CPT code 71047: Chest X-ray, three views2026 Medicare rate & RVUs in North Carolina

Report 71047 for a diagnostic chest radiograph consisting of three views, such as an expanded evaluation of pulmonary or thoracic symptoms.

CMS RVU26DEffective Oct 1, 2026One payment locality14.6K Medicare services in 2024

In North Carolina, Medicare pays $38.72 for 71047 in the office.

$38.72Office (non-facility)
Not available in this settingHospital or facility
−5.7%vs the national office rate ($41.08)

Check a contract rate as a % of Medicare · 71047 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 71047 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Carolina
  2. What 71047 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 71047 covers

This service covers a chest X-ray with three views, providing projections of the chest for evaluation of the lungs, heart, and other thoracic structures. It may be ordered for symptoms such as cough or shortness of breath, or to assess a suspected chest abnormality. A radiologic technologist typically obtains the images, and a qualified practitioner, commonly a radiologist, interprets them and documents the findings in an imaging center, hospital, or office setting.

Select this code when three views are obtained; the documented images and interpretation should support that view count. CMS recognizes a professional component for interpretation and a technical component for the equipment and staff. Report modifier 26 for the professional component or modifier TC for the technical component; billing without either modifier represents the global service. CMS separately prices the 26 and TC modifiers. The report should identify the study and communicate the interpretation; the technical record should support the images acquired.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How North Carolina compares for 71047

Across 109 of 109 payment localities, the office rate for 71047 runs from $36.29 in Arkansas to $55.75 in San Benito County, CA. North Carolina pays $38.72. The RVUs are the same everywhere; the geographic indexes change the dollars.

71047 in North Carolina vs other payment areas
  1. North Carolina · this page$38.72
  2. Los Angeles, CA · California$47.02+$8.30
  3. Washington, DC area · District of Columbia$47.28+$8.56
  4. Miami, FL · Florida$43.41+$4.69
  5. Chicago, IL · Illinois$42.17+$3.45
  6. Manhattan, NY · New York$47.17+$8.45
  7. Alaska · Alaska$47.19+$8.47

Other areas in North Carolina first, then benchmark localities. Bars start at $0.

Every other payment area

71047 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$36.83—
ArkansasArkansas$36.29—
ArizonaArizona$40.00—
Bakersfield, CACalifornia$44.03—
Chico, CACalifornia$43.97—
El Centro, CACalifornia$43.97—
Fresno, CACalifornia$43.97—
Hanford, CACalifornia$43.97—

71047 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$36.29

$49.86

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
71047 office rate range by state
State / territoryOffice rate rangeLocalities
AK$47.191
AL$36.831
AR$36.291
AZ$40.001
CA$43.97–$55.7529
CO$43.071
CT$43.841
DC$47.281
DE$40.681
FL$40.02–$43.413
GA$37.78–$41.752
GU$45.151
HI$45.151
IA$37.981
ID$38.191
IL$38.70–$42.524
IN$38.421
KS$37.711
KY$37.501
LA$37.41–$39.302
MA$42.77–$47.522
MD$41.50–$47.283
ME$38.29–$40.552
MI$38.41–$40.432
MN$41.531
MO$36.69–$39.563
MS$36.501
MT$41.081
NC$38.721
ND$40.691
NE$38.221
NH$42.301
NJ$44.41–$46.752
NM$38.581
NV$41.001
NY$39.30–$48.215
OH$38.331
OK$37.541
OR$40.76–$44.572
PA$38.44–$42.672
PR$41.421
RI$42.221
SC$38.571
SD$40.641
TN$37.891
TX$38.18–$42.868
UT$39.111
VA$40.35–$47.282
VI$41.421
VT$40.441
WA$42.72–$48.602
WI$39.291
WV$37.211
WY$40.911

See 71047 in every payment locality

How the 71047 rate is calculated

Each of 71047’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 71047

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.26

0.26 RVUs× 1.000 GPCI

Practice expense0.95

0.95 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

1.2300

Conversion factor

$33.4009

Medicare rate

$41.08

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact North Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,886

Code
71047
Physician work
0.26
Practice expense
0.95
Malpractice
0.02

GPCI2026.csv

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Office calculation for 71047 in North Carolina
ComponentRVULocality factorAdjusted
Physician work0.26× 1.0000.2600
Practice expense0.95× 0.9330.8863
Malpractice0.02× 0.6390.0128
Total RVUs1.1591
Conversion factor× 33.4009

Office rate, North Carolina$38.72

Office: (0.26 × 1 + 0.95 × 0.933 + 0.02 × 0.639) × $33.4009 = $38.72

Open 71047 in the RVU calculator

Payment rules and modifiers for 71047

The CMS indicators that decide how 71047 is paid alongside other services.

