check pair
`34830`	Open aortic tube prosth repr	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.