$41.12–$64.05
70200 examines the orbits with at least four views. 70150 is directed at the facial bones, so choose according to the anatomy imaged and documented.
On this page
CMS RVU26D · Effective 2026-10-01
70200 Orbit X-ray Medicare reimbursement rates
Orbital radiographs with at least four views are reported to evaluate the eye sockets, such as after orbital trauma or for a suspected radiopaque foreign body. Compare 70200 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 70200?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$41.21–$63.83
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $22.62 per service.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 70200 pays more and less
109 payment localities
$41.21 to $63.83
Radiology
About 70200: Complete orbital radiographic examination
Orbital radiographs with at least four views are reported to evaluate the eye sockets, such as after orbital trauma or for a suspected radiopaque foreign body.
This service is a multi-view X-ray examination focused on the bony eye sockets. It may be ordered after orbital trauma or when a radiopaque foreign body is suspected. A radiologic technologist obtains the images in an office imaging department, hospital, or other diagnostic setting; a radiologist or other qualified physician interprets them and issues a report.
Report 70200 when the documented study is a complete orbital examination with at least four views. The order, images, and interpretation should support the orbital anatomy examined and the clinical reason for imaging. The global service is billed without a component modifier. Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service, including equipment and staff; CMS separately prices these modifiers.
CMS billing rules for 70200
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
Where the value comes from
- Work RVU0.27 · 19%
- Practice expense (office) RVU1.11 · 79%
- Malpractice RVU0.02 · 1%
5.2K
Medicare services in 2024 · #1849 by national volume
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.
70200 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$31.32–$48.93
70250 is a limited skull radiographic examination. Use 70200 when the study is a complete orbital examination with at least four views.
$38.63–$59.50
70260 is a complete skull examination, while 70200 targets the eye sockets. The number of views alone does not determine the code; the imaged anatomy does.
See how rates vary across the country
70200 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$41.21
$57.00
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $53.38 | 1 |
| AL | $41.84 | 1 |
| AR | $41.21 | 1 |
| AZ | $45.52 | 1 |
| CA | $50.16–$63.83 | 29 |
| CO | $49.10 | 1 |
| CT | $49.94 | 1 |
| DC | $53.92 | 1 |
| DE | $46.29 | 1 |
| FL | $45.47–$49.30 | 3 |
| GA | $42.89–$47.52 | 2 |
| GU | $51.56 | 1 |
| HI | $51.56 | 1 |
| IA | $43.21 | 1 |
| ID | $43.44 | 1 |
| IL | $43.91–$48.34 | 4 |
| IN | $43.71 | 1 |
| KS | $42.87 | 1 |
| KY | $42.59 | 1 |
| LA | $42.47–$44.66 | 2 |
| MA | $48.73–$54.25 | 2 |
| MD | $47.24–$53.92 | 3 |
| ME | $43.54–$46.18 | 2 |
| MI | $43.62–$45.92 | 2 |
| MN | $47.37 | 1 |
| MO | $41.63–$44.98 | 3 |
| MS | $41.43 | 1 |
| MT | $46.76 | 1 |
| NC | $44.04 | 1 |
| ND | $46.36 | 1 |
| NE | $43.49 | 1 |
| NH | $48.20 | 1 |
| NJ | $50.60–$53.31 | 2 |
| NM | $43.82 | 1 |
| NV | $46.69 | 1 |
| NY | $44.71–$54.92 | 5 |
| OH | $43.54 | 1 |
| OK | $42.65 | 1 |
| OR | $46.41–$50.85 | 2 |
| PA | $43.68–$48.57 | 2 |
| PR | $47.16 | 1 |
| RI | $48.08 | 1 |
| SC | $43.84 | 1 |
| SD | $46.32 | 1 |
| TN | $43.08 | 1 |
| TX | $43.38–$48.85 | 8 |
| UT | $44.47 | 1 |
| VA | $45.93–$53.92 | 2 |
| VI | $47.16 | 1 |
| VT | $46.06 | 1 |
| WA | $48.68–$55.51 | 2 |
| WI | $44.74 | 1 |
| WV | $42.19 | 1 |
| WY | $46.59 | 1 |
Compare 70200 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $41.84 | Facility Unavailable |
| Alaska* | Office $53.38 | Facility Unavailable |
| Arizona | Office $45.52 | Facility Unavailable |
| Arkansas | Office $41.21 | Facility Unavailable |
| Atlanta | Office $47.52 | Facility Unavailable |