CMS payment indicators · 71047

Chest X-ray, three views

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

71047 without 26 · national office

$41.08

Chest X-ray, three views

71047-26 · Professional component

$12.69

Pays only the interpretation and report.

When to use modifier 26

How 71047 has changed in North Carolina

71047 · Office / nonfacility

$38.72

Effective 2026-10-01

The base rate is $0.50 higher than on 2025-10-01, moving from $38.22 to $38.72 (1.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $38.22changed to$38.72

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.27 changed to 0.26
    • Practice expense RVU 0.97 changed to 0.95
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.665 changed to 0.639

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $39.64changed to$38.22

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.98 changed to 0.97

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $38.99changed to$39.64

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $40.44changed to$38.99

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 0.927 changed to 0.926
    • Malpractice GPCI 0.742 changed to 0.665
  5. January 1, 2023

    RVU23A

    $41.06changed to$40.44

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.97 changed to 0.98
    • Practice expense GPCI 0.928 changed to 0.927
    • Malpractice GPCI 0.819 changed to 0.742

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $40.75changed to$41.06

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.95 changed to 0.97

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $39.49changed to$40.75

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.87 changed to 0.95
    • Practice expense GPCI 0.930 changed to 0.928
    • Malpractice GPCI 0.757 changed to 0.819

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $38.08changed to$39.49

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.83 changed to 0.87
    • Practice expense GPCI 0.931 changed to 0.930
    • Malpractice GPCI 0.695 changed to 0.757

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $37.37changed to$38.08

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.81 changed to 0.83

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    No ratechanged to$37.37

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$38.72Not available in this settingRVU26D
2026-07-01$38.72Not available in this settingRVU26C
2026-04-01$38.72Not available in this settingRVU26B
2026-01-01$38.72Not available in this settingRVU26A
2025-10-01$38.22Not available in this settingRVU25D
2025-07-01$38.22Not available in this settingRVU25C
2025-04-01$38.22Not available in this settingRVU25B
2025-01-01$38.22Not available in this settingRVU25A
2024-10-01$39.64Not available in this settingRVU24D
2024-07-01$39.64Not available in this settingRVU24C
2024-04-01$39.64Not available in this settingRVU24B
2024-03-09$39.64Not available in this settingRVU24AR
2024-01-01$38.99Not available in this settingRVU24A
2023-10-01$40.44Not available in this settingRVU23D
2023-07-01$40.44Not available in this settingRVU23C
2023-04-01$40.44Not available in this settingRVU23B
2023-01-01$40.44Not available in this settingRVU23A
2022-10-01$41.06Not available in this settingRVU22D
2022-07-01$41.06Not available in this settingRVU22C
2022-04-01$41.06Not available in this settingRVU22B
2022-01-01$41.06Not available in this settingRVU22A
2021-10-01$40.75Not available in this settingRVU21D
2021-07-01$40.75Not available in this settingRVU21C
2021-04-01$40.75Not available in this settingRVU21B
2021-01-01$40.75Not available in this settingRVU21A
2020-10-01$39.49Not available in this settingRVU20D
2020-07-01$39.49Not available in this settingRVU20C
2020-04-01$39.49Not available in this settingRVU20B
2020-01-01$39.49Not available in this settingRVU20A
2019-10-01$38.08Not available in this settingRVU19D
2019-07-01$38.08Not available in this settingRVU19C
2019-04-01$38.08Not available in this settingRVU19B
2019-01-01$38.08Not available in this settingRVU19A
2018-10-01$37.37Not available in this settingRVU18D
2018-07-01$37.37Not available in this settingRVU18C
2018-04-01$37.37Not available in this settingRVU18B
2018-01-01$37.37Not available in this settingRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 71047 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

71047 billing questions

When should 71047 be selected instead of 71046?

Use 71047 when the chest study includes three views. Use 71046 when it includes two; select based on the views actually obtained and documented.

How does 71047 differ from 71048?

71047 represents three views, while 71048 is for four or more views. The documented image count determines which code describes the study.

What do modifiers 26 and TC indicate?

Modifier 26 identifies the professional interpretation component, and modifier TC identifies the technical component, including equipment and staff. Billing without either modifier represents the global service.

What documentation supports reporting three views?

The imaging record should show that three chest views were obtained, and the interpretation report should document the radiographic findings.

Can 71047 be reported for a two-view chest study?

No. A two-view chest X-ray is represented by 71046; 71047 is selected when three views are performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 71047PPRRVU2026_Oct_nonQPP.csv, line 7,886 (RVU26D)
Geographic factors for North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

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