70486
CT Maxillofacial Area Without Contrast
Code Description
CPT code 70486 is used to report a CT scan of the maxillofacial area performed without contrast material. This imaging study evaluates facial bones, sinuses, orbits, jaw structures, and surrounding soft tissues.
A CT maxillofacial scan without contrast is commonly ordered to evaluate facial trauma, sinus disease, orbital injury, fractures, dental-related concerns, and other abnormalities involving the face.
When to Use 70486
Common examples include:
facial trauma
suspected facial fracture
sinus disease
orbital injury
jaw or facial pain
preoperative facial evaluation
dental or maxillofacial abnormalities
Documentation Requirements
Documentation should include:
reason for the examination
maxillofacial area evaluated
confirmation that no contrast was administered
relevant symptoms or diagnosis
physician or radiologist interpretation
diagnostic findings
Common Billing Mistakes
Common billing mistakes include:
reporting 70486 when contrast was administered
selecting the wrong CT facial imaging code
failing to document the anatomical area examined
incorrect use of Modifier 26 or TC
insufficient documentation of medical necessity
Related CPT Codes
70450
CT Head Without Contrast
71260
CT Chest With Contrast
74177
CT Abdomen and Pelvis With Contrast
FAQ
What does CPT code 70486 cover?
CPT code 70486 reports a CT scan of the maxillofacial area performed without contrast material.
What areas are included in a maxillofacial CT?
A maxillofacial CT may evaluate the facial bones, sinuses, orbits, jaw, and surrounding facial structures.
What is the difference between CPT 70486 and 70487?
CPT 70486 is used when the maxillofacial CT is performed without contrast. CPT 70487 is used when the scan is performed with contrast.
Can Modifier 26 be used with CPT 70486?
Yes. Modifier 26 may be reported when billing only for the professional component, such as interpretation and written report.
Procedure Type
Computed Tomography (CT)
Body Area
Contrast
Maxillofacial Area
Without Contrast
