CPT code 71271: Lung screening CT, low-dose, without contrast2026 Medicare rate & RVUs

Low-dose CT of the chest screens eligible asymptomatic patients for lung cancer and is reported when the study is performed under a screening indication.

CMS RVU26DEffective Oct 1, 2026109 payment localities475K Medicare services in 2024

Medicare pays $136.28 for 71271 nationally in the office. Local office rates run $121.09–$182.45.

Medicare rate · 71271

Lung screening CT, low-dose, without contrast

Office or facility?

Work RVUs
1.05
Total RVUs
4.08
Global days
XXX

National rate · 2026

$136.28

Office setting, before claim adjustments.

See every locality for 71271 →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 71271 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 71271 covers

Code 71271 represents a low-dose, noncontrast CT acquisition of the chest performed to screen for lung cancer, rather than to investigate symptoms or a known abnormality. A CT technologist typically performs the scan in an outpatient imaging department or imaging center, and a radiologist reviews the images for pulmonary nodules and other suspicious findings. The service is used for screening in eligible patients without lung cancer symptoms; a nodule already under diagnostic evaluation or a new respiratory complaint calls for diagnostic imaging selection instead.

Report 71271 for the screening study and retain documentation identifying its screening purpose and low-dose, noncontrast protocol; the radiology report supports the interpretation. A radiology group may bill the professional interpretation with modifier 26, the imaging facility may bill the equipment and staff with modifier TC, and a supplier furnishing the complete service bills globally without either modifier. CMS applies the diagnostic-imaging multiple-procedure reduction to both the technical and professional components when applicable.

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 71271 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

$121.09 to $182.45

$121.09$151.77$182.45
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

71271 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$122.80Unavailable
Alaska$159.02Unavailable
Arizona$132.84Unavailable
Arkansas$121.09Unavailable
Atlanta, GA$138.49Unavailable
Austin, TX$141.76Unavailable
Bakersfield, CA$145.36Unavailable
Baltimore area, MD$144.66Unavailable
Beaumont, TX$127.22Unavailable
Brazoria, TX$135.08Unavailable

71271 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.

$121.09

$163.77

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

View every state and territory as a table
71271 office rate range by state
State / territoryOffice rate rangeLocalities
AK$159.021
AL$122.801
AR$121.091
AZ$132.841
CA$145.09–$182.4529
CO$142.421
CT$145.131
DC$156.011
DE$135.001
FL$133.28–$144.403
GA$126.15–$138.492
GU$148.651
HI$148.651
IA$126.291
ID$126.981
IL$129.21–$141.244
IN$127.711
KS$125.491
KY$125.111
LA$124.83–$130.832
MA$141.52–$156.532
MD$137.59–$156.013
ME$127.38–$134.402
MI$128.05–$134.662
MN$137.251
MO$122.61–$131.553
MS$121.881
MT$136.271
NC$128.711
ND$134.691
NE$127.031
NH$139.981
NJ$147.00–$154.432
NM$128.631
NV$135.931
NY$130.56–$159.435
OH$127.721
OK$125.141
OR$135.09–$147.092
PA$128.05–$141.462
PR$137.321
RI$139.911
SC$128.391
SD$134.501
TN$126.071
TX$127.22–$141.768
UT$130.091
VA$133.82–$156.012
VI$137.321
VT$133.971
WA$141.32–$159.912
WI$130.291
WV$124.521
WY$135.581

How the 71271 rate is calculated

Each of 71271’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 · 71271

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.05

1.05 RVUs× 1.000 GPCI

Practice expense2.95

2.95 RVUs× 1.000 GPCI

Malpractice0.08

0.08 RVUs× 1.000 GPCI

Adjusted RVUs

4.0800

Conversion factor

$33.4009

Medicare rate

$136.28

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

Payment rules and modifiers for 71271

The CMS indicators that decide how 71271 is paid alongside other services.

CMS payment indicators · 71271

Lung screening CT, low-dose, without 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

71271 without 26 · national office

$136.28

Lung screening CT, low-dose, without contrast

71271-26 · Professional component

$49.43

Pays only the interpretation and report.

When to use modifier 26

71271 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 71271

    Lung screening CT, low-dose, without contrast1.05 wRVU

    $136.28

  • 71250

    Chest CT, diagnostic, without contrast1.05 wRVU

    $132.60−$3.68

  • 71260

    Chest CT with contrast, contrast-enhanced images only1.13 wRVU

    $166.67+$30.39

  • 71270

    Chest CT, without and with contrast1.22 wRVU

    $195.73+$59.45

  • 71275

    CT angiography, chest vessels1.77 wRVU

    $280.57+$144.29

How to choose

71250Chest CTDiagnostic, without contrast
71271 is low-dose, noncontrast imaging for lung cancer screening. 71250 is a diagnostic chest CT without contrast.
71260Chest CT with contrastContrast-enhanced images only
71260 is a diagnostic chest CT performed with contrast; 71271 is a low-dose, noncontrast screening study.
71270Chest CTWithout and with contrast
71270 is diagnostic chest imaging performed without and with contrast. 71271 is used for lung cancer screening without contrast.
71275CT angiographyChest vessels
71275 is chest CT angiography for vascular imaging. 71271 is a low-dose chest CT performed to screen for lung cancer.

71271 billing questions

When should 71271 be chosen over a diagnostic chest CT?

Use 71271 when the study is performed as low-dose lung cancer screening. A scan to evaluate symptoms, a known nodule, or another abnormal finding is diagnostic rather than screening.

How are the interpretation and scan acquisition billed?

Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. A supplier billing the complete service reports 71271 without either modifier.

Does the multiple-procedure reduction affect both components?

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

What documentation supports reporting 71271?

Document the screening indication and the low-dose, noncontrast chest CT protocol. The radiology report should support the interpretation billed.

Can 71271 be used to follow a previously identified lung nodule?

A study ordered to evaluate or monitor a known nodule is diagnostic imaging, not a screening examination. Select the diagnostic chest CT code that matches the study performed.

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 71271PPRRVU2026_Oct_nonQPP.csv, line 7,919 (RVU26D)

Open CMS sourceHow we calculate rates

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