70473
No office rateCt cere prfu aly c+wo ct/cta
Both codes report cerebral perfusion analysis, but 70472 is the variant with CT and CTA, while 70473 is the variant without CT and/or CTA.
On this page
CMS RVU26D · Effective 2026-10-01
70472 Cerebral perfusion CT Medicare reimbursement rates in Michigan
Reports contrast-enhanced cerebral CT perfusion analysis when performed with CT and CTA, commonly during imaging evaluation of suspected acute stroke. Compare 70472 office and facility rates across CMS payment localities in Michigan.
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 70472 in Michigan?
Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$145.39–$153.19
2 of 2 localities have a supported rate.
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 70472: Cerebral perfusion CT with CT and CTA
Reports contrast-enhanced cerebral CT perfusion analysis when performed with CT and CTA, commonly during imaging evaluation of suspected acute stroke.
This service adds cerebral perfusion analysis to contrast-enhanced head imaging that includes CT and CTA. Perfusion processing produces maps of cerebral blood flow and related measures that can help clinicians assess suspected acute ischemic stroke and impaired brain perfusion. A radiologist typically interprets the study in a hospital or imaging facility; acquisition and postprocessing require the appropriate CT equipment and staff.
Report 70472 only with its designated primary procedure, not as a stand-alone perfusion service. The record should support contrast-enhanced perfusion acquisition, the associated CT and CTA imaging, postprocessing, and the interpreting physician’s findings. CMS treats it as an add-on paid within the primary procedure’s global period. The diagnostic test may be billed globally, or its interpretation with modifier 26 and its technical service with modifier TC; billing without either modifier represents the global service.
CMS billing rules for 70472
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- 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.
Where the value comes from
- Work RVU0.77 · 16%
- Practice expense (office) RVU3.85 · 82%
- Malpractice RVU0.06 · 1%
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.
70472 compared with similar codes
Office rates for Michigan, from the same CMS release.
$100.12–$105.23
70450 reports a noncontrast head CT. It does not represent the contrast-enhanced cerebral perfusion analysis reported by 70472.
70496
No office rateCt angiography head
70496 reports CT angiography of the head. It is not a cerebral perfusion analysis code and does not replace 70472 when perfusion analysis is performed.
Compare 70472 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.
2 of 2 payment localities
Detroit →
Office / nonfacility
$153.19
Facility
Unavailable
Rest Of Michigan →
Office / nonfacility
$145.39
Facility
Unavailable
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70472 billing questions
How does 70472 differ from 70473?
70472 is the cerebral perfusion analysis variant that includes CT and CTA. 70473 is the related variant without CT and/or CTA; select according to the imaging actually performed and the code descriptor.
Can 70472 be billed by itself?
No. CMS identifies it as an add-on code, so it must be reported with its designated primary procedure.
Can the radiologist and imaging facility bill separate components?
Yes. The interpreting physician may report modifier 26, and the entity providing the equipment and staff may report modifier TC. Without either modifier, the claim represents the global service.
What documentation supports reporting 70472?
Document the contrast-enhanced cerebral perfusion acquisition, the CT and CTA imaging, the perfusion postprocessing, and the interpretation. The record should also identify the associated primary procedure.
How does CMS treat the add-on payment period?
CMS pays 70472 within the global period of its primary procedure. Report it only in conjunction with that primary service.
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.
7,78770471,,Cta h&n c+ w/noncontrast img,A,,2.50,8.60,,8.60,NA,0.18,11.28,11.28,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,11.52,11.52,0.19
7,78870471,26,Cta h&n c+ w/noncontrast img,A,,2.50,0.89,,0.89,,0.15,3.54,3.54,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
7,78970471,TC,Cta h&n c+ w/noncontrast img,A,,0.00,7.71,,7.71,NA,0.03,7.74,7.74,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,02,0,88,10.63,10.63,0.04
7,79070472,,Ct cere prfu alys c+w/ct/cta,A,,0.77,3.85,,3.85,NA,0.06,4.68,4.68,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,79170472,26,Ct cere prfu alys c+w/ct/cta,A,,0.77,0.27,,0.27,,0.05,1.09,1.09,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,79270472,TC,Ct cere prfu alys c+w/ct/cta,A,,0.00,3.58,,3.58,NA,0.01,3.59,3.59,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
7,79370473,,Ct cere prfu aly c+wo ct/cta,A,,1.00,6.13,,6.13,NA,0.09,7.22,7.22,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,5.70,5.70,0.09