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CPT code 70488: Maxillofacial CT, without and with contrast2026 Medicare rate & RVUs in Nevada

Reports a maxillofacial CT with both noncontrast and contrast-enhanced imaging when evaluation of facial structures requires both phases.

CMS RVU26DEffective Oct 1, 2026One payment locality3.9K Medicare services in 2024

In Nevada, Medicare pays $183.68 for 70488 in the office.

$183.68Office (non-facility)
Not available in this settingHospital or facility
−0.2%vs the national office rate ($184.04)

Check a contract rate as a % of Medicare · 70488 nationwide

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

We’ll open 70488 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 70488 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 70488 covers

This study images the facial bones and related maxillofacial structures in noncontrast and contrast-enhanced phases. A technologist acquires the images, and a radiologist interprets them. It may be selected for evaluation of a suspected facial mass or deep facial infection when both phases are needed to assess the relevant structures, commonly in hospital outpatient departments, emergency departments, and imaging centers.

Report 70488 for the combined examination, not separate maxillofacial CT codes for each phase. The order and report should support the maxillofacial anatomy studied and the clinical need for both noncontrast and contrast-enhanced imaging. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff, and no component modifier reports the global service. The 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.

How Nevada compares for 70488

Across 109 of 109 payment localities, the office rate for 70488 runs from $162.90 in Arkansas to $248.91 in San Benito County, CA. Nevada pays $183.68. The RVUs are the same everywhere; the geographic indexes change the dollars.

70488 in Nevada vs other payment areas
  1. Nevada · this page$183.68
  2. Los Angeles, CA · California$210.28+$26.60
  3. Washington, DC area · District of Columbia$211.47+$27.79
  4. Miami, FL · Florida$194.36+$10.68
  5. Chicago, IL · Illinois$188.92+$5.24
  6. Manhattan, NY · New York$211.07+$27.39
  7. Alaska · Alaska$212.47+$28.79

Other areas in Nevada first, then benchmark localities. Bars start at $0.

Every other payment area

70488 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$165.28—
ArkansasArkansas$162.90—
ArizonaArizona$179.28—
Bakersfield, CACalifornia$197.05—
Chico, CACalifornia$196.75—
El Centro, CACalifornia$196.77—
Fresno, CACalifornia$196.75—
Hanford, CACalifornia$196.75—

70488 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$162.90

$222.83

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

View every state and territory as a table
70488 office rate range by state
State / territoryOffice rate rangeLocalities
AK$212.471
AL$165.281
AR$162.901
AZ$179.281
CA$196.75–$248.9129
CO$192.811
CT$196.251
DC$211.471
DE$182.271
FL$179.41–$194.363
GA$169.54–$187.002
GU$201.901
HI$201.901
IA$170.361
ID$171.291
IL$173.58–$190.424
IN$172.301
KS$169.141
KY$168.291
LA$167.86–$176.212
MA$191.49–$212.492
MD$185.88–$211.473
ME$171.73–$181.672
MI$172.28–$181.212
MN$185.971
MO$164.69–$177.343
MS$163.851
MT$184.031
NC$173.601
ND$182.251
NE$171.421
NH$189.391
NJ$198.83–$209.192
NM$173.061
NV$183.681
NY$176.17–$215.655
OH$171.921
OK$168.431
OR$182.59–$199.432
PA$172.43–$191.092
PR$185.531
RI$189.111
SC$172.981
SD$182.041
TN$169.941
TX$171.26–$191.888
UT$175.361
VA$180.78–$211.472
VI$185.531
VT$181.161
WA$191.26–$217.252
WI$176.091
WV$167.041
WY$183.261

See 70488 in every payment locality

How the 70488 rate is calculated

Each of 70488’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 · 70488

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.24

1.24 RVUs× 1.000 GPCI

Practice expense4.18

4.18 RVUs× 1.000 GPCI

Malpractice0.09

0.09 RVUs× 1.000 GPCI

Adjusted RVUs

5.5100

Conversion factor

$33.4009

Medicare rate

$184.04

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

The exact Nevada inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,811

Code
70488
Physician work
1.24
Practice expense
4.18
Malpractice
0.09

GPCI2026.csv

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 70488 in Nevada
ComponentRVULocality factorAdjusted
Physician work1.24× 1.0001.2400
Practice expense4.18× 1.0014.1842
Malpractice0.09× 0.8330.0750
Total RVUs5.4992
Conversion factor× 33.4009

