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CMS RVU26D · Effective 2026-10-01

G0130 in Delaware

Office / nonfacility

$39.33

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 imaging

About G0130: Single-energy bone density study

Reports a single-energy X-ray bone density measurement at one or more sites, used to assess bone mineral status, including in osteoporosis evaluation.

G0130 describes single-energy X-ray absorptiometry (SEXA) for measuring bone density at one or more sites. It may be used in an osteoporosis evaluation when this single-energy technique is performed. Imaging staff acquire the measurement, and a qualified physician interprets the study. The service is generally encountered in outpatient imaging settings; the selected code should reflect the technique actually performed rather than simply the clinical reason for testing.

Report the study with documentation identifying the single-energy method and the measured site or sites, along with the interpretation when performed. The global service includes both the technical work of equipment and staff and the professional interpretation. When those portions are billed separately, modifier 26 identifies the professional component and modifier TC identifies the technical component; CMS separately prices both modifiers. The report should support the component billed and distinguish this method from dual-energy X-ray absorptiometry or CT-based bone density measurement.

CMS billing rules for G0130

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 RVU0.21 · 18%
  • Practice expense (office) RVU0.96 · 81%
  • Malpractice RVU0.02 · 2%

213

Medicare services in 2024 · #4268 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.

G0130 compared with similar codes

Office rates for Delaware, from the same CMS release.

77080

DXA bone density scan

Axial skeleton, spine or hip

$38.99

Choose 77080 for dual-energy measurement of the axial skeleton, such as the spine or hip. G0130 represents a single-energy X-ray study.

77081

Bone density

Appendicular skeleton

$31.40

Choose 77081 for dual-energy measurement of the appendicular skeleton. G0130 identifies the single-energy method rather than a dual-energy peripheral study.

77078

CT bone density

Axial skeleton

$97.76

77078 represents CT-based bone density measurement. G0130 is for single-energy X-ray absorptiometry, not CT.

The same code, a different location

How does Delaware compare?

G0130 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $39.33

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

    $45.68

    $6.35 higher than Delaware

  3. Dc + Md/Va Suburbs

    $45.91

    $6.58 higher than Delaware

  4. Miami

    $42.08

    $2.75 higher than Delaware

  5. Chicago

    $40.82

    $1.49 higher than Delaware

  6. Manhattan

    $45.78

    $6.45 higher than Delaware

  7. Alaska*

    $45.04

    $5.71 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, G0130 ranges from $34.90 in Arkansas to $54.38 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 · G0130

    Office

    $35.45

    Facility

    Unavailable

    $3.88 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · G0130

    Office

    $34.90

    Facility

    Unavailable

    $4.43 lower than Delaware for the office setting.

  • Arizona

    Arizona · G0130

    Office

    $38.66

    Facility

    Unavailable

    $0.67 lower than Delaware for the office setting.

  • Bakersfield

    California · G0130

    Office

    $42.70

    Facility

    Unavailable

    $3.37 higher than Delaware for the office setting.

  • Chico

    California · G0130

    Office

    $42.63

    Facility

    Unavailable

    $3.30 higher than Delaware for the office setting.

  • El Centro

    California · G0130

    Office

    $42.64

    Facility

    Unavailable

    $3.31 higher than Delaware for the office setting.

  • Fresno

    California · G0130

    Office

    $42.63

    Facility

    Unavailable

    $3.30 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · G0130

    Office

    $42.63

    Facility

    Unavailable

    $3.30 higher than Delaware for the office setting.

  • Madera

    California · G0130

    Office

    $42.63

    Facility

    Unavailable

    $3.30 higher than Delaware for the office setting.

  • Merced

    California · G0130

    Office

    $42.63

    Facility

    Unavailable

    $3.30 higher than Delaware for the office setting.

  • Modesto

    California · G0130

    Office

    $42.63

    Facility

    Unavailable

    $3.30 higher than Delaware for the office setting.

  • Napa

    California · G0130

    Office

    $50.06

    Facility

    Unavailable

    $10.73 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · G0130

    Office

    $45.53

    Facility

    Unavailable

    $6.20 higher than Delaware for the office setting.

