CPT 77012
Global XXX ActiveCt scan for needle biopsy
CPT 77012 Billing & Documentation Guide
CPT code 77012 (Ct scan for needle biopsy) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.46, a non-facility practice expense RVU of 2.12, and a malpractice RVU of 0.1, a total non-facility RVU of 3.68 and facility RVU of 3.68. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $126.52, though rates vary from $111.31 to $158.03 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 77012, 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 77012 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 77012 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 77012
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.46 | 1.46 |
| Practice Expense RVU | 2.12 | 2.12 |
| Malpractice RVU | 0.1 | 0.1 |
| Total RVU | 3.68 | 3.68 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 77012
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 | $136.11 | $136.11 | $128.99 - $158.03 | 29 |
| Florida | $126.31 | $126.31 | $121.48 - $130.93 | 3 |
| Georgia | $120.39 | $120.39 | $115.91 - $124.87 | 2 |
| Illinois | $123.74 | $123.74 | $118.64 - $127.94 | 4 |
| Michigan | $119.96 | $119.96 | $117.19 - $122.73 | 2 |
| North Carolina | $116.97 | $116.97 | $116.97 - $116.97 | 1 |
| New York | $134.61 | $134.61 | $118.38 - $142.28 | 5 |
| Ohio | $116.78 | $116.78 | $116.78 - $116.78 | 1 |
| Pennsylvania | $122.14 | $122.14 | $116.93 - $127.34 | 2 |
| Texas | $121.85 | $121.85 | $116.31 - $126.74 | 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 77012
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 77012 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 | Yes | Anesthesia service included in surgical procedure |
| 0570T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0571T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0572T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0573T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0574T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0581T | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 0584T | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 0585T | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 0586T | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
Frequently Asked Questions, CPT 77012
What does CPT code 77012 mean? +
CPT code 77012 represents: Ct scan for needle biopsy. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 77012? +
The 2026 Medicare national average non-facility payment for CPT 77012 is $126.52. Rates range from $111.31 to $158.03 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 77012? +
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 77012? +
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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