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CPT Code 71260: CT Thorax With Contrast Billing Guide for 2026

CPT code 71260 CT thorax with contrast billing 2026 hero banner: the radiology report overriding the order to decide between 71250, 71260, and 71270, suspected pulmonary embolism requiring 71275's bolus-timing CTA protocol instead of 71260, NCCI mutual exclusivity with 71250, MPPR reductions and modifier 26/TC/XU split billing with 74177, and CO-236 bundling denial recovery, from ClaimMax RCM.

CPT code 71260 is the American Medical Association code for “Computed tomography, thorax, diagnostic; with contrast material(s).” It covers a diagnostic chest CT where staff administer intravenous contrast and the scanner captures post-contrast images only. When both a non-contrast and a contrast phase run in one session, 71270 replaces it. Three codes describe almost the […]

99254 CPT Code: Moderate MDM, 60 Minutes, and 2026 Payer Rules

CPT code 99254 inpatient consultation billing 2026 hero banner: moderate MDM or 60-minute time threshold, Medicare's mechanical edit-layer rejection under status indicator I and MUE zero with no appeal path, the 99222 crosswalk and its 60/55-minute MDM gap, the deleted 99251 code, and the $136.77 RVU figure mistaken for an actual Medicare payment, from ClaimMax RCM.

Quick ReferenceWhat it reports: Inpatient or observation consultation, new or established patient, moderate medical decision making.Time threshold: 60 minutes of total time on the date of the encounter, met or exceeded.Level selection: Moderate MDM or total time. History and examination no longer set the level.Medicare: Not recognized for Part B payment since January 1, 2010. […]

CPT Code 71275: Why Your Chest CTA Denials Trace Back to the Wrong LCD

The CT Thorax coverage article stops at 71250, 71260, and 71270. CPT 71275 isn't on that list, it falls under a separate LCD entirely, so the diagnosis your team checked never applied to the claim you filed.

Most coders check the CT Thorax coverage article when a chest CTA claim denies for medical necessity. CPT code 71275 isn’t listed there. That article’s Group 1 code list stops at 71250, 71260, and 71270, so the diagnosis your team verified against it never applied to the claim you filed. The rules for this code […]