CPT 71250
Global XXX ActiveCt thorax dx c-
CPT 71250 Billing & Documentation Guide
CPT code 71250 (Ct thorax dx c-) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.05, a non-facility practice expense RVU of 2.85, and a malpractice RVU of 0.07, a total non-facility RVU of 3.97 and facility RVU of 3.97. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $137.14, though rates vary from $118.05 to $177.45 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 71250, 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 71250 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 2 units of 71250 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 71250
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.05 | 1.05 |
| Practice Expense RVU | 2.85 | 2.85 |
| Malpractice RVU | 0.07 | 0.07 |
| Total RVU | 3.97 | 3.97 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 71250
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 | $150.23 | $150.23 | $141.25 - $177.45 | 29 |
| Florida | $135.13 | $135.13 | $129.59 - $140.08 | 3 |
| Georgia | $128.73 | $128.73 | $122.77 - $134.7 | 2 |
| Illinois | $131.64 | $131.64 | $125.64 - $137.22 | 4 |
| Michigan | $127.75 | $127.75 | $124.62 - $130.87 | 2 |
| North Carolina | $125.38 | $125.38 | $125.38 - $125.38 | 1 |
| New York | $146.11 | $146.11 | $127.15 - $154.84 | 5 |
| Ohio | $124.34 | $124.34 | $124.34 - $124.34 | 1 |
| Pennsylvania | $131.13 | $131.13 | $124.67 - $137.59 | 2 |
| Texas | $131.15 | $131.15 | $123.87 - $137.93 | 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 71250
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 71250 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 |
| 0558T | 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 |
| 71271 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 75571 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 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 |
Frequently Asked Questions, CPT 71250
What does CPT code 71250 mean? +
CPT code 71250 represents: Ct thorax dx c-. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 71250? +
The 2026 Medicare national average non-facility payment for CPT 71250 is $137.14. Rates range from $118.05 to $177.45 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 71250? +
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 71250? +
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 June 1, 2026.
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