CPT 77011
Global XXX ActiveCt scan for localization
CPT 77011 Billing & Documentation Guide
CPT code 77011 (Ct scan for localization) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.18, a non-facility practice expense RVU of 5.37, and a malpractice RVU of 0.08, a total non-facility RVU of 6.63 and facility RVU of 6.63. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $229.7, though rates vary from $194.86 to $303.82 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 77011, 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 77011 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 77011 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 77011
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.18 | 1.18 |
| Practice Expense RVU | 5.37 | 5.37 |
| Malpractice RVU | 0.08 | 0.08 |
| Total RVU | 6.63 | 6.63 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 77011
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 | $254.51 | $254.51 | $238.1 - $303.82 | 29 |
| Florida | $224.58 | $224.58 | $214.9 - $232.89 | 3 |
| Georgia | $213.78 | $213.78 | $202.59 - $224.97 | 2 |
| Illinois | $217.97 | $217.97 | $207.35 - $228.63 | 4 |
| Michigan | $211.6 | $211.6 | $206.19 - $217 | 2 |
| North Carolina | $208.47 | $208.47 | $208.47 - $208.47 | 1 |
| New York | $245.01 | $245.01 | $211.69 - $260.16 | 5 |
| Ohio | $205.86 | $205.86 | $205.86 - $205.86 | 1 |
| Pennsylvania | $218.31 | $218.31 | $206.59 - $230.03 | 2 |
| Texas | $218.7 | $218.7 | $205.12 - $231.63 | 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 77011
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 77011 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 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 |
| 76380 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 77012 | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 77031 | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 99446 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 99447 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 99448 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 99449 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 77011
What does CPT code 77011 mean? +
CPT code 77011 represents: Ct scan for localization. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 77011? +
The 2026 Medicare national average non-facility payment for CPT 77011 is $229.7. Rates range from $194.86 to $303.82 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 77011? +
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 77011? +
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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