HCPCS code Q0092: Portable x-ray setup, per patient visit, technical only2026 Medicare rate & RVUs in Puerto Rico
Reports setup of portable x-ray equipment for a patient at a nursing facility or home when a portable supplier performs an ordered radiographic study.
In Puerto Rico, Medicare pays $25.99 for Q0092 in the office and $25.99 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · Q0092 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What Q0092 covers
Q0092 covers a portable x-ray supplier’s setup of radiographic equipment at the patient’s location, rather than in an imaging center. A technologist unloads, positions, and prepares the equipment for an ordered study. Typical locations include skilled nursing facilities, other long-term care facilities, and private homes. Portable chest, abdominal, and extremity radiographs are common examples. The code has no physician work RVUs; its technical-only payment reflects practice expense and a small malpractice component.
Report one setup for each patient served during a visit, even when the supplier performs more than one radiographic study. Report the imaging study separately and, when equipment is transported to the location, use the applicable transportation code: R0070 for one patient served on the trip or R0075 for multiple patients. Q0092 covers setup, not interpretation; a physician who separately interprets the study reports the appropriate imaging code with modifier 26. The supplier’s record should identify the order, patient location, studies performed, and setup provided.
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 Puerto Rico compares for Q0092
Across 109 of 109 payment localities, the office rate for Q0092 runs from $21.98 in Arkansas to $36.78 in San Benito County, CA. Puerto Rico pays $25.99. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$25.99
- Los Angeles, CA · California$30.25+$4.26
- Washington, DC area · District of Columbia$30.27+$4.28
- Miami, FL · Florida$27.27+$1.28
- Chicago, IL · Illinois$26.28+$0.29
- Manhattan, NY · New York$30.03+$4.04
- Alaska · Alaska$27.22+$1.23
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $22.40 | $22.40 |
| ArkansasArkansas | $21.98 | $21.98 |
| ArizonaArizona | $24.88 | $24.88 |
| Bakersfield, CACalifornia | $28.03 | $28.03 |
| Chico, CACalifornia | $28.00 | $28.00 |
| El Centro, CACalifornia | $28.00 | $28.00 |
| Fresno, CACalifornia | $28.00 | $28.00 |
| Hanford, CACalifornia | $28.00 | $28.00 |
| Madera, CACalifornia | $28.00 | $28.00 |
| Merced, CACalifornia | $28.00 | $28.00 |
| Modesto, CACalifornia | $28.00 | $28.00 |
| Napa, CACalifornia | $33.63 | $33.63 |
| Oxnard, CACalifornia | $30.21 | $30.21 |
| Redding, CACalifornia | $28.00 | $28.00 |
| Rest of CaliforniaCalifornia | $28.00 | $28.00 |
| Riverside, CACalifornia | $28.11 | $28.11 |
| Sacramento, CACalifornia | $29.70 | $29.70 |
| Salinas, CACalifornia | $29.60 | $29.60 |
| San Diego, CACalifornia | $30.54 | $30.54 |
| Marin County, CACalifornia | $35.95 | $35.95 |
| San Francisco, CACalifornia | $35.93 | $35.93 |
| San Benito County, CACalifornia | $36.78 | $36.78 |
| Santa Clara County, CACalifornia | $36.74 | $36.74 |
| San Luis Obispo, CACalifornia | $29.09 | $29.09 |
| Santa Cruz, CACalifornia | $31.02 | $31.02 |
| Santa Maria, CACalifornia | $29.78 | $29.78 |
| Santa Rosa, CACalifornia | $31.35 | $31.35 |
| Stockton, CACalifornia | $28.00 | $28.00 |
