Computed tomography, orbit, sella, or posterior fossa; with contrast material(s)
Relative Value Units (RVUs)
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Clinical Information
When to Use
For CT orbit, sella, or posterior fossa with contrast
Common Scenarios
Documentation Requirements
- Indication for CT
- Area(s) imaged
- With contrast
- Contrast type and amount
- Findings and interpretation
- Report documentation
Coding Guidelines
Common Modifiers
Bundling Rules
- Includes CT orbit/sella/posterior fossa with contrast
- Includes interpretation and report
- Without contrast coded separately
- With and without contrast coded separately
- Head CT coded separately
Exclusions
- 70480 (CT orbit, sella, or posterior fossa without contrast)
- 70482 (CT orbit, sella, or posterior fossa without contrast followed by contrast)
- 70460 (CT head or brain with contrast)
- 70540 (MRI orbit, face, and/or neck without contrast)
Coding Notes
Clinical scenarios
- Indication for CT
- Area(s) imaged
- With contrast
- Indication for CT
- Area(s) imaged
- With contrast
- Indication for CT
- Area(s) imaged
- With contrast
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Code Details
Medicare Pricing
PFSRVU Breakdown
OPPS Details
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Ask a QuestionFrequently Asked Questions
CPT 70481 is the billing code for "Computed tomography, orbit, sella, or posterior fossa; with contrast material(s)". For CT orbit, sella, or posterior fossa with contrast
Medicare pays approximately $177.58 for CPT 70481 (national average). Actual payment varies by geographic location due to GPCI adjustments. Hospital and commercial insurance rates are typically 2-4x higher than Medicare rates.
CPT 70481 has a total RVU of 10.43, broken down as: Work RVU 1.30, Practice Expense RVU 9.00, and Malpractice RVU 0.13. RVUs (Relative Value Units) determine Medicare reimbursement rates.
Key documentation requirements for CPT 70481 include: Indication for CT; Area(s) imaged; With contrast; Contrast type and amount. Missing or incomplete documentation is a leading cause of claim denials for this code.
Bundling considerations for CPT 70481: Includes CT orbit/sella/posterior fossa with contrast. Includes interpretation and report Use an NCCI bundling checker to verify specific code combinations before billing.
Common modifiers for CPT 70481 include: 26 (Professional component only (interpretation)), TC (Technical component only (equipment/staff)), 59 (Distinct procedural service if performed separately). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.
The typical time requirement for CPT 70481 is 20-25 minutes typical procedure time. Time-based codes require documentation of the actual time spent providing the service.