| Austin | Office $48.85 | Facility Unavailable |
| Bakersfield | Office $50.23 | Facility Unavailable |
| Baltimore/Surr. Cntys | Office $49.77 | Facility Unavailable |
| Beaumont | Office $43.38 | Facility Unavailable |
| Brazoria | Office $46.35 | Facility Unavailable |
| Chicago | Office $47.87 | Facility Unavailable |
| Chico | Office $50.16 | Facility Unavailable |
| Colorado | Office $49.10 | Facility Unavailable |
| Connecticut | Office $49.94 | Facility Unavailable |
| Dallas | Office $46.60 | Facility Unavailable |
| Dc + Md/Va Suburbs | Office $53.92 | Facility Unavailable |
| Delaware | Office $46.29 | Facility Unavailable |
| Detroit | Office $45.92 | Facility Unavailable |
| East St. Louis | Office $44.47 | Facility Unavailable |
| El Centro | Office $50.17 | Facility Unavailable |
| Fort Lauderdale | Office $47.78 | Facility Unavailable |
| Fort Worth | Office $46.24 | Facility Unavailable |
| Fresno | Office $50.16 | Facility Unavailable |
| Galveston | Office $46.46 | Facility Unavailable |
| Hanford-Corcoran | Office $50.16 | Facility Unavailable |
| Hawaii, Guam | Office $51.56 | Facility Unavailable |
| Houston | Office $46.83 | Facility Unavailable |
| Idaho | Office $43.44 | Facility Unavailable |
| Indiana | Office $43.71 | Facility Unavailable |
| Iowa | Office $43.21 | Facility Unavailable |
| Kansas | Office $42.87 | Facility Unavailable |
| Kentucky | Office $42.59 | Facility Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $53.69 | Facility Unavailable |
| Madera | Office $50.16 | Facility Unavailable |
| Manhattan | Office $53.74 | Facility Unavailable |
| Merced | Office $50.16 | Facility Unavailable |
| Metropolitan Boston | Office $54.25 | Facility Unavailable |
| Metropolitan Kansas City | Office $44.48 | Facility Unavailable |
| Metropolitan Philadelphia | Office $48.57 | Facility Unavailable |
| Metropolitan St. Louis | Office $44.98 | Facility Unavailable |
| Miami | Office $49.30 | Facility Unavailable |
| Minnesota | Office $47.37 | Facility Unavailable |
| Mississippi | Office $41.43 | Facility Unavailable |
| Modesto | Office $50.16 | Facility Unavailable |
| Montana** | Office $46.76 | Facility Unavailable |
| Napa | Office $58.79 | Facility Unavailable |
| Nebraska | Office $43.49 | Facility Unavailable |
| Nevada** | Office $46.69 | Facility Unavailable |
| New Hampshire | Office $48.20 | Facility Unavailable |
| New Mexico | Office $43.82 | Facility Unavailable |
| New Orleans | Office $44.66 | Facility Unavailable |
| North Carolina | Office $44.04 | Facility Unavailable |
| North Dakota** | Office $46.36 | Facility Unavailable |
| Northern Nj | Office $53.31 | Facility Unavailable |
| Nyc Suburbs/Long Island | Office $54.92 | Facility Unavailable |
| Ohio | Office $43.54 | Facility Unavailable |
| Oklahoma | Office $42.65 | Facility Unavailable |
| Oxnard-Thousand Oaks-Ventura | Office $53.51 | Facility Unavailable |
| Portland | Office $50.85 | Facility Unavailable |
| Poughkpsie/N Nyc Suburbs | Office $50.83 | Facility Unavailable |
| Puerto Rico | Office $47.16 | Facility Unavailable |
| Queens | Office $54.38 | Facility Unavailable |
| Redding | Office $50.16 | Facility Unavailable |
| Rest Of California | Office $50.16 | Facility Unavailable |
| Rest Of Florida | Office $45.47 | Facility Unavailable |
| Rest Of Georgia | Office $42.89 | Facility Unavailable |
| Rest Of Illinois | Office $43.91 | Facility Unavailable |
| Rest Of Louisiana | Office $42.47 | Facility Unavailable |
| Rest Of Maine | Office $43.54 | Facility Unavailable |
| Rest Of Maryland | Office $47.24 | Facility Unavailable |
| Rest Of Massachusetts | Office $48.73 | Facility Unavailable |
| Rest Of Michigan | Office $43.62 | Facility Unavailable |
| Rest Of Missouri | Office $41.63 | Facility Unavailable |
| Rest Of New Jersey | Office $50.60 | Facility Unavailable |
| Rest Of New York | Office $44.71 | Facility Unavailable |
| Rest Of Oregon | Office $46.41 | Facility Unavailable |
| Rest Of Pennsylvania | Office $43.68 | Facility Unavailable |
| Rest Of Texas | Office $44.81 | Facility Unavailable |