Office rate, Nevada$183.68

Office: (1.24 × 1 + 4.18 × 1.001 + 0.09 × 0.833) × $33.4009 = $183.68

Open 70488 in the RVU calculator

Payment rules and modifiers for 70488

The CMS indicators that decide how 70488 is paid alongside other services.

CMS payment indicators · 70488

Maxillofacial CT, 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

70488 without 26 · national office

$184.04

Maxillofacial CT, without and with contrast

70488-26 · Professional component

$58.45

Pays only the interpretation and report.

When to use modifier 26

Codes related to 70488

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 70488
CodeHow it relatesOffice range, Nevada
Same family
70486Maxillofacial CT, without contrastMaxillofacial CT without contrast only.$128.02
70487Facial CT, contrast-enhanced onlyMaxillofacial CT with contrast only.$151.25
Used instead
70482CT imaging, without and with contrastWithout-and-with contrast CT for an orbital, ear, or middle cranial fossa focus.$208.75
70480Targeted CT, without contrastNoncontrast CT when the study is focused on the orbit, ear, or middle cranial fossa.$157.93

How 70488 has changed in Nevada

70488 · Office / nonfacility

$183.68

Effective 2026-10-01

The base rate is $2.94 higher than on 2025-10-01, moving from $180.74 to $183.68 (1.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $180.74changed to$183.68

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.27 changed to 1.24
    • Practice expense RVU 4.25 changed to 4.18
    • Malpractice RVU 0.08 changed to 0.09
    • Practice expense GPCI 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $188.27changed to$180.74

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.31 changed to 4.25
    • Malpractice RVU 0.09 changed to 0.08

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $185.20changed to$188.27

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $195.15changed to$185.20

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.39 changed to 4.31
    • Malpractice GPCI 1.098 changed to 0.844

  5. January 1, 2023

    RVU23A

    $200.87changed to$195.15

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.42 changed to 4.39
    • Malpractice RVU 0.08 changed to 0.09
    • Work GPCI 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $206.48changed to$200.87

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.56 changed to 4.42
    • Malpractice RVU 0.06 changed to 0.08

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $207.31changed to$206.48

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.39 changed to 4.56
    • Malpractice RVU 0.07 changed to 0.06
    • Work GPCI 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $209.38changed to$207.31

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.08 changed to 0.07
    • Work GPCI 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $210.62changed to$209.38

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.43 changed to 4.39

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $212.50changed to$210.62

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.42 changed to 4.43
    • Work GPCI 1.004 changed to 1.002
    • Practice expense GPCI 1.034 changed to 1.017
    • Malpractice GPCI 0.946 changed to 0.909

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $214.84changed to$212.50

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.005 changed to 1.004
    • Practice expense GPCI 1.051 changed to 1.034
    • Malpractice GPCI 0.982 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $214.50changed to$214.84

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.40 changed to 4.42
    • Malpractice RVU 0.07 changed to 0.08

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $213.44changed to$214.50

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $316.77changed to$213.44

    • Conversion factor 35.8228 changed to 35.7547
    • Work RVU 1.42 changed to 1.27
    • Practice expense RVU 6.94 changed to 4.40
    • Malpractice RVU 0.09 changed to 0.07
    • Work GPCI 1.001 changed to 1.005
    • Practice expense GPCI 1.055 changed to 1.051
    • Malpractice GPCI 1.107 changed to 0.982

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $352.65changed to$316.77

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 8.35 changed to 6.94
    • Work GPCI 1.000 changed to 1.001
    • Practice expense GPCI 1.058 changed to 1.055
    • Malpractice GPCI 1.232 changed to 1.107

