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CMS RVU26D · Effective 2026-10-01

G0278 Iliac angiography Medicare reimbursement rates in Illinois

Report G0278 for a separately performed iliac artery angiographic study during cardiac catheterization to evaluate iliac vessels, such as suspected arterial disease. Compare G0278 office and facility rates across CMS payment localities in Illinois.

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 G0278 in Illinois?

Illinois has 4 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 4 payment areas shown below, using the same CMS release.

Office / nonfacility

No supported rate

Facility setting

$12.67–$14.35

4 of 4 localities have a supported rate.

Lowest: Rest Of Illinois

Highest: Chicago

A spread of $1.68 per service.

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.

Find G0278 in your payment locality →

Where G0278 pays more and less in Illinois

Cardiac catheterization

About G0278: Iliac angiography during cardiac catheterization

Report G0278 for a separately performed iliac artery angiographic study during cardiac catheterization to evaluate iliac vessels, such as suspected arterial disease.

G0278 represents imaging of the iliac arteries performed during a cardiac catheterization, with the angiographic study and its interpretation included. A cardiologist or interventional cardiologist typically performs the study in a hospital or other catheterization facility. A clinical reason may include evaluating suspected iliac arterial disease; ordinary catheter movement or access-site fluoroscopy alone is not the distinct angiographic service represented by this code.

Report G0278 only with an appropriate primary cardiac catheterization procedure; it is not a standalone service. The record should identify the iliac study, its clinical indication, the images obtained, and the findings, along with the primary catheterization service. CMS treats G0278 as an add-on code paid within the primary procedure’s global period, so it must be billed together with that primary procedure.

CMS billing rules for G0278

Global period
Add-on code: billed only together with a primary procedure and paid within that procedure's global period.

Where the value comes from

  • Work RVU0.24 · 69%
  • Practice expense (office) RVU0.05 · 14%
  • Malpractice RVU0.06 · 17%

1.3K

Medicare services in 2024 · #2806 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.

G0278 compared with similar codes

Office rates for Illinois, from the same CMS release.

93458

Coronary catheterization

Left heart, native coronaries

$962.57–$1,064.15

93458 reports the primary coronary angiography and left heart catheterization service. G0278 reports an additional iliac angiographic study performed during catheterization.

93459

Cardiac catheterization

Left heart with bypass grafts

$1,038.91–$1,148.97

93459 describes coronary and bypass graft angiography with left heart catheterization; it does not represent the additional iliac study captured by G0278.

75710

Extremity angiography

One arm or leg

$146.71–$160.93

75710 describes unilateral extremity angiography. G0278 is specific to an iliac angiographic study performed during cardiac catheterization.

Compare G0278 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.

4 of 4 payment localities

Office and facility base rates · shared scale starting at $0

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G0278 billing questions

Can G0278 be billed by itself?

No. It is an add-on code and must be billed with a primary cardiac catheterization procedure.

Does routine imaging to guide catheter access support G0278?

Routine access imaging alone is not the distinct iliac angiographic study represented by this code. The documentation should show that an iliac study was performed and report its findings.

What documentation supports reporting G0278?

Document the reason for evaluating the iliac arteries, the angiographic imaging performed, the findings, and the primary cardiac catheterization billed with it.

Is the angiographic interpretation included?

Yes. G0278 covers the iliac angiographic study and its interpretation.

How does G0278 relate to the primary catheterization code?

G0278 supplements the primary catheterization service when a separate iliac angiographic study is performed. CMS pays it within the primary procedure’s global period.

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.

RVUs for G0278PPRRVU2026_Oct_nonQPP.csv, line 15,166 (RVU26D)