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CMS RVU26D · Effective 2026-10-01

70190 in Delaware

Office / nonfacility

$36.35

Base rate per service

Facility setting

Not available in this setting

Base rate per service

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.

Diagnostic radiology

About 70190: Orbital radiographic examination

Reports plain-film imaging focused on the eye sockets, such as evaluation of suspected orbital injury, with separate professional and technical billing options.

This service is plain-film imaging focused on the bony structures surrounding the eyes. It may be ordered for suspected orbital injury, including trauma, and is typically performed by a radiologic technologist in an imaging department or office. A radiologist or other qualified practitioner interprets the images. The order and report should make clear that the orbits, rather than the facial bones generally or the eye itself, were the imaging target.

Report the global service when one billing entity provides both image acquisition and interpretation. Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical work, equipment, and staff; CMS separately prices both modifiers. For bilateral imaging, CMS pays each side separately at 100%. The record should support the clinical indication, the imaged side or sides, the images obtained, and the interpretation. Select a different radiographic code when the study is specifically for foreign-body screening, facial bones, or another adjacent structure.

CMS billing rules for 70190

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.
Bilateral procedures
Each side is paid separately at 100% when performed bilaterally.

Where the value comes from

  • Work RVU0.20 · 18%
  • Practice expense (office) RVU0.88 · 80%
  • Malpractice RVU0.02 · 2%

294

Medicare services in 2024 · #4007 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.

70190 compared with similar codes

Office rates for Delaware, from the same CMS release.

70030

Eye X-ray

Foreign-body detection

$32.38

70190 images the bony orbits; 70030 is for radiographic screening of the eye for a foreign body.

70140

Facial bone X-ray

Fewer than three views

$31.40

Choose 70190 for an orbital study. Choose 70140 when the ordered examination targets facial bones.

70150

Facial bone X-ray

Three or more views

$46.28

70150 is for a facial-bone examination, while 70190 is focused on the eye sockets.

70170

X-ray exam of tear duct

No office rate

70170 evaluates the lacrimal drainage system radiographically; 70190 images the bony orbits.

The same code, a different location

How does Delaware compare?

70190 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $36.35

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $42.17

    $5.82 higher than Delaware

  3. Dc + Md/Va Suburbs

    $42.41

    $6.06 higher than Delaware

  4. Miami

    $38.97

    $2.62 higher than Delaware

  5. Chicago

    $37.80

    $1.45 higher than Delaware

  6. Manhattan

    $42.32

    $5.97 higher than Delaware

  7. Alaska*

    $41.69

    $5.34 higher than Delaware

Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 70190 ranges from $32.27 in Arkansas to $50.16 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Alabama

    Alabama · 70190

    Office

    $32.78

    Facility

    Unavailable

    $3.57 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 70190

    Office

    $32.27

    Facility

    Unavailable

    $4.08 lower than Delaware for the office setting.

  • Arizona

    Arizona · 70190

    Office

    $35.73

    Facility

    Unavailable

    $0.62 lower than Delaware for the office setting.

  • Bakersfield

    California · 70190

    Office

    $39.43

    Facility

    Unavailable

    $3.08 higher than Delaware for the office setting.

  • Chico

    California · 70190

    Office

    $39.37

    Facility

    Unavailable

    $3.02 higher than Delaware for the office setting.

  • El Centro

    California · 70190

    Office

    $39.37

    Facility

    Unavailable

    $3.02 higher than Delaware for the office setting.

  • Fresno

    California · 70190

    Office

    $39.37

    Facility

    Unavailable

    $3.02 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 70190

    Office

    $39.37

    Facility

    Unavailable

    $3.02 higher than Delaware for the office setting.

  • Madera

    California · 70190

    Office

    $39.37

    Facility

    Unavailable

    $3.02 higher than Delaware for the office setting.

  • Merced

    California · 70190

    Office

    $39.37

    Facility

    Unavailable

    $3.02 higher than Delaware for the office setting.

  • Modesto

    California · 70190

    Office

    $39.37

    Facility

    Unavailable

    $3.02 higher than Delaware for the office setting.

  • Napa

    California · 70190

    Office

    $46.18

    Facility

    Unavailable

    $9.83 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 70190

    Office

    $42.03

    Facility

    Unavailable

    $5.68 higher than Delaware for the office setting.

