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CMS RVU26D · Effective 2026-10-01

70015 Cisternography Medicare reimbursement rates in Missouri

Radiologists report contrast cisternography for imaging cerebrospinal fluid pathways, including evaluation of a suspected leak after intrathecal contrast administration. Compare 70015 office and facility rates across CMS payment localities in Missouri.

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 70015 in Missouri?

Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.

Office / nonfacility

$143.85–$154.62

3 of 3 localities have a supported rate.

Lowest: Rest Of Missouri

Highest: Metropolitan St. Louis

A spread of $10.77 per service.

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.

Find 70015 in your payment locality →

Where 70015 pays more and less in Missouri

3 payment localities

$143.85 to $154.62

$143.85$149.24$154.62
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

Diagnostic radiology

About 70015: Contrast cisternography interpretation

Radiologists report contrast cisternography for imaging cerebrospinal fluid pathways, including evaluation of a suspected leak after intrathecal contrast administration.

This service covers radiological supervision and interpretation of contrast cisternography, an imaging study that follows intrathecal contrast through cerebrospinal fluid spaces. A radiologist interprets the images to assess CSF pathways, including when a leak is suspected. The study is typically performed in a hospital or imaging department after contrast has been introduced into the spinal fluid; the clinician administering it may be different from the interpreting radiologist.

Select this code for the contrast cisternography study, not simply for a spinal puncture or a radionuclide CSF-flow study. The report should identify the study and document the radiologist’s interpretation and findings. CMS recognizes separately priced professional and technical components: report modifier 26 for the interpretation, modifier TC for the equipment and staff, or neither modifier when billing the global service. The technical service includes the imaging resources and personnel; the professional service is the interpretation.

CMS billing rules for 70015

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 RVU1.16 · 24%
  • Practice expense (office) RVU3.56 · 74%
  • Malpractice RVU0.08 · 2%

15

Medicare services in 2024 · #6084 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.

70015 compared with similar codes

Office rates for Missouri, from the same CMS release.

78630

CSF scan

Cisternography

$257.36–$281.68

Use 70015 for contrast cisternography; use 78630 when the study uses a radiopharmaceutical.

62270

Lumbar puncture

Diagnostic, no imaging guidance

$148.80–$159.47

62270 represents a diagnostic spinal puncture without imaging guidance, not the radiologist’s cisternography interpretation.

62328

Lumbar puncture

Diagnostic, with imaging

$194.17–$208.10

62328 represents a diagnostic lumbar puncture performed with imaging guidance; 70015 represents the contrast cisternography imaging service and interpretation.

Compare 70015 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.

3 of 3 payment localities

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

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70015 billing questions

How is this different from radionuclide cisternography?

This code is for contrast cisternography. Code 78630 is used for cisternography performed with a radiopharmaceutical.

Which modifier identifies the radiologist’s interpretation?

Use modifier 26 for the professional component, which represents the interpretation.

When is modifier TC appropriate?

Use TC for the technical component, representing the equipment and staff. Bill without 26 or TC for the global service.

Can the spinal puncture be reported separately?

A separately performed diagnostic lumbar puncture to administer the intrathecal contrast may be reported under the applicable puncture code. The cisternography code represents the imaging service and interpretation.

What documentation supports reporting this code?

Document that contrast cisternography was performed and include the radiologist’s interpretation of the images and relevant findings, such as assessment of CSF pathways or a suspected leak.

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 70015PPRRVU2026_Oct_nonQPP.csv, line 7,679 (RVU26D)