  • Redding

    California · G0130

    Office

    $42.63

    Facility

    Unavailable

    $3.30 higher than Delaware for the office setting.

  • Rest Of California

    California · G0130

    Office

    $42.63

    Facility

    Unavailable

    $3.30 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · G0130

    Office

    $42.85

    Facility

    Unavailable

    $3.52 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · G0130

    Office

    $44.92

    Facility

    Unavailable

    $5.59 higher than Delaware for the office setting.

  • Salinas

    California · G0130

    Office

    $44.75

    Facility

    Unavailable

    $5.42 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · G0130

    Office

    $45.94

    Facility

    Unavailable

    $6.61 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · G0130

    Office

    $53.20

    Facility

    Unavailable

    $13.87 higher than Delaware for the office setting.

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

    California · G0130

    Office

    $53.18

    Facility

    Unavailable

    $13.85 higher than Delaware for the office setting.

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

    California · G0130

    Office

    $54.38

    Facility

    Unavailable

    $15.05 higher than Delaware for the office setting.

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

    California · G0130

    Office

    $54.29

    Facility

    Unavailable

    $14.96 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · G0130

    Office

    $44.01

    Facility

    Unavailable

    $4.68 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · G0130

    Office

    $46.48

    Facility

    Unavailable

    $7.15 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · G0130

    Office

    $44.96

    Facility

    Unavailable

    $5.63 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · G0130

    Office

    $46.96

    Facility

    Unavailable

    $7.63 higher than Delaware for the office setting.

  • Stockton

    California · G0130

    Office

    $42.63

    Facility

    Unavailable

    $3.30 higher than Delaware for the office setting.

  • Vallejo

    California · G0130

    Office

    $50.02

    Facility

    Unavailable

    $10.69 higher than Delaware for the office setting.

  • Visalia

    California · G0130

    Office

    $42.63

    Facility

    Unavailable

    $3.30 higher than Delaware for the office setting.

  • Yuba City

    California · G0130

    Office

    $42.63

    Facility

    Unavailable

    $3.30 higher than Delaware for the office setting.

  • Colorado

    Colorado · G0130

    Office

    $41.74

    Facility

    Unavailable

    $2.41 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · G0130

    Office

    $42.50

    Facility

    Unavailable

    $3.17 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · G0130

    Office

    $40.70

    Facility

    Unavailable

    $1.37 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · G0130

    Office

    $38.67

    Facility

    Unavailable

    $0.66 lower than Delaware for the office setting.

  • Atlanta

    Georgia · G0130

    Office

    $40.42

    Facility

    Unavailable

    $1.09 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · G0130

    Office

    $36.41

    Facility

    Unavailable

    $2.92 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · G0130

    Office

    $43.86

    Facility

    Unavailable

    $4.53 higher than Delaware for the office setting.

  • Iowa

    Iowa · G0130

    Office

    $36.62

    Facility

    Unavailable

    $2.71 lower than Delaware for the office setting.

  • Idaho

    Idaho · G0130

    Office

    $36.83

    Facility

    Unavailable

    $2.50 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · G0130

    Office

    $37.86

    Facility

    Unavailable

    $1.47 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · G0130

    Office

    $37.33

    Facility

    Unavailable

    $2.00 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · G0130

    Office

    $41.18

    Facility

    Unavailable

    $1.85 higher than Delaware for the office setting.

  • Indiana

    Indiana · G0130

    Office

    $37.06

    Facility

    Unavailable

    $2.27 lower than Delaware for the office setting.

  • Kansas

    Kansas · G0130

    Office

    $36.34

    Facility

    Unavailable

    $2.99 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · G0130

    Office

    $36.13

    Facility

    Unavailable

    $3.20 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · G0130

    Office

    $37.95

    Facility

    Unavailable

    $1.38 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · G0130

    Office

    $36.03

    Facility

    Unavailable

    $3.30 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · G0130

    Office

    $46.18

    Facility

    Unavailable

    $6.85 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · G0130

    Office

    $41.42

    Facility

    Unavailable

    $2.09 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · G0130

    Office

    $42.36

    Facility

    Unavailable

    $3.03 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · G0130

    Office

    $40.15

    Facility

    Unavailable

    $0.82 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · G0130

    Office

    $36.93

    Facility

    Unavailable

    $2.40 lower than Delaware for the office setting.