  • Redding

    California · 70190

    Office

    $39.37

    Facility

    Unavailable

    $3.02 higher than Delaware for the office setting.

  • Rest Of California

    California · 70190

    Office

    $39.37

    Facility

    Unavailable

    $3.02 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 70190

    Office

    $39.58

    Facility

    Unavailable

    $3.23 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 70190

    Office

    $41.46

    Facility

    Unavailable

    $5.11 higher than Delaware for the office setting.

  • Salinas

    California · 70190

    Office

    $41.31

    Facility

    Unavailable

    $4.96 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 70190

    Office

    $42.40

    Facility

    Unavailable

    $6.05 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 70190

    Office

    $49.07

    Facility

    Unavailable

    $12.72 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 70190

    Office

    $49.04

    Facility

    Unavailable

    $12.69 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 70190

    Office

    $50.16

    Facility

    Unavailable

    $13.81 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 70190

    Office

    $50.06

    Facility

    Unavailable

    $13.71 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 70190

    Office

    $40.63

    Facility

    Unavailable

    $4.28 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 70190

    Office

    $42.89

    Facility

    Unavailable

    $6.54 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 70190

    Office

    $41.50

    Facility

    Unavailable

    $5.15 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 70190

    Office

    $43.33

    Facility

    Unavailable

    $6.98 higher than Delaware for the office setting.

  • Stockton

    California · 70190

    Office

    $39.37

    Facility

    Unavailable

    $3.02 higher than Delaware for the office setting.

  • Vallejo

    California · 70190

    Office

    $46.15

    Facility

    Unavailable

    $9.80 higher than Delaware for the office setting.

  • Visalia

    California · 70190

    Office

    $39.37

    Facility

    Unavailable

    $3.02 higher than Delaware for the office setting.

  • Yuba City

    California · 70190

    Office

    $39.37

    Facility

    Unavailable

    $3.02 higher than Delaware for the office setting.

  • Colorado

    Colorado · 70190

    Office

    $38.56

    Facility

    Unavailable

    $2.21 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 70190

    Office

    $39.28

    Facility

    Unavailable

    $2.93 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 70190

    Office

    $37.66

    Facility

    Unavailable

    $1.31 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 70190

    Office

    $35.78

    Facility

    Unavailable

    $0.57 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 70190

    Office

    $37.37

    Facility

    Unavailable

    $1.02 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 70190

    Office

    $33.69

    Facility

    Unavailable

    $2.66 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 70190

    Office

    $40.49

    Facility

    Unavailable

    $4.14 higher than Delaware for the office setting.

  • Iowa

    Iowa · 70190

    Office

    $33.84

    Facility

    Unavailable

    $2.51 lower than Delaware for the office setting.

  • Idaho

    Idaho · 70190

    Office

    $34.04

    Facility

    Unavailable

    $2.31 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 70190

    Office

    $35.07

    Facility

    Unavailable

    $1.28 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 70190

    Office

    $34.56

    Facility

    Unavailable

    $1.79 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 70190

    Office

    $38.10

    Facility

    Unavailable

    $1.75 higher than Delaware for the office setting.

  • Indiana

    Indiana · 70190

    Office

    $34.25

    Facility

    Unavailable

    $2.10 lower than Delaware for the office setting.

  • Kansas

    Kansas · 70190

    Office

    $33.59

    Facility

    Unavailable

    $2.76 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 70190

    Office

    $33.42

    Facility

    Unavailable

    $2.93 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 70190

    Office

    $35.10

    Facility

    Unavailable

    $1.25 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 70190

    Office

    $33.33

    Facility

    Unavailable

    $3.02 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 70190

    Office

    $42.64

    Facility

    Unavailable

    $6.29 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 70190

    Office

    $38.27

    Facility

    Unavailable

    $1.92 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 70190

    Office

    $39.15

    Facility

    Unavailable

    $2.80 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 70190

    Office

    $37.11

    Facility

    Unavailable

    $0.76 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 70190

    Office

    $34.14

    Facility

    Unavailable

    $2.21 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 70190

    Office

    $36.23

    Facility

    Unavailable

    $0.12 lower than Delaware for the office setting.

