CPT code 70482: CT imaging, without and with contrast2026 Medicare rate & RVUs

Reports CT imaging of the orbit, ear region, sella, or posterior fossa when the examination includes both noncontrast and postcontrast acquisitions.

CMS RVU26DEffective Oct 1, 2026109 payment localities4.9K Medicare services in 2024

Medicare pays $209.09 for 70482 nationally in the office. Local office rates run $184.41–$285.03.

Medicare rate · 70482

CT imaging, without and with contrast

Office or facility?

Work RVUs
1.24
Total RVUs
6.26
Global days
XXX

National rate · 2026

$209.09

Office setting, before claim adjustments.

See every locality for 70482 →Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 70482 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 70482 covers

This service is a CT examination of the orbits, temporal bones or ear region, sella, or posterior fossa performed first without contrast and then after contrast administration. A radiology technologist typically obtains the images in an imaging department or hospital, and a radiologist interprets the study. Both phases provide images of the selected anatomy before and after contrast.

Select this code when documentation supports both noncontrast and postcontrast acquisitions of a covered region. A noncontrast-only study is reported with 70480, while a contrast-only study is reported with 70481. The record should identify the anatomy examined, the acquisition phases, and the interpretation. Medicare recognizes modifier 26 for the professional interpretation, modifier TC for the technical service, or reporting the global service without a component modifier. Diagnostic imaging multiple procedure reduction applies to both the technical and professional 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 70482 pays more and less

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

109 payment localities

$184.41 to $285.03

$184.41$234.72$285.03
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

70482 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$187.20Unavailable
Alaska$239.15Unavailable
Arizona$203.55Unavailable
Arkansas$184.41Unavailable
Atlanta, GA$212.45Unavailable
Austin, TX$218.38Unavailable
Bakersfield, CA$224.51Unavailable
Baltimore area, MD$222.49Unavailable
Beaumont, TX$194.06Unavailable
Brazoria, TX$207.28Unavailable

70482 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$184.41

$254.62

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
70482 office rate range by state
State / territoryOffice rate rangeLocalities
AK$239.151
AL$187.201
AR$184.411
AZ$203.551
CA$224.21–$285.0329
CO$219.471
CT$223.231
DC$240.981
DE$207.021
FL$203.36–$220.443
GA$191.88–$212.452
GU$230.381
HI$230.381
IA$193.281
ID$194.331
IL$196.46–$216.154
IN$195.521
KS$191.791
KY$190.561
LA$190.03–$199.782
MA$217.87–$242.402
MD$211.23–$240.983
ME$194.78–$206.502
MI$195.15–$205.392
MN$211.751
MO$186.29–$201.193
MS$185.421
MT$209.081
NC$196.971
ND$207.301
NE$194.541
NH$215.471
NJ$226.19–$238.252
NM$196.031
NV$208.751
NY$199.96–$245.445
OH$194.791
OK$190.801
OR$207.54–$227.262
PA$195.42–$217.172
PR$210.861
RI$214.991
SC$196.121
SD$207.091
TN$192.711
TX$194.06–$218.388
UT$198.901
VA$205.41–$240.982
VI$210.861
VT$205.961
WA$217.64–$247.992
WI$200.091
WV$188.811
WY$208.311

How the 70482 rate is calculated

Each of 70482’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 · 70482

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.24

1.24 RVUs× 1.000 GPCI

Practice expense4.93

4.93 RVUs× 1.000 GPCI

Malpractice0.09

0.09 RVUs× 1.000 GPCI

Adjusted RVUs

6.2600

Conversion factor

$33.4009

Medicare rate

$209.09

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

Payment rules and modifiers for 70482

The CMS indicators that decide how 70482 is paid alongside other services.

CMS payment indicators · 70482

CT imaging, without and 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

70482 without 26 · national office

$209.09

CT imaging, without and with contrast

70482-26 · Professional component

$58.12

Pays only the interpretation and report.

When to use modifier 26

70482 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 70482

    CT imaging, without and with contrast1.24 wRVU

    $209.09

  • 70480

    Targeted CT, without contrast1.25 wRVU

    $158.32−$50.77

  • 70481

    CT imaging, orbit, sella, posterior fossa, or ear1.1 wRVU

    $179.70−$29.39

  • 70470

    Head CT, without and with contrast1.24 wRVU

    $173.02−$36.07

  • 70488

    Maxillofacial CT, without and with contrast1.24 wRVU

    $184.04−$25.05

How to choose

70480Targeted CTWithout contrast
Reports CT of the same general anatomic regions without contrast only. Choose 70482 when both noncontrast and postcontrast acquisitions are performed.
70481CT imagingOrbit, sella, posterior fossa, or ear
Reports CT of the same general anatomic regions with contrast only. Choose 70482 when the examination includes noncontrast imaging before the postcontrast acquisitions.
70470Head CTWithout and with contrast
Reports head or brain CT with and without contrast. Choose 70482 for the orbit, ear region, sella, or posterior fossa rather than a brain-targeted examination.
70488Maxillofacial CTWithout and with contrast
Reports CT of the maxillofacial region with and without contrast. Choose 70482 when the target is the orbit, ear region, sella, or posterior fossa.

70482 billing questions

How does 70482 differ from 70480 and 70481?

70482 is for an examination with both noncontrast and postcontrast acquisitions. Use 70480 for noncontrast imaging only and 70481 for contrast imaging only.

Can the professional and technical portions be reported separately?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Reporting without either component modifier represents the global service.

Does the multiple procedure reduction affect both components?

Yes. The diagnostic imaging multiple procedure reduction applies to the technical and professional components.

What documentation supports reporting 70482?

Document the orbit, ear region, sella, or posterior fossa examined and show that both noncontrast and postcontrast image acquisitions were performed. The interpretation should support the professional service when billed.

When should a head CT code be used instead?

Use a head CT code such as 70470 when the examination targets the brain rather than the orbit, ear region, sella, or posterior fossa covered by this code.

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 70482PPRRVU2026_Oct_nonQPP.csv, line 7,802 (RVU26D)

Open CMS sourceHow we calculate rates

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