| Vallejo, CACalifornia | $33.61 | $33.61 |
| Visalia, CACalifornia | $28.00 | $28.00 |
| Yuba City, CACalifornia | $28.00 | $28.00 |
| ColoradoColorado | $27.27 | $27.27 |
| ConnecticutConnecticut | $27.74 | $27.74 |
| DelawareDelaware | $25.38 | $25.38 |
| Fort Lauderdale, FLFlorida | $26.32 | $26.32 |
| Rest of FloridaFlorida | $24.77 | $24.77 |
| Atlanta, GAGeorgia | $26.19 | $26.19 |
| Rest of GeorgiaGeorgia | $23.04 | $23.04 |
| Hawaii, Guam, HIHawaii | $29.06 | $29.06 |
| IowaIowa | $23.36 | $23.36 |
| IdahoIdaho | $23.51 | $23.51 |
| East St. Louis, ILIllinois | $24.03 | $24.03 |
| Rest of IllinoisIllinois | $23.70 | $23.70 |
| Suburban Chicago, ILIllinois | $26.66 | $26.66 |
| IndianaIndiana | $23.69 | $23.69 |
| KansasKansas | $23.12 | $23.12 |
| KentuckyKentucky | $22.87 | $22.87 |
| New Orleans, LALouisiana | $24.27 | $24.27 |
| Rest of LouisianaLouisiana | $22.79 | $22.79 |
| Metropolitan Boston, MAMassachusetts | $30.61 | $30.61 |
| Rest of MassachusettsMassachusetts | $27.00 | $27.00 |
| Baltimore area, MDMaryland | $27.65 | $27.65 |
| Rest of MarylandMaryland | $26.00 | $26.00 |
| Rest of MaineMaine | $23.56 | $23.56 |
| Southern Maine, MEMaine | $25.37 | $25.37 |
| Detroit, MIMichigan | $25.06 | $25.06 |
| Rest of MichiganMichigan | $23.55 | $23.55 |
| MinnesotaMinnesota | $26.22 | $26.22 |
| Metropolitan Kansas City, MOMissouri | $24.16 | $24.16 |
| Metropolitan St. Louis, MOMissouri | $24.50 | $24.50 |
| Rest of MissouriMissouri | $22.21 | $22.21 |
| MississippiMississippi | $22.10 | $22.10 |
| MontanaMontana | $25.72 | $25.72 |
| North CarolinaNorth Carolina | $23.90 | $23.90 |
| North DakotaNorth Dakota | $25.52 | $25.52 |
| NebraskaNebraska | $23.56 | $23.56 |
| New HampshireNew Hampshire | $26.72 | $26.72 |
| Northern New JerseyNew Jersey | $29.80 | $29.80 |
| Rest of New JerseyNew Jersey | $28.09 | $28.09 |
| New MexicoNew Mexico | $23.68 | $23.68 |
| NevadaNevada | $25.69 | $25.69 |
| NYC suburbs and Long Island, NYNew York | $30.80 | $30.80 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $28.20 | $28.20 |
| Queens, NYNew York | $30.49 | $30.49 |
| Rest of New YorkNew York | $24.35 | $24.35 |
| OhioOhio | $23.51 | $23.51 |
| OklahomaOklahoma | $22.93 | $22.93 |
| Portland, OROregon | $28.45 | $28.45 |
| Rest of OregonOregon | $25.52 | $25.52 |
| Metropolitan Philadelphia, PAPennsylvania | $26.82 | $26.82 |
| Rest of PennsylvaniaPennsylvania | $23.62 | $23.62 |
| Rhode IslandRhode Island | $26.52 | $26.52 |
| South CarolinaSouth Carolina | $23.74 | $23.74 |
| South DakotaSouth Dakota | $25.50 | $25.50 |
| TennesseeTennessee | $23.25 | $23.25 |
| Austin, TXTexas | $27.15 | $27.15 |
| Beaumont, TXTexas | $23.41 | $23.41 |
| Brazoria, TXTexas | $25.42 | $25.42 |
| Dallas, TXTexas | $25.57 | $25.57 |
| Fort Worth, TXTexas | $25.32 | $25.32 |
| Galveston, TXTexas | $25.48 | $25.48 |
| Houston, TXTexas | $25.67 | $25.67 |
| Rest of TexasTexas | $24.39 | $24.39 |
| UtahUtah | $24.16 | $24.16 |
| VirginiaVirginia | $25.19 | $25.19 |
| Virgin Islands, VIUnited States Virgin Islands | $25.99 | $25.99 |
| VermontVermont | $25.30 | $25.30 |
| Rest of WashingtonWashington | $26.98 | $26.98 |
| King County, WAWashington | $31.42 | $31.42 |
| WisconsinWisconsin | $24.42 | $24.42 |
| West VirginiaWest Virginia | $22.54 | $22.54 |
| WyomingWyoming | $25.63 | $25.63 |
Q0092 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.