  • Detroit

    Michigan · 70190

    Office

    $36.17

    Facility

    Unavailable

    $0.18 lower than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 70190

    Office

    $34.27

    Facility

    Unavailable

    $2.08 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 70190

    Office

    $37.12

    Facility

    Unavailable

    $0.77 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 70190

    Office

    $34.93

    Facility

    Unavailable

    $1.42 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 70190

    Office

    $35.33

    Facility

    Unavailable

    $1.02 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 70190

    Office

    $32.67

    Facility

    Unavailable

    $3.68 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 70190

    Office

    $32.48

    Facility

    Unavailable

    $3.87 lower than Delaware for the office setting.

  • Montana**

    Montana · 70190

    Office

    $36.74

    Facility

    Unavailable

    $0.39 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 70190

    Office

    $34.53

    Facility

    Unavailable

    $1.82 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 70190

    Office

    $36.34

    Facility

    Unavailable

    $0.01 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 70190

    Office

    $34.06

    Facility

    Unavailable

    $2.29 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 70190

    Office

    $37.86

    Facility

    Unavailable

    $1.51 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 70190

    Office

    $41.91

    Facility

    Unavailable

    $5.56 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 70190

    Office

    $39.78

    Facility

    Unavailable

    $3.43 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 70190

    Office

    $34.44

    Facility

    Unavailable

    $1.91 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 70190

    Office

    $36.66

    Facility

    Unavailable

    $0.31 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 70190

    Office

    $43.30

    Facility

    Unavailable

    $6.95 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 70190

    Office

    $39.97

    Facility

    Unavailable

    $3.62 higher than Delaware for the office setting.

  • Queens

    New York · 70190

    Office

    $42.81

    Facility

    Unavailable

    $6.46 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 70190

    Office

    $35.07

    Facility

    Unavailable

    $1.28 lower than Delaware for the office setting.

  • Ohio

    Ohio · 70190

    Office

    $34.19

    Facility

    Unavailable

    $2.16 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 70190

    Office

    $33.45

    Facility

    Unavailable

    $2.90 lower than Delaware for the office setting.

  • Portland

    Oregon · 70190

    Office

    $39.94

    Facility

    Unavailable

    $3.59 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 70190

    Office

    $36.43

    Facility

    Unavailable

    $0.08 higher than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 70190

    Office

    $38.20

    Facility

    Unavailable

    $1.85 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 70190

    Office

    $34.29

    Facility

    Unavailable

    $2.06 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 70190

    Office

    $37.05

    Facility

    Unavailable

    $0.70 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 70190

    Office

    $37.77

    Facility

    Unavailable

    $1.42 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 70190

    Office

    $34.41

    Facility

    Unavailable

    $1.94 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 70190

    Office

    $36.30

    Facility

    Unavailable

    $0.05 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 70190

    Office

    $33.76

    Facility

    Unavailable

    $2.59 lower than Delaware for the office setting.

  • Austin

    Texas · 70190

    Office

    $38.38

    Facility

    Unavailable

    $2.03 higher than Delaware for the office setting.

  • Beaumont

    Texas · 70190

    Office

    $34.05

    Facility

    Unavailable

    $2.30 lower than Delaware for the office setting.

  • Brazoria

    Texas · 70190

    Office

    $36.38

    Facility

    Unavailable

    $0.03 higher than Delaware for the office setting.

  • Dallas

    Texas · 70190

    Office

    $36.59

    Facility

    Unavailable

    $0.24 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 70190

    Office

    $36.30

    Facility

    Unavailable

    $0.05 lower than Delaware for the office setting.

  • Galveston

    Texas · 70190

    Office

    $36.47

    Facility

    Unavailable

    $0.12 higher than Delaware for the office setting.

  • Houston

    Texas · 70190

    Office

    $36.84

    Facility

    Unavailable

    $0.49 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 70190

    Office

    $35.18

    Facility

    Unavailable

    $1.17 lower than Delaware for the office setting.

  • Utah

    Utah · 70190

    Office

    $34.91

    Facility

    Unavailable

    $1.44 lower than Delaware for the office setting.

