CPT Code 71250: CT Chest Without Contrast

No, not typically. You should not bill CPT 71250 and 71260 together for the same imaging session. If both non-contrast and contrast-enhanced CT scans are performed in a single session, report CPT 71270 (CT chest with and without contrast).

However, if there are two distinct, medically necessary studies (e.g., performed at different times of day for different indications), you may report both 71250 and 71260—but must include documentation of medical necessity and append Modifier -59 or Modifier -XS (if required by payer) to indicate a distinct procedural service.

The CPT code 71271 is used for a low-dose CT scan of the chest specifically for lung cancer screening. This procedure is usually performed without contrast.

Once contrast material is administered, CPT 71250 is no longer appropriate. You must report the appropriate contrast-inclusive code, such as 71260 or 71270, based on whether contrast was only used or both without and with contrast were performed. Accurate documentation and coding based on the actual service provided are required to ensure proper reimbursement and avoid billing errors.