| Rest Of Washington | Office $48.68 | Facility Unavailable |
| Rhode Island | Office $48.08 | Facility Unavailable |
| Riverside-San Bernardino-Ontario | Office $50.38 | Facility Unavailable |
| Sacramento-Roseville-Folsom | Office $52.82 | Facility Unavailable |
| Salinas | Office $52.63 | Facility Unavailable |
| San Diego-Chula Vista-Carlsbad | Office $53.99 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $62.46 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $62.43 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $63.83 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $63.74 | Facility Unavailable |
| San Luis Obispo-Paso Robles | Office $51.76 | Facility Unavailable |
| Santa Cruz-Watsonville | Office $54.61 | Facility Unavailable |
| Santa Maria-Santa Barbara | Office $52.86 | Facility Unavailable |
| Santa Rosa-Petaluma | Office $55.17 | Facility Unavailable |
| Seattle (King Cnty) | Office $55.51 | Facility Unavailable |
| South Carolina | Office $43.84 | Facility Unavailable |
| South Dakota** | Office $46.32 | Facility Unavailable |
| Southern Maine | Office $46.18 | Facility Unavailable |
| Stockton | Office $50.16 | Facility Unavailable |
| Suburban Chicago | Office $48.34 | Facility Unavailable |
| Tennessee | Office $43.08 | Facility Unavailable |
| Utah | Office $44.47 | Facility Unavailable |
| Vallejo | Office $58.76 | Facility Unavailable |
| Vermont | Office $46.06 | Facility Unavailable |
| Virgin Islands | Office $47.16 | Facility Unavailable |
| Virginia | Office $45.93 | Facility Unavailable |
| Visalia | Office $50.16 | Facility Unavailable |
| West Virginia | Office $42.19 | Facility Unavailable |
| Wisconsin | Office $44.74 | Facility Unavailable |
| Wyoming** | Office $46.59 | Facility Unavailable |
| Yuba City | Office $50.16 | Facility Unavailable |
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70200 billing questions
How is 70200 distinguished from a skull X-ray?
70200 is focused on the orbits and requires a complete study with at least four views. A skull radiographic examination is selected when the skull, rather than the eye sockets, is the target.
Does this code require a minimum number of views?
Yes. Report 70200 for a complete orbital examination with at least four views; the record should support the views obtained.
When should modifier 26 or TC be used?
Use modifier 26 for the physician's professional interpretation and modifier TC for the technical service. Bill the global service without either modifier when one claim includes both components.
Can the orbital interpretation be billed separately from the images?
The professional interpretation may be reported with modifier 26, and the technical service with modifier TC. Documentation should identify the interpreting professional and include a report of the orbital findings.
What documentation supports reporting 70200?
The record should show the clinical reason for orbital imaging, the views obtained, and the physician's interpretation. The study should be a complete orbital examination rather than imaging directed at the sinuses or skull.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
7,71370190,,X-ray exam of eye sockets,A,,0.20,0.88,,0.88,NA,0.02,1.10,1.10,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,2.73,2.73,0.04
7,71470190,26,X-ray exam of eye sockets,A,,0.20,0.10,,0.10,,0.01,0.31,0.31,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,71570190,TC,X-ray exam of eye sockets,A,,0.00,0.78,,0.78,NA,0.01,0.79,0.79,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,01,0,99,2.63,2.63,0.03
7,71670200,,X-ray exam of eye sockets,A,,0.27,1.11,,1.11,NA,0.02,1.40,1.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.28,3.28,0.04
7,71770200,26,X-ray exam of eye sockets,A,,0.27,0.11,,0.11,,0.01,0.39,0.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,71870200,TC,X-ray exam of eye sockets,A,,0.00,1.00,,1.00,NA,0.01,1.01,1.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,3.17,3.17,0.03
7,7197020F,,Mammo assess cat in dbase,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00