Radiology · CMS status A

70450

CT head/brain, without contrast

Computed tomography of the head or brain without contrast material. CMS 2026 global wRVU 0.85, total RVU approximately 3.07, Medicare global allowable approximately $103. The workhorse ED and outpatient neuroimaging study. Modifier 26 for hospital interpretation; TC for imaging center facility-only billing.

Work RVU
0.85
2026 Medicare pays
$102.54
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 0.85 + Practice 2.16 + Malpractice 0.06 = 3.07 total
Work (your effort)Practice expenseMalpractice
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Common modifiers
26TC
Common ICD-10 pairings
I63.9S06.0X0AR51.9R41.82I60.9G93.6

Payer notes

Medicare covers 70450 with a documented neurologic indication. Medicare Advantage plans commonly require prior authorization for outpatient head CT; ED CT is typically auto-approved post-care. Commercial payers vary — Aetna, UnitedHealthcare, and Anthem require pre-authorization for outpatient head CT except in emergency or post-trauma settings. Patients with prior intracranial pathology, anticoagulation, or shunt may have lower auth barriers.

Pairs well with

Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.