CPT 61782
Global ZZZ ActiveScan proc cranial extra
CPT 61782 Billing & Documentation Guide
CPT code 61782 (Scan proc cranial extra) is classified under Surgery (Endocrine/Nervous/Eye/Ear) with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 3.1, a non-facility practice expense RVU of 0.76, and a malpractice RVU of 0.46, a total non-facility RVU of 4.32 and facility RVU of 4.32. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $145.3, though rates vary from $132.59 to $190.81 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 61782, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 61782 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Add-on code (global concept does not apply)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 61782 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 61782
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 3.1 | 3.1 |
| Practice Expense RVU | 0.76 | 0.76 |
| Malpractice RVU | 0.46 | 0.46 |
| Total RVU | 4.32 | 4.32 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 61782
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $145.62 | $145.62 | $141.36 - $159.77 | 29 |
| Florida | $158.92 | $158.92 | $150.9 - $168.82 | 3 |
| Georgia | $146.3 | $146.3 | $144.5 - $148.1 | 2 |
| Illinois | $157.79 | $157.79 | $150.73 - $165.04 | 4 |
| Michigan | $149.01 | $149.01 | $144.07 - $153.94 | 2 |
| North Carolina | $137.04 | $137.04 | $137.04 - $137.04 | 1 |
| New York | $157.66 | $157.66 | $138.46 - $168.88 | 5 |
| Ohio | $142.21 | $142.21 | $142.21 - $142.21 | 1 |
| Pennsylvania | $145.77 | $145.77 | $141.37 - $150.16 | 2 |
| Texas | $143.38 | $143.38 | $140.92 - $150.72 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 61782
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 61782 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0054T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0055T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0333T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0464T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 20660 | Column 1 (primary), can be billed with modifier | No | CPT Separate procedure definition |
| 20661 | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 20985 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 69990 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 61782
What does CPT code 61782 mean? +
CPT code 61782 represents: Scan proc cranial extra. It's in the Surgery (Endocrine/Nervous/Eye/Ear) category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 61782? +
The 2026 Medicare national average non-facility payment for CPT 61782 is $145.3. Rates range from $132.59 to $190.81 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 61782? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 61782? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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