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See a sample rate comparisonCPT 71260 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Ct Scan Of Chest, A Ct Scanner Circles The Body Taking X-Rays Of The Chest And Assembles Them Into A 3-D Image. Dye (Contrast) May Be Used To Make The Area Easier To See.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 23 - Emergency Room |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 71260 |
| Medicaid Fee Schedule | View Medicaid rates for 71260 |
National average reimbursement for CPT 71260 by major payers:
$219.99
$277.20
$315.92
$311.12
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CPT 71260
5 of 25 sample ratesHigher to lower in this preview
Chenue Abongwa
Childrens Hospital Of Orange County
$435.10Published rateLav Goyal
Holy Cross Hospital Inc
$166.67Published rateCharleston Radiologists PA
Charleston Radiologists, P.A.
$121.12Published ratePatricia Wright
Town Center Orthopaedic Associates, P.C.
$65.88Published rateChristopher Raio
St Joseph Hospital
$37.81Published rate
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See a sample payer proposalCPT 71260 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 71260 code is part of the Radiology Procedures services used for Diagnostic Radiology (Diagnostic Imaging) Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 71260 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 71045-CPT | Low | Radiologic Examination Chest, Radiologic Examination Chest Single View Ainage Procedure If Performed With Open Cervical Pharyngogastrostomy Or Esophagogastrostomy (Ie Th |
| 71250-CPT | Low | Ct Scan Of Chest, A Ct Scanner Circles The Body Taking X-Rays Of The Chest And Assembles Them Into A 3-D Image. Dye (Contrast) May Be Used To Make The Area Easier To See. |
| 71260-CPT | Moderate | Ct Scan Of Chest, A Ct Scanner Circles The Body Taking X-Rays Of The Chest And Assembles Them Into A 3-D Image. Dye (Contrast) May Be Used To Make The Area Easier To See. |
| 71270-CPT | Moderate | Ct Scan Of Chest, A Ct Scanner Circles The Body Taking X-Rays Of The Chest And Assembles Them Into A 3-D Image. Dye (Contrast) May Be Used To Make The Area Easier To See. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 71260. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 71260 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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