  • Virginia

    Virginia · 70190

    Office

    $36.04

    Facility

    Unavailable

    $0.31 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 70190

    Office

    $37.05

    Facility

    Unavailable

    $0.70 higher than Delaware for the office setting.

  • Vermont

    Vermont · 70190

    Office

    $36.12

    Facility

    Unavailable

    $0.23 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 70190

    Office

    $38.23

    Facility

    Unavailable

    $1.88 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 70190

    Office

    $43.62

    Facility

    Unavailable

    $7.27 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 70190

    Office

    $35.04

    Facility

    Unavailable

    $1.31 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 70190

    Office

    $33.18

    Facility

    Unavailable

    $3.17 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 70190

    Office

    $36.57

    Facility

    Unavailable

    $0.22 higher than Delaware for the office setting.

See how rates vary across the country

70190 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$32.27

$44.77

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$41.691
AL$32.781
AR$32.271
AZ$35.731
CA$39.37–$50.1629
CO$38.561
CT$39.281
DC$42.411
DE$36.351
FL$35.78–$38.973
GA$33.69–$37.372
GU$40.491
HI$40.491
IA$33.841
ID$34.041
IL$34.56–$38.104
IN$34.251
KS$33.591
KY$33.421
LA$33.33–$35.102
MA$38.27–$42.642
MD$37.11–$42.413
ME$34.14–$36.232
MI$34.27–$36.172
MN$37.121
MO$32.67–$35.333
MS$32.481
MT$36.741
NC$34.531
ND$36.341
NE$34.061
NH$37.861
NJ$39.78–$41.912
NM$34.441
NV$36.661
NY$35.07–$43.305
OH$34.191
OK$33.451
OR$36.43–$39.942
PA$34.29–$38.202
PR$37.051
RI$37.771
SC$34.411
SD$36.301
TN$33.761
TX$34.05–$38.388
UT$34.911
VA$36.04–$42.412
VI$37.051
VT$36.121
WA$38.23–$43.622
WI$35.041
WV$33.181
WY$36.571

Explore 70190 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Delaware →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 70190 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$39.99

$36.35 × 110% = $39.99

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 70190 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

7,713

Code
70190
Physician work
0.20
Practice expense
0.88
Malpractice
0.02

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 70190 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.20× 1.0050.2010
Practice expense0.88× 0.9880.8694
Malpractice0.02× 0.8990.0180
Total RVUs1.0884
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$36.35

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 70190 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.21.005
Practice expense0.880.988
Malpractice0.020.899

(0.2 × 1.005 + 0.88 × 0.988 + 0.02 × 0.899) × $33.4009 = $36.35

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

70190 · Office / nonfacility

$36.35

Effective 2026-10-01

The base rate is $0.32 higher than on 2025-10-01, moving from $36.03 to $36.35 (0.9%).

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

    $36.03changed to$36.35

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.21 changed to 0.20
    • Practice expense RVU 0.89 changed to 0.88
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $36.03

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$36.35Not available in this settingRVU26D
2026-07-01$36.35Not available in this settingRVU26C
2026-04-01$36.35Not available in this settingRVU26B
2026-01-01$36.35Not available in this settingRVU26A
2025-10-01$36.03Not available in this settingRVU25D
2025-07-01$36.03Not available in this settingRVU25C
2025-04-01$36.03Not available in this settingRVU25B
2025-01-01$36.03Not available in this settingRVU25A

70190 billing questions

When should 70190 be chosen instead of 70030?

Use 70190 when the study images the bony orbits. Code 70030 is for radiographic screening of the eye for a foreign body.

How are the professional and technical services reported?

Use modifier 26 for the interpretation and modifier TC for the technical service. Billing without either modifier represents the global service.

How is bilateral orbital imaging paid?

CMS pays each side separately at 100% when imaging is performed bilaterally. Document which sides were imaged.

Should facial-bone imaging be included in 70190?

Choose the code that reflects the ordered and performed study. Use a facial-bone radiography code when the examination targets the facial skeleton rather than the orbits.

What documentation supports reporting 70190?

Retain the order and imaging report showing the clinical indication, orbital target, side or sides examined, and interpretation.

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.

RVUs for 70190PPRRVU2026_Oct_nonQPP.csv, line 7,713 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet