$127.74
Both address the maxillofacial region. Choose 70487 for contrast-only imaging and 70486 when the examination is performed without contrast.
On this page
CMS RVU26D · Effective 2026-10-01
70487 Facial CT Medicare reimbursement rates in Wyoming
Report this study for contrast-enhanced CT imaging of the facial bones and related maxillofacial structures when the examination uses postcontrast imaging only. Compare 70487 office and facility rates across CMS payment localities in Wyoming.
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 70487 in Wyoming?
Wyoming 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
$150.86
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 70487: Contrast-enhanced maxillofacial CT
Report this study for contrast-enhanced CT imaging of the facial bones and related maxillofacial structures when the examination uses postcontrast imaging only.
This study uses computed tomography to evaluate the facial bones and maxillofacial structures, including the paranasal sinuses and jaw. Contrast-enhanced imaging can help characterize suspected facial infection or abscess, a mass, or other soft-tissue abnormality. A radiologic technologist performs the scan in a hospital or imaging center, and a radiologist typically interprets the images and issues a report.
Choose this code when the documented maxillofacial examination is performed with contrast only. Use the paired code for the same region when imaging is acquired both before and after contrast; a noncontrast-only examination is coded separately. The order, imaging protocol, contrast documentation, and radiology report should support the body region and acquisition performed. The service may be billed globally, or its interpretation and technical work may be billed separately with modifiers 26 and TC. The diagnostic imaging multiple procedure reduction applies to both the professional and technical components.
CMS billing rules for 70487
- 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 RVU1.10 · 24%
- Practice expense (office) RVU3.35 · 74%
- Malpractice RVU0.09 · 2%
34K
Medicare services in 2024 · #931 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.
70487 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$183.26
70488 includes imaging before and after contrast; 70487 is for the contrast-enhanced acquisition only.
$178.92
70481 is focused on the orbit, ear, or middle cranial fossa. Choose 70487 when the documented examination covers the maxillofacial region instead.
Compare 70487 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
Wyoming** →
Office / nonfacility
$150.86
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 70487 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
7,808
- Code
- 70487
- Physician work
- 1.10
- Practice expense
- 3.35
- Malpractice
- 0.09
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.10 | × 1.000 | 1.1000 |
| Practice expense | 3.35 | × 1.000 | 3.3500 |
| Malpractice | 0.09 | × 0.740 | 0.0666 |
| Total RVUs | 4.5166 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$150.86
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.1 | 1 |
| Practice expense | 3.35 | 1 |
| Malpractice | 0.09 | 0.74 |
(1.1 × 1 + 3.35 × 1 + 0.09 × 0.74) × $33.4009 = $150.86
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.
70487 billing questions
How does 70487 differ from 70486?
70487 represents contrast-enhanced maxillofacial imaging only. Use 70486 when the examination is performed without contrast.
When should 70488 be reported instead?
Use 70488 when the maxillofacial study includes acquisitions both before and after contrast. Do not select it for a postcontrast-only examination.
Can the professional and technical services be billed separately?
Yes. Modifier 26 identifies the interpretation, and modifier TC identifies the equipment and staff 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 70487?
The order and radiology report should identify the maxillofacial region and support a contrast-only acquisition. The record should also document the contrast used and the clinical reason for the examination.
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.
7,80570486,,Ct maxillofacial w/o dye,A,,0.83,2.95,,2.95,NA,0.06,3.84,3.84,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,3.50,3.50,0.06
7,80670486,26,Ct maxillofacial w/o dye,A,,0.83,0.31,,0.31,,0.05,1.19,1.19,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
7,80770486,TC,Ct maxillofacial w/o dye,A,,0.00,2.64,,2.64,NA,0.01,2.65,2.65,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,01,0,88,3.19,3.19,0.01
7,80870487,,Ct maxillofacial w/dye,A,,1.10,3.35,,3.35,NA,0.09,4.54,4.54,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,5.72,5.72,0.11
7,80970487,26,Ct maxillofacial w/dye,A,,1.10,0.39,,0.39,,0.07,1.56,1.56,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
7,81070487,TC,Ct maxillofacial w/dye,A,,0.00,2.96,,2.96,NA,0.02,2.98,2.98,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,02,0,88,5.33,5.33,0.04
7,81170488,,Ct maxillofacial w/o & w/dye,A,,1.24,4.18,,4.18,NA,0.09,5.51,5.51,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,5.78,5.78,0.10
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,