  • Southern Maine

    Maine · G0130

    Office

    $39.21

    Facility

    Unavailable

    $0.12 lower than Delaware for the office setting.

  • Detroit

    Michigan · G0130

    Office

    $39.08

    Facility

    Unavailable

    $0.25 lower than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · G0130

    Office

    $37.04

    Facility

    Unavailable

    $2.29 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · G0130

    Office

    $40.21

    Facility

    Unavailable

    $0.88 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · G0130

    Office

    $37.78

    Facility

    Unavailable

    $1.55 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · G0130

    Office

    $38.21

    Facility

    Unavailable

    $1.12 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · G0130

    Office

    $35.30

    Facility

    Unavailable

    $4.03 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · G0130

    Office

    $35.12

    Facility

    Unavailable

    $4.21 lower than Delaware for the office setting.

  • Montana**

    Montana · G0130

    Office

    $39.75

    Facility

    Unavailable

    $0.42 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · G0130

    Office

    $37.36

    Facility

    Unavailable

    $1.97 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · G0130

    Office

    $39.35

    Facility

    Unavailable

    $0.02 higher than Delaware for the office setting.

  • Nebraska

    Nebraska · G0130

    Office

    $36.86

    Facility

    Unavailable

    $2.47 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · G0130

    Office

    $40.98

    Facility

    Unavailable

    $1.65 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · G0130

    Office

    $45.36

    Facility

    Unavailable

    $6.03 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · G0130

    Office

    $43.04

    Facility

    Unavailable

    $3.71 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · G0130

    Office

    $37.22

    Facility

    Unavailable

    $2.11 lower than Delaware for the office setting.

  • Nevada**

    Nevada · G0130

    Office

    $39.67

    Facility

    Unavailable

    $0.34 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · G0130

    Office

    $46.83

    Facility

    Unavailable

    $7.50 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · G0130

    Office

    $43.25

    Facility

    Unavailable

    $3.92 higher than Delaware for the office setting.

  • Queens

    New York · G0130

    Office

    $46.33

    Facility

    Unavailable

    $7.00 higher than Delaware for the office setting.

  • Rest Of New York

    New York · G0130

    Office

    $37.95

    Facility

    Unavailable

    $1.38 lower than Delaware for the office setting.

  • Ohio

    Ohio · G0130

    Office

    $36.96

    Facility

    Unavailable

    $2.37 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · G0130

    Office

    $36.17

    Facility

    Unavailable

    $3.16 lower than Delaware for the office setting.

  • Portland

    Oregon · G0130

    Office

    $43.25

    Facility

    Unavailable

    $3.92 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · G0130

    Office

    $39.42

    Facility

    Unavailable

    $0.09 higher than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · G0130

    Office

    $41.32

    Facility

    Unavailable

    $1.99 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · G0130

    Office

    $37.08

    Facility

    Unavailable

    $2.25 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · G0130

    Office

    $40.09

    Facility

    Unavailable

    $0.76 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · G0130

    Office

    $40.87

    Facility

    Unavailable

    $1.54 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · G0130

    Office

    $37.21

    Facility

    Unavailable

    $2.12 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · G0130

    Office

    $39.30

    Facility

    Unavailable

    $0.03 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · G0130

    Office

    $36.52

    Facility

    Unavailable

    $2.81 lower than Delaware for the office setting.

  • Austin

    Texas · G0130

    Office

    $41.54

    Facility

    Unavailable

    $2.21 higher than Delaware for the office setting.

  • Beaumont

    Texas · G0130

    Office

    $36.81

    Facility

    Unavailable

    $2.52 lower than Delaware for the office setting.

  • Brazoria

    Texas · G0130

    Office

    $39.37

    Facility

    Unavailable

    $0.04 higher than Delaware for the office setting.