$21.98
$32.39
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $27.22 | 1 |
| AL | $22.40 | 1 |
| AR | $21.98 | 1 |
| AZ | $24.88 | 1 |
| CA | $28.00–$36.78 | 29 |
| CO | $27.27 | 1 |
| CT | $27.74 | 1 |
| DC | $30.27 | 1 |
| DE | $25.38 | 1 |
| FL | $24.77–$27.27 | 3 |
| GA | $23.04–$26.19 | 2 |
| GU | $29.06 | 1 |
| HI | $29.06 | 1 |
| IA | $23.36 | 1 |
| ID | $23.51 | 1 |
| IL | $23.70–$26.66 | 4 |
| IN | $23.69 | 1 |
| KS | $23.12 | 1 |
| KY | $22.87 | 1 |
| LA | $22.79–$24.27 | 2 |
| MA | $27.00–$30.61 | 2 |
| MD | $26.00–$30.27 | 3 |
| ME | $23.56–$25.37 | 2 |
| MI | $23.55–$25.06 | 2 |
| MN | $26.22 | 1 |
| MO | $22.21–$24.50 | 3 |
| MS | $22.10 | 1 |
| MT | $25.72 | 1 |
| NC | $23.90 | 1 |
| ND | $25.52 | 1 |
| NE | $23.56 | 1 |
| NH | $26.72 | 1 |
| NJ | $28.09–$29.80 | 2 |
| NM | $23.68 | 1 |
| NV | $25.69 | 1 |
| NY | $24.35–$30.80 | 5 |
| OH | $23.51 | 1 |
| OK | $22.93 | 1 |
| OR | $25.52–$28.45 | 2 |
| PA | $23.62–$26.82 | 2 |
| PR | $25.99 | 1 |
| RI | $26.52 | 1 |
| SC | $23.74 | 1 |
| SD | $25.50 | 1 |
| TN | $23.25 | 1 |
| TX | $23.41–$27.15 | 8 |
| UT | $24.16 | 1 |
| VA | $25.19–$30.27 | 2 |
| VI | $25.99 | 1 |
| VT | $25.30 | 1 |
| WA | $26.98–$31.42 | 2 |
| WI | $24.42 | 1 |
| WV | $22.54 | 1 |
| WY | $25.63 | 1 |
How the Q0092 rate is calculated
Each of Q0092’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 · Q0092
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.76
0.76 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.7700
Conversion factor
$33.4009
Medicare rate
$25.72
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Puerto Rico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
18,051
- Code
- Q0092
- Physician work
- 0.00
- Practice expense
- 0.76
- Malpractice
- 0.01
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 0.76 | × 1.011 | 0.7684 |
| Malpractice | 0.01 | × 0.985 | 0.0098 |
| Total RVUs | 0.7782 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Puerto Rico$25.99
Office: (0 × 1 + 0.76 × 1.011 + 0.01 × 0.985) × $33.4009 = $25.99
Facility: (0 × 1 + 0.76 × 1.011 + 0.01 × 0.985) × $33.4009 = $25.99
Payment rules and modifiers for Q0092
The CMS indicators that decide how Q0092 is paid alongside other services.
CMS payment indicators · Q0092
Portable x-ray setup, per patient visit, technical only
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 3 | Technical component only. |
How Q0092 has changed in Puerto Rico
Q0092 · Office / nonfacility
$25.99
Effective 2026-10-01
The base rate is $0.06 lower than on 2025-10-01, moving from $26.05 to $25.99 (0.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$26.05changed to$25.99
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.79 changed to 0.76
- Practice expense GPCI 1.007 changed to 1.011
- Malpractice GPCI 0.982 changed to 0.985
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$26.14changed to$26.05
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.77 changed to 0.79
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$25.71changed to$26.14
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$25.27changed to$25.71
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.73 changed to 0.77
- Practice expense GPCI 1.008 changed to 1.007
- Malpractice GPCI 0.984 changed to 0.982
October 1, 2023
RVU23D
$25.08changed to$25.27
- Practice expense GPCI 1.000 changed to 1.008
- Malpractice GPCI 1.000 changed to 0.984
January 1, 2023
RVU23A
$24.06changed to$25.08
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.68 changed to 0.73
- Practice expense GPCI 1.008 changed to 1.000
- Malpractice GPCI 0.986 changed to 1.000
Held through RVU23B, RVU23C.
January 1, 2022
RVU22A
$23.56changed to$24.06
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.66 changed to 0.68
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$24.00changed to$23.56
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.65 changed to 0.66
- Malpractice GPCI 0.988 changed to 0.986
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$24.67changed to$24.00
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.67 changed to 0.65
- Practice expense GPCI 1.007 changed to 1.008
- Malpractice GPCI 0.990 changed to 0.988
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$26.10changed to$24.67
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.71 changed to 0.67
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$21.73changed to$26.10
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.70 changed to 0.71
- Practice expense GPCI 0.856 changed to 1.007
- Malpractice GPCI 0.642 changed to 0.990
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$17.77changed to$21.73
- Conversion factor 35.8043 changed to 35.8887
- Practice expense GPCI 0.705 changed to 0.856
- Malpractice GPCI 0.293 changed to 0.642
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$17.84changed to$17.77
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$17.75changed to$17.84
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$16.71changed to$17.75
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.67 changed to 0.70
- Practice expense GPCI 0.692 changed to 0.705
- Malpractice GPCI 0.271 changed to 0.293
Held through RVU15B.
