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.
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.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | $403.57 | Unavailable |
| Chico, CA | $402.97 | Unavailable |
| El Centro, CA | $403.00 | Unavailable |
| Fresno, CA | $402.97 | Unavailable |
| Hanford, CA | $402.97 | Unavailable |
| Los Angeles, CA | $430.73 | Unavailable |
| Madera, CA | $402.97 | Unavailable |
| Marin County, CA | $499.21 | Unavailable |
| Merced, CA | $402.97 | Unavailable |
| Modesto, CA | $402.97 | Unavailable |
| Napa, CA | $470.41 | Unavailable |
| Oxnard, CA | $429.11 | Unavailable |
| Redding, CA | $402.97 | Unavailable |
| Rest of California | $402.97 | Unavailable |
| Riverside, CA | $404.96 | Unavailable |
| Sacramento, CA | $423.80 | Unavailable |
| Salinas, CA | $422.23 | Unavailable |
| San Benito County, CA | $510.12 | Unavailable |
| San Diego, CA | $432.81 | Unavailable |
| San Francisco, CA | $499.01 | Unavailable |
| San Luis Obispo, CA | $415.32 | Unavailable |
| Santa Clara County, CA | $509.29 | Unavailable |
| Santa Cruz, CA | $437.48 | Unavailable |
| Santa Maria, CA | $423.99 | Unavailable |
| Santa Rosa, CA | $441.97 | Unavailable |
| Stockton, CA | $402.97 | Unavailable |
| Vallejo, CA | $470.11 | Unavailable |
| Visalia, CA | $402.97 | Unavailable |
| Yuba City, CA | $402.97 | Unavailable |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 4 | Diagnostic imaging reduction applies to the technical component (and professional component) of additional services. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic 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.
70471 compared with similar codes
Compare codes · National
5 codes, side by side
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
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