{
    "code": "71260",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/71260/2021/A",
    "release_specific_url": "https://localishealth.com/cpt/71260/2021/B",
    "description": "The same chest CT as the plain study, but taken after iodinated contrast dye is injected into a vein. The dye lights up blood vessels, the heart, and lymph nodes, and makes the edges of a mass or an abscess much easier to define against the tissue around it. It is the version usually chosen when the question involves cancer staging, infection, or anything in the space between the lungs, and it is distinct from the timed arterial study used to hunt for clots.",
    "answer": {
        "question": "How much did Medicare pay for CPT 71260 in Q2 2021?",
        "text": "Medicare paid $184.58 for CPT 71260 in the office (non-facility) setting and $184.58 in a facility under the Q2 2021 Physician Fee Schedule, effective April 2021. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2021, when it decreased 7.3%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2021,
        "quarter": "B",
        "label": "Q2 2021",
        "effective": "April 1 – June 30, 2021",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 184.58,
        "facility": 184.58,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 1.16,
        "practice_expense_non_facility": 4.07,
        "practice_expense_facility": 4.07,
        "malpractice": 0.06
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 34.8931,
    "source": {
        "label": "Physician relative value file (Q2 2021)",
        "cms_url": "https://www.cms.gov/files/zip/rvu21b-updated-03022021.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2021/B",
        "file": "PPRRVU21_APR.csv",
        "row": 12245,
        "sha256": "524bee7096166c9011a4ea02189783ef8c91f4d444585e5b2d561b879f9262de"
    },
    "modified_at": "2026-08-04T03:10:33+00:00"
}
