Computed tomography, soft tissue neck; without contrast material, followed by contrast material(s) and further sections

CPT 70492 is the billing code for "Computed tomography, soft tissue neck; without contrast material, followed by contrast material(s) and further sections". For CT soft tissue neck without contrast followed by contrast

Medicare pays approximately $217.37 for CPT 70492 (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 70492 has a total RVU of 12.87, broken down as: Work RVU 1.70, Practice Expense RVU 11.00, and Malpractice RVU 0.17. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 70492 include: Indication for CT neck; Without contrast followed by contrast; Contrast type and amount; Findings and interpretation. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 70492: Includes CT soft tissue neck with and without contrast. Includes interpretation and report Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 70492 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 70492 is 30-40 minutes typical procedure time. Time-based codes require documentation of the actual time spent providing the service.