CPT code 70471: CTA, head and neck with contrast2026 Medicare rate & RVUs in California

Reports contrast-enhanced CT angiography of both head and neck arteries, including noncontrast images when performed, to evaluate suspected vascular disease.

CMS RVU26DEffective Oct 1, 202629 payment localities

Medicare pays $402.97–$510.12 for 70471 in the office in California, from Chico, CA to San Benito County, CA. Which amount applies depends on the service address.

$402.97–$510.12Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 9 sections
  1. Rate in California
  2. What 70471 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 70471 covers

This service uses CT and contrast material to image arteries in both the head and neck. It is commonly ordered to assess concerns such as acute stroke, arterial narrowing, aneurysm, or suspected dissection. A radiologic technologist performs the scan, and a radiologist interprets the images. The study evaluates the cervical and intracranial arterial circulation as one combined examination.

Report 70471 for a combined head-and-neck angiographic study, rather than separate territory codes for the same examination. Documentation should support the clinical indication, the anatomic coverage, contrast administration, and the interpreting physician’s findings. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment-and-staff portion, and an unmodified claim represents the global service. When multiple diagnostic imaging services are performed, the CMS multiple procedure reduction applies to both the professional and technical components.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 70471 pays more and less in California

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

29 payment localities

$402.97 to $510.12

$402.97$456.55$510.12
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

29 of 29 payment localities

70471 office and facility rates by payment locality
Payment localityOfficeFacility
Bakersfield, CA$403.57Unavailable
Chico, CA$402.97Unavailable
El Centro, CA$403.00Unavailable
Fresno, CA$402.97Unavailable
Hanford, CA$402.97Unavailable
Los Angeles, CA$430.73Unavailable
Madera, CA$402.97Unavailable
Marin County, CA$499.21Unavailable
Merced, CA$402.97Unavailable
Modesto, CA$402.97Unavailable

How the 70471 rate is calculated

Each of 70471’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 70471

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.50

2.50 RVUs× 1.000 GPCI

Practice expense8.60

8.60 RVUs× 1.000 GPCI

Malpractice0.18

0.18 RVUs× 1.000 GPCI

Adjusted RVUs

11.2800

Conversion factor

$33.4009

Medicare rate

$376.76

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 70471

The CMS indicators that decide how 70471 is paid alongside other services.

CMS payment indicators · 70471

CTA, head and neck with contrast

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures4Diagnostic imaging reduction applies to the technical component (and professional component) of additional services.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

70471 without 26 · national office

$376.76

CTA, head and neck with contrast

70471-26 · Professional component

$118.24

Pays only the interpretation and report.

When to use modifier 26

70471 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 70471

    CTA, head and neck with contrast2.5 wRVU

    $376.76

  • 70496

    Head CTA, intracranial arteries1.71 wRVU

    $273.89−$102.87

  • 70498

    Neck CTA, cervical arteries1.71 wRVU

    $273.89−$102.87

  • 70450

    Head CT, without contrast0.83 wRVU

    $106.55−$270.21

  • 70491

    CT neck, with contrast1.35 wRVU

    $183.37−$193.39

How to choose

70496Head CTAIntracranial arteries
70496 covers CTA of the head alone. Choose 70471 when the performed angiographic examination covers both head and neck.
70498Neck CTACervical arteries
70498 covers CTA of the neck alone. Choose 70471 when the performed angiographic examination covers both neck and head.
70450Head CTWithout contrast
70450 is a noncontrast CT of the brain, not an angiographic study of head and neck arteries. It answers a different imaging question.
70491CT neckWith contrast
70491 is a contrast-enhanced CT of neck soft tissues, while 70471 evaluates arteries in both the neck and head.

70471 billing questions

When should 70471 be used instead of 70496 or 70498?

Use 70471 when the CTA examination covers both head and neck arteries. The single-territory codes are alternatives when the performed study is limited to the head or to the neck.

Are the head and neck reported as separate CTA services?

For one combined head-and-neck CTA examination, report 70471 rather than separately reporting 70496 and 70498 for the same study.

How are the professional and technical portions billed?

Use modifier 26 for the physician’s interpretation and modifier TC for the technical portion. An unmodified claim represents the global service.

Does the multiple procedure reduction affect this code?

Yes. CMS applies the diagnostic imaging multiple procedure reduction to the professional and technical components when multiple imaging procedures are performed.

Does a noncontrast image make this a separate CT service?

Noncontrast images, when performed as part of the CTA examination, are included in 70471. A separately performed diagnostic CT should be distinguished from those CTA images in the documentation.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 70471PPRRVU2026_Oct_nonQPP.csv, line 7,787 (RVU26D)

Open CMS sourceHow we calculate rates

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