2025 CPT code 71260
(Active) Effective Date: N/A Revision Date: N/A Diagnostic Imaging - Computed Tomography Radiology Feed
Computed tomography (CT) scan of the thorax with contrast material.
Modifiers 26 (professional component), TC (technical component), and others may apply depending on the specific circumstances and payer requirements.
Medical necessity is established when a chest CT with contrast is indicated to assess for conditions such as lung cancer, pulmonary embolism, trauma, or other diseases of the thorax requiring detailed imaging with contrast enhancement.The ordering physician should document clinical findings supporting the need for the procedure.
The clinical responsibility involves patient positioning, contrast administration (intravenous injection), image acquisition and interpretation, and reporting of findings.
In simple words: A CT scan of your chest uses X-rays and a computer to create detailed pictures of the organs and structures in your chest.A special dye (contrast) is injected into a vein to make the images clearer. The scan helps doctors diagnose chest problems.
This diagnostic procedure involves a computed tomography (CT) examination of the thorax using contrast material.The provider rotates an X-ray tube and detectors around the patient, generating cross-sectional images. After positioning the patient, intravenous contrast is administered, typically through an upper extremity vein. Multiple cross-sectional images of the thoracic region are acquired as the patient moves through the scanner. The provider then interprets the images, storing, reconstructing, and reproducing them for further evaluation as needed.
Example 1: A 60-year-old male presents with persistent cough and hemoptysis. A chest CT with contrast is ordered to evaluate for lung cancer., A 25-year-old female involved in a motor vehicle accident sustains chest trauma. A CT scan with contrast is performed to assess for internal bleeding or injury to thoracic organs., A 70-year-old patient with a history of heart failure is admitted to the hospital with shortness of breath.A chest CT with contrast is used to evaluate for pulmonary edema and other causes of respiratory distress.
Detailed clinical indication for the study, patient history, results of the CT scan (including image interpretation and findings), and any contrast material used (type and amount).
** Always consult the most recent CPT codebook and payer-specific guidelines for the most accurate and up-to-date information on coding and reimbursement.
- Revenue Code: I2B (Advanced Imaging - CAT: Other)
- Payment Status: Active
- Modifier TC rule: Modifier TC (technical component) may apply if only the technical component of the service is performed, subject to payer policy.
- Specialties:Radiology, Pulmonology, Cardiology, Oncology, Trauma Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center, Emergency Room - Hospital