$155.10
71260 applies when the chest scan uses intravenous contrast only. Report 71250 when the chest exam is performed without intravenous contrast.
On this page
CMS RVU26D · Effective 2026-10-01
71250 Chest CT Medicare reimbursement rates in Nebraska
Diagnostic chest CT performed without intravenous contrast is reported to evaluate pulmonary nodules, interstitial lung disease, emphysema, or an abnormal chest radiograph. Compare 71250 office and facility rates across CMS payment localities in Nebraska.
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 71250 in Nebraska?
Nebraska 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
$123.82
1 of 1 localities have a supported rate.
Payment area: Nebraska
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.
Radiology
About 71250: Diagnostic chest CT without contrast
Diagnostic chest CT performed without intravenous contrast is reported to evaluate pulmonary nodules, interstitial lung disease, emphysema, or an abnormal chest radiograph.
This diagnostic CT of the thorax is acquired without intravenous contrast. It examines the lungs, airways, mediastinum, pleura, and chest wall and is commonly ordered for pulmonary nodule follow-up, high-resolution evaluation of interstitial lung disease, assessment of emphysema, or workup of an abnormal chest radiograph. Technologists acquire the images in hospital radiology departments, emergency departments, and freestanding imaging centers. A radiologist interprets the study and issues a written report.
Report 71250 when the chest is scanned without intravenous contrast. Use 71260 for a contrast-only chest CT and 71270 when both noncontrast and contrast-enhanced chest images are obtained. Lung cancer screening in an eligible asymptomatic patient is reported with 71271. The order should identify the diagnostic indication, and the report should describe the technique and findings. Billing without a modifier represents the global service; modifier 26 identifies the interpretation, while modifier TC identifies the equipment and staff portion when billed separately. For eligible imaging performed in the same session, Medicare's diagnostic imaging multiple procedure reduction affects the professional and technical components.
CMS billing rules for 71250
- 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 RVU1.05 · 26%
- Practice expense (office) RVU2.85 · 72%
- Malpractice RVU0.07 · 2%
2.5M
Medicare services in 2024 · #71 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.
71250 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$182.16
71270 applies when both noncontrast and contrast-enhanced chest images are obtained in one exam. When only noncontrast chest images are obtained, report 71250.
$127.03
71271 is a low-dose lung cancer screening exam for eligible asymptomatic patients. Use diagnostic chest CT coding for evaluation of symptoms, nodule follow-up, or known disease.
71275
No office rateCt angiography chest
71275 is a contrast-enhanced angiographic study of thoracic vessels, such as the pulmonary arteries or aorta. A noncontrast diagnostic chest CT is reported with 71250, not as CT angiography.
Compare 71250 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
Nebraska →
Office / nonfacility
$123.82
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 71250 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
7,910
- Code
- 71250
- Physician work
- 1.05
- Practice expense
- 2.85
- Malpractice
- 0.07
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.05 | × 1.000 | 1.0500 |
| Practice expense | 2.85 | × 0.923 | 2.6306 |
| Malpractice | 0.07 | × 0.378 | 0.0265 |
| Total RVUs | 3.7070 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$123.82
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.05 | 1 |
| Practice expense | 2.85 | 0.923 |
| Malpractice | 0.07 | 0.378 |
(1.05 × 1 + 2.85 × 0.923 + 0.07 × 0.378) × $33.4009 = $123.82
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.
71250 billing questions
Is a high-resolution chest CT for interstitial lung disease reported with this code?
Yes. A noncontrast HRCT protocol, including prone or expiratory images, is reported as one diagnostic chest CT. The HRCT technique does not have a separate chest CT code.
How is a lung nodule follow-up CT coded differently from lung cancer screening?
Follow-up of a known nodule or other abnormality is a diagnostic exam and is reported with 71250 when performed without contrast. Low-dose lung cancer screening for an eligible asymptomatic patient is reported with 71271.
Which modifiers apply when the radiologist reads a hospital-performed scan?
The radiologist reports the interpretation with modifier 26; the hospital reports the technical service on its facility claim. A freestanding imaging provider billing for both the scan and interpretation reports the global service without a modifier.
What happens to payment when a chest CT and an abdomen-pelvis CT are done in the same session?
Report each medically necessary exam with its own code. Medicare's diagnostic imaging multiple procedure reduction can affect the professional and technical components of eligible services; the order in which the scans occur does not determine the reduction.
If contrast was planned but not given, which code is reported?
Code the service performed. If the entire chest exam was acquired without intravenous contrast, report 71250 even if the order requested a contrast study, and document why contrast was not given.
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.
7,90771130,,X-ray strenoclavic jt 3/>vws,A,,0.21,1.01,,1.01,NA,0.02,1.24,1.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,2.72,2.72,0.04
7,90871130,26,X-ray strenoclavic jt 3/>vws,A,,0.21,0.09,,0.09,,0.01,0.31,0.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,90971130,TC,X-ray strenoclavic jt 3/>vws,A,,0.00,0.92,,0.92,NA,0.01,0.93,0.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,2.63,2.63,0.03
7,91071250,,Ct thorax dx c-,A,,1.05,2.85,,2.85,NA,0.07,3.97,3.97,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,3.55,3.55,0.07
7,91171250,26,Ct thorax dx c-,A,,1.05,0.37,,0.37,,0.06,1.48,1.48,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
7,91271250,TC,Ct thorax dx c-,A,,0.00,2.48,,2.48,NA,0.01,2.49,2.49,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,01,0,88,3.18,3.18,0.01
7,91371260,,Ct thorax dx c+,A,,1.13,3.77,,3.77,NA,0.09,4.99,4.99,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,5.74,5.74,0.10
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068