CPT Code 70472Complete Billing & Coding Guide (2026)Ct cere prfu alys c+w/ct/cta
About CPT 70472
CPT 70472 is a Current Procedural Terminology code in the Radiology category maintained by the American Medical Association. The CMS short descriptor reads "Ct cere prfu alys c+w/ct/cta". For the full AMA long descriptor and clinical guidance, refer to the current CPT code manual.
Add-on codes cannot be billed alone and inherit their global period from the primary procedure. Payer scrubbers will reject add-on codes submitted without a valid base code on the same claim.
Verify the current CMS National Physician Fee Schedule and any local Medicare Administrative Contractor LCDs before billing 70472. Commercial payer medical policies can impose additional bundling, prior authorization, or documentation requirements beyond national rules.
Code Properties
RVU Breakdown
Every CPT code’s Medicare payment is calculated from three Relative Value Unit components: physician work, practice expense, and malpractice. Together they multiply by the conversion factor to produce the payment amount.
Payment = Total RVU × Conversion Factor ($33.4009) × Geographic Adjustment (GPCI). National averages shown. Actual payment varies by locality.
Medicare Payment by State
Medicare adjusts payment by locality based on GPCI (Geographic Practice Cost Index). Higher cost-of-living areas like California and New York pay more. Rural states pay less. Top 12 states shown.
Showing top 12 of 53 states. Full locality data available in CMS PFS Locality file.
Applicable Modifiers
Modifiers commonly paired with 70472 based on its category. Apply only when the clinical circumstance warrants. Incorrect modifier use is a top audit target.
Component split modifiers (26 professional, TC technical) are the most under-applied modifiers in diagnostic billing. Practices that bill global on services where they only provided the read silently invite refund requests. We split components correctly at submission.
Supporting ICD-10 Diagnoses
These diagnosis codes commonly support medical necessity for CPT 70472. Using the correct ICD-10 prevents CARC 50 denials. Payer rejects when the diagnosis doesn’t support the procedure.
Imaging CO-50 denials trace to medical-policy criteria mismatches. Cardiac MRI, cardiac CT, nuclear cardiology, and advanced imaging all face strict commercial payer policies. We pre-verify the indication against the payer's policy before submission, not after the denial.
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Related CPT Codes
Codes in the same family as 70472
Everything about CPT 70472
What does CPT code 70472 cover?
CPT 70472 is a Current Procedural Terminology code in the Radiology category maintained by the American Medical Association. The CMS short descriptor reads "Ct cere prfu alys c+w/ct/cta". For the full AMA long descriptor and clinical guidance, refer to the current CPT code manual.
What is the Medicare payment for CPT 70472?
The national average Medicare payment for CPT 70472 is approximately $156.32 in a non-facility setting and $156.32 in a facility setting. Actual payment varies by locality based on GPCI adjustments. Total RVU is 4.68 with a conversion factor of $33.4009.
What is the global period for CPT 70472?
CPT 70472 is an add-on code (indicator ZZZ). Its global period matches the base procedure it's billed with. Cannot be billed alone. Must be paired with a primary code per CPT guidelines.
CPT codes and descriptions are copyright of the American Medical Association. RVU values reflect current CMS publications. Actual payment varies by locality. Commercial payer rates vary by contract.
Free 90-Day AR Recovery Audit
We audit your last 90 days of claims and surface the revenue leakage: wrong modifiers, missed bundling appeals, ICD-10 specificity gaps. AAPC-certified coders. 2.49% of collections. No setup fees.