70486 describes a maxillofacial CT without contrast. Choose 70488 when both noncontrast and contrast-enhanced phases are performed and supported.
On this page
CMS RVU26D · Effective 2026-10-01
70488 Maxillofacial CT Medicare reimbursement rates in Arkansas
Reports a maxillofacial CT with both noncontrast and contrast-enhanced imaging when evaluation of facial structures requires both phases. Compare 70488 office and facility rates across CMS payment localities in Arkansas.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 70488 in Arkansas?
Arkansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$162.90
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Diagnostic imaging
About 70488: Maxillofacial CT without and with contrast
Reports a maxillofacial CT with both noncontrast and contrast-enhanced imaging when evaluation of facial structures requires both phases.
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.
CMS billing rules for 70488
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Multiple procedures
- Diagnostic imaging multiple procedure reduction applies to the technical and professional components.
Where the value comes from
- Work RVU1.24 · 23%
- Practice expense (office) RVU4.18 · 76%
- Malpractice RVU0.09 · 2%
3.9K
Medicare services in 2024 · #2011 by national volume
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.
70488 compared with similar codes
Office rates for Arkansas, from the same CMS release.
70487 describes a contrast-only maxillofacial CT. 70488 includes both a noncontrast phase and a contrast-enhanced phase.
70482 covers an orbit, ear, or middle cranial fossa study without and with contrast. Choose 70488 when the imaged anatomy is maxillofacial instead.
70470 is a head or brain CT without and with contrast. 70488 is for maxillofacial anatomy, not a brain-focused examination.
Compare 70488 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Arkansas →
Office / nonfacility
$162.90
Facility
Unavailable
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 70488 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
7,811
- Code
- 70488
- Physician work
- 1.24
- Practice expense
- 4.18
- Malpractice
- 0.09
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.24 | × 1.000 | 1.2400 |
| Practice expense | 4.18 | × 0.859 | 3.5906 |
| Malpractice | 0.09 | × 0.515 | 0.0464 |
| Total RVUs | 4.8770 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Arkansas$162.90
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.24 | 1 |
| Practice expense | 4.18 | 0.859 |
| Malpractice | 0.09 | 0.515 |
(1.24 × 1 + 4.18 × 0.859 + 0.09 × 0.515) × $33.4009 = $162.90
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
