CPT 70486
Global XXX ActiveCt maxillofacial w/o dye
CPT 70486 Billing & Documentation Guide
CPT code 70486 (Ct maxillofacial w/o dye) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.83, a non-facility practice expense RVU of 2.95, and a malpractice RVU of 0.06, a total non-facility RVU of 3.84 and facility RVU of 3.84. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $132.84, though rates vary from $113.39 to $173.93 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 70486, 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 70486 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 70486 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 70486
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.83 | 0.83 |
| Practice Expense RVU | 2.95 | 2.95 |
| Malpractice RVU | 0.06 | 0.06 |
| Total RVU | 3.84 | 3.84 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 70486
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 | $146.39 | $146.39 | $137.26 - $173.93 | 29 |
| Florida | $130.48 | $130.48 | $124.93 - $135.36 | 3 |
| Georgia | $124.16 | $124.16 | $118 - $130.32 | 2 |
| Illinois | $126.86 | $126.86 | $120.82 - $132.66 | 4 |
| Michigan | $123.07 | $123.07 | $119.95 - $126.19 | 2 |
| North Carolina | $120.93 | $120.93 | $120.93 - $120.93 | 1 |
| New York | $141.68 | $141.68 | $122.74 - $150.37 | 5 |
| Ohio | $119.7 | $119.7 | $119.7 - $119.7 | 1 |
| Pennsylvania | $126.63 | $126.63 | $120.07 - $133.19 | 2 |
| Texas | $126.74 | $126.74 | $119.25 - $133.8 | 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 70486
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 70486 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01922 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 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 |
| 70470 | Column 1 (primary), can be billed with modifier | 9 | Mutually exclusive procedures |
| 76350 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 76380 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 99201 | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
| 99202 | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
| 99203 | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 70486
What does CPT code 70486 mean? +
CPT code 70486 represents: Ct maxillofacial w/o dye. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 70486? +
The 2026 Medicare national average non-facility payment for CPT 70486 is $132.84. Rates range from $113.39 to $173.93 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 70486? +
Radiology codes rely heavily on the professional/technical split: modifier 26 (professional component only) and TC (technical component only). Also common: 50 (bilateral imaging), 76 (repeat by same physician), 77 (repeat by different physician), and LT/RT for laterality.
What bundling edits apply to CPT 70486? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team