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$352.65

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$183.68Not available in this settingRVU26D
2026-07-01$183.68Not available in this settingRVU26C
2026-04-01$183.68Not available in this settingRVU26B
2026-01-01$183.68Not available in this settingRVU26A
2025-10-01$180.74Not available in this settingRVU25D
2025-07-01$180.74Not available in this settingRVU25C
2025-04-01$180.74Not available in this settingRVU25B
2025-01-01$180.74Not available in this settingRVU25A
2024-10-01$188.27Not available in this settingRVU24D
2024-07-01$188.27Not available in this settingRVU24C
2024-04-01$188.27Not available in this settingRVU24B
2024-03-09$188.27Not available in this settingRVU24AR
2024-01-01$185.20Not available in this settingRVU24A
2023-10-01$195.15Not available in this settingRVU23D
2023-07-01$195.15Not available in this settingRVU23C
2023-04-01$195.15Not available in this settingRVU23B
2023-01-01$195.15Not available in this settingRVU23A
2022-10-01$200.87Not available in this settingRVU22D
2022-07-01$200.87Not available in this settingRVU22C
2022-04-01$200.87Not available in this settingRVU22B
2022-01-01$200.87Not available in this settingRVU22A
2021-10-01$206.48Not available in this settingRVU21D
2021-07-01$206.48Not available in this settingRVU21C
2021-04-01$206.48Not available in this settingRVU21B
2021-01-01$206.48Not available in this settingRVU21A
2020-10-01$207.31Not available in this settingRVU20D
2020-07-01$207.31Not available in this settingRVU20C
2020-04-01$207.31Not available in this settingRVU20B
2020-01-01$207.31Not available in this settingRVU20A
2019-10-01$209.38Not available in this settingRVU19D
2019-07-01$209.38Not available in this settingRVU19C
2019-04-01$209.38Not available in this settingRVU19B
2019-01-01$209.38Not available in this settingRVU19A
2018-10-01$210.62Not available in this settingRVU18D
2018-07-01$210.62Not available in this settingRVU18C
2018-04-01$210.62Not available in this settingRVU18B
2018-01-01$210.62Not available in this settingRVU18AR1
2017-10-01$212.50Not available in this settingRVU17D
2017-07-01$212.50Not available in this settingRVU17C
2017-04-01$212.50Not available in this settingRVU17B
2017-01-01$212.50Not available in this settingRVU17A
2016-10-01$214.84Not available in this settingRVU16D
2016-07-01$214.84Not available in this settingRVU16C
2016-04-01$214.84Not available in this settingRVU16B
2016-01-01$214.84Not available in this settingRVU16A
2015-10-01$214.50Not available in this settingRVU15D
2015-07-01$214.50Not available in this settingRVU15C
2015-04-01$213.44Not available in this settingRVU15B
2015-01-01$213.44Not available in this settingRVU15A
2014-10-01$316.77Not available in this settingRVU14D
2014-07-01$316.77Not available in this settingRVU14C
2014-04-01$316.77Not available in this settingRVU14B
2014-01-01$316.77Not available in this settingRVU14A
2013-10-01$352.65Not available in this settingRVU13D
2013-07-01Rate data unavailableNot available in this settingRVU13C
2013-04-01Rate data unavailableNot available in this settingRVU13B
2013-01-01Rate data unavailableNot available in this settingRVU13AR

Price 70488 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

70488 billing questions

When should 70488 be chosen over 70486 or 70487?

Use 70488 when the maxillofacial examination includes both noncontrast and contrast-enhanced imaging. Use 70486 for a noncontrast-only study and 70487 for a contrast-only study.

Should the two imaging phases be billed as separate CT codes?

No. Report 70488 for the combined maxillofacial examination rather than billing 70486 and 70487 for its separate phases.

How are the professional and technical services reported?

Modifier 26 reports the professional interpretation, and modifier TC reports the technical service. Billing without either modifier represents the global service.

Does the multiple procedure reduction affect both components?

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

What documentation supports reporting 70488?

Documentation should identify the maxillofacial anatomy examined and support the need for both noncontrast and contrast-enhanced phases, rather than only one phase.

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 70488PPRRVU2026_Oct_nonQPP.csv, line 7,811 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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