January 1, 2014
RVU14A
$16.92changed to$16.71
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.73 changed to 0.67
- Practice expense GPCI 0.678 changed to 0.692
- Malpractice GPCI 0.249 changed to 0.271
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $16.92
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $25.99 | $25.99 | RVU26D |
| 2026-07-01 | $25.99 | $25.99 | RVU26C |
| 2026-04-01 | $25.99 | $25.99 | RVU26B |
| 2026-01-01 | $25.99 | $25.99 | RVU26A |
| 2025-10-01 | $26.05 | $26.05 | RVU25D |
| 2025-07-01 | $26.05 | $26.05 | RVU25C |
| 2025-04-01 | $26.05 | $26.05 | RVU25B |
| 2025-01-01 | $26.05 | $26.05 | RVU25A |
| 2024-10-01 | $26.14 | $26.14 | RVU24D |
| 2024-07-01 | $26.14 | $26.14 | RVU24C |
| 2024-04-01 | $26.14 | $26.14 | RVU24B |
| 2024-03-09 | $26.14 | $26.14 | RVU24AR |
| 2024-01-01 | $25.71 | $25.71 | RVU24A |
| 2023-10-01 | $25.27 | $25.27 | RVU23D |
| 2023-07-01 | $25.08 | $25.08 | RVU23C |
| 2023-04-01 | $25.08 | $25.08 | RVU23B |
| 2023-01-01 | $25.08 | $25.08 | RVU23A |
| 2022-10-01 | $24.06 | $24.06 | RVU22D |
| 2022-07-01 | $24.06 | $24.06 | RVU22C |
| 2022-04-01 | $24.06 | $24.06 | RVU22B |
| 2022-01-01 | $24.06 | $24.06 | RVU22A |
| 2021-10-01 | $23.56 | $23.56 | RVU21D |
| 2021-07-01 | $23.56 | $23.56 | RVU21C |
| 2021-04-01 | $23.56 | $23.56 | RVU21B |
| 2021-01-01 | $23.56 | $23.56 | RVU21A |
| 2020-10-01 | $24.00 | $24.00 | RVU20D |
| 2020-07-01 | $24.00 | $24.00 | RVU20C |
| 2020-04-01 | $24.00 | $24.00 | RVU20B |
| 2020-01-01 | $24.00 | $24.00 | RVU20A |
| 2019-10-01 | $24.67 | $24.67 | RVU19D |
| 2019-07-01 | $24.67 | $24.67 | RVU19C |
| 2019-04-01 | $24.67 | $24.67 | RVU19B |
| 2019-01-01 | $24.67 | $24.67 | RVU19A |
| 2018-10-01 | $26.10 | $26.10 | RVU18D |
| 2018-07-01 | $26.10 | $26.10 | RVU18C |
| 2018-04-01 | $26.10 | $26.10 | RVU18B |
| 2018-01-01 | $26.10 | $26.10 | RVU18AR1 |
| 2017-10-01 | $21.73 | $21.73 | RVU17D |
| 2017-07-01 | $21.73 | $21.73 | RVU17C |
| 2017-04-01 | $21.73 | $21.73 | RVU17B |
| 2017-01-01 | $21.73 | $21.73 | RVU17A |
| 2016-10-01 | $17.77 | $17.77 | RVU16D |
| 2016-07-01 | $17.77 | $17.77 | RVU16C |
| 2016-04-01 | $17.77 | $17.77 | RVU16B |
| 2016-01-01 | $17.77 | $17.77 | RVU16A |
| 2015-10-01 | $17.84 | $17.84 | RVU15D |
| 2015-07-01 | $17.84 | $17.84 | RVU15C |
| 2015-04-01 | $17.75 | $17.75 | RVU15B |
| 2015-01-01 | $17.75 | $17.75 | RVU15A |
| 2014-10-01 | $16.71 | $16.71 | RVU14D |
| 2014-07-01 | $16.71 | $16.71 | RVU14C |
| 2014-04-01 | $16.71 | $16.71 | RVU14B |
| 2014-01-01 | $16.71 | $16.71 | RVU14A |
| 2013-10-01 | $16.92 | $16.92 | RVU13D |
| 2013-07-01 | $16.92 | $16.92 | RVU13C |
| 2013-04-01 | $16.92 | $16.92 | RVU13B |
| 2013-01-01 | $16.92 | $16.92 | RVU13AR |
Where the Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
Q0092 billing questions
Can Q0092 be reported more than once for the same patient on one visit?
Report one setup for that patient’s visit, even if the supplier performs two different radiographic studies. Additional views or a positioning retake do not create another setup charge.
Who bills the interpretation of the portable film?
The interpreting physician reports the appropriate imaging code with modifier 26 when billing the professional component separately. Q0092 covers only equipment setup.
Is Q0092 reported for portable EKG services?
No. Q0092 is for portable x-ray equipment setup; R0076 describes transportation of portable EKG equipment, not x-ray setup.
Which transportation code accompanies Q0092?
When transportation is billed, R0070 describes a trip serving one patient; R0075 describes a trip serving multiple patients. Q0092 remains a separate setup service for each patient served.
Does Q0092 carry modifier TC?
No. Q0092 is already a technical-only code. When the supplier bills only the technical component of the radiographic study, modifier TC belongs on the imaging code.
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
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