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

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, 2026One payment locality475K Medicare services in 2024

In Vermont, Medicare pays $133.97 for 71271 in the office.

$133.97Office (non-facility)
Not available in this settingHospital or facility
−1.7%vs the national office rate ($136.28)

Check a contract rate as a % of Medicare · 71271 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 71271 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Vermont
  2. What 71271 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 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.

How Vermont compares for 71271

Across 109 of 109 payment localities, the office rate for 71271 runs from $121.09 in Arkansas to $182.45 in San Benito County, CA. Vermont pays $133.97. The RVUs are the same everywhere; the geographic indexes change the dollars.

71271 in Vermont vs other payment areas
  1. Vermont · this page$133.97
  2. Los Angeles, CA · California$154.85+$20.88
  3. Washington, DC area · District of Columbia$156.01+$22.04
  4. Miami, FL · Florida$144.40+$10.43
  5. Chicago, IL · Illinois$140.47+$6.50
  6. Manhattan, NY · New York$156.05+$22.08
  7. Alaska · Alaska$159.02+$25.05

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

Every other payment area

71271 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$122.80—
ArkansasArkansas$121.09—
ArizonaArizona$132.84—
Bakersfield, CACalifornia$145.36—
Chico, CACalifornia$145.09—
El Centro, CACalifornia$145.10—
Fresno, CACalifornia$145.09—
Hanford, CACalifornia$145.09—

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

See 71271 in every payment locality

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.

The exact Vermont inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,919

Code
71271
Physician work
1.05
Practice expense
2.95
Malpractice
0.08

GPCI2026.csv

105

Locality
Vermont
Physician work
1.000
Practice expense
0.990
Malpractice
0.506
Office calculation for 71271 in Vermont
ComponentRVULocality factorAdjusted
Physician work1.05× 1.0001.0500
Practice expense2.95× 0.9902.9205
Malpractice0.08× 0.5060.0405
Total RVUs4.0110
Conversion factor× 33.4009

Office rate, Vermont$133.97

Office: (1.05 × 1 + 2.95 × 0.99 + 0.08 × 0.506) × $33.4009 = $133.97

Open 71271 in the RVU calculator

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

How 71271 has changed in Vermont

71271 · Office / nonfacility

$133.97

Effective 2026-10-01

The base rate is $0.22 higher than on 2025-10-01, moving from $133.75 to $133.97 (0.2%).

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

    $133.75changed to$133.97

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.08 changed to 1.05
    • Practice expense RVU 3.04 changed to 2.95
    • Malpractice RVU 0.07 changed to 0.08
    • Practice expense GPCI 0.993 changed to 0.990
    • Malpractice GPCI 0.518 changed to 0.506

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $138.81changed to$133.75

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.07 changed to 3.04
    • Malpractice RVU 0.08 changed to 0.07

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $136.54changed to$138.81

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $143.30changed to$136.54

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.12 changed to 3.07
    • Malpractice RVU 0.07 changed to 0.08
    • Practice expense GPCI 0.997 changed to 0.993
    • Malpractice GPCI 0.543 changed to 0.518
  5. January 1, 2023

    RVU23A

    $146.29changed to$143.30

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.11 changed to 3.12
    • Malpractice RVU 0.06 changed to 0.07
    • Practice expense GPCI 1.001 changed to 0.997
    • Malpractice GPCI 0.569 changed to 0.543

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $149.95changed to$146.29

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.18 changed to 3.11

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    No ratechanged to$149.95

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$133.97Not available in this settingRVU26D
2026-07-01$133.97Not available in this settingRVU26C
2026-04-01$133.97Not available in this settingRVU26B
2026-01-01$133.97Not available in this settingRVU26A
2025-10-01$133.75Not available in this settingRVU25D
2025-07-01$133.75Not available in this settingRVU25C
2025-04-01$133.75Not available in this settingRVU25B
2025-01-01$133.75Not available in this settingRVU25A
2024-10-01$138.81Not available in this settingRVU24D
2024-07-01$138.81Not available in this settingRVU24C
2024-04-01$138.81Not available in this settingRVU24B
2024-03-09$138.81Not available in this settingRVU24AR
2024-01-01$136.54Not available in this settingRVU24A
2023-10-01$143.30Not available in this settingRVU23D
2023-07-01$143.30Not available in this settingRVU23C
2023-04-01$143.30Not available in this settingRVU23B
2023-01-01$143.30Not available in this settingRVU23A
2022-10-01$146.29Not available in this settingRVU22D
2022-07-01$146.29Not available in this settingRVU22C
2022-04-01$146.29Not available in this settingRVU22B
2022-01-01$146.29Not available in this settingRVU22A
2021-10-01$149.95Not available in this settingRVU21D
2021-07-01$149.95Not available in this settingRVU21C
2021-04-01$149.95Not available in this settingRVU21B
2021-01-01$149.95Not available in this settingRVU21A
2020-10-01Not in this releaseNot in this releaseRVU20D
2020-07-01Not in this releaseNot in this releaseRVU20C
2020-04-01Not in this releaseNot in this releaseRVU20B
2020-01-01Not in this releaseNot in this releaseRVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 71271 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

  • Albany
  • Alburgh
  • Algiers
  • Arlington
  • Ascutney
  • Bakersfield
  • Barnet
  • Barre

Browse all communities in Vermont

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)
Geographic factors for VermontGPCI2026.csv, line 105 (RVU26D)

Open CMS sourceHow we calculate rates

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