  • Dallas

    Texas · G0130

    Office

    $39.59

    Facility

    Unavailable

    $0.26 higher than Delaware for the office setting.

  • Fort Worth

    Texas · G0130

    Office

    $39.28

    Facility

    Unavailable

    $0.05 lower than Delaware for the office setting.

  • Galveston

    Texas · G0130

    Office

    $39.46

    Facility

    Unavailable

    $0.13 higher than Delaware for the office setting.

  • Houston

    Texas · G0130

    Office

    $39.83

    Facility

    Unavailable

    $0.50 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · G0130

    Office

    $38.05

    Facility

    Unavailable

    $1.28 lower than Delaware for the office setting.

  • Utah

    Utah · G0130

    Office

    $37.76

    Facility

    Unavailable

    $1.57 lower than Delaware for the office setting.

  • Virginia

    Virginia · G0130

    Office

    $39.01

    Facility

    Unavailable

    $0.32 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · G0130

    Office

    $40.09

    Facility

    Unavailable

    $0.76 higher than Delaware for the office setting.

  • Vermont

    Vermont · G0130

    Office

    $39.10

    Facility

    Unavailable

    $0.23 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · G0130

    Office

    $41.38

    Facility

    Unavailable

    $2.05 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · G0130

    Office

    $47.25

    Facility

    Unavailable

    $7.92 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · G0130

    Office

    $37.94

    Facility

    Unavailable

    $1.39 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · G0130

    Office

    $35.83

    Facility

    Unavailable

    $3.50 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · G0130

    Office

    $39.57

    Facility

    Unavailable

    $0.24 higher than Delaware for the office setting.

See how rates vary across the country

G0130 · 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.

$34.90

$48.51

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$45.041
AL$35.451
AR$34.901
AZ$38.661
CA$42.63–$54.3829
CO$41.741
CT$42.501
DC$45.911
DE$39.331
FL$38.67–$42.083
GA$36.41–$40.422
GU$43.861
HI$43.861
IA$36.621
ID$36.831
IL$37.33–$41.184
IN$37.061
KS$36.341
KY$36.131
LA$36.03–$37.952
MA$41.42–$46.182
MD$40.15–$45.913
ME$36.93–$39.212
MI$37.04–$39.082
MN$40.211
MO$35.30–$38.213
MS$35.121
MT$39.751
NC$37.361
ND$39.351
NE$36.861
NH$40.981
NJ$43.04–$45.362
NM$37.221
NV$39.671
NY$37.95–$46.835
OH$36.961
OK$36.171
OR$39.42–$43.252
PA$37.08–$41.322
PR$40.091
RI$40.871
SC$37.211
SD$39.301
TN$36.521
TX$36.81–$41.548
UT$37.761
VA$39.01–$45.912
VI$40.091
VT$39.101
WA$41.38–$47.252
WI$37.941
WV$35.831
WY$39.571

Explore G0130 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 G0130 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$43.26

$39.33 × 110% = $43.26

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 G0130 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

15,100

Code
G0130
Physician work
0.21
Practice expense
0.96
Malpractice
0.02

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for G0130 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.21× 1.0050.2110
Practice expense0.96× 0.9880.9485
Malpractice0.02× 0.8990.0180
Total RVUs1.1775
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$39.33

Open G0130 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.211.005
Practice expense0.960.988
Malpractice0.020.899

(0.21 × 1.005 + 0.96 × 0.988 + 0.02 × 0.899) × $33.4009 = $39.33

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

G0130 · Office / nonfacility

$39.33

Effective 2026-10-01

The base rate is $2.66 higher than on 2025-10-01, moving from $36.67 to $39.33 (7.3%).

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

    $36.67changed to$39.33

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.22 changed to 0.21
    • Practice expense RVU 0.90 changed to 0.96
    • 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: $36.67

    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$39.33Not available in this settingRVU26D
2026-07-01$39.33Not available in this settingRVU26C
2026-04-01$39.33Not available in this settingRVU26B
2026-01-01$39.33Not available in this settingRVU26A
2025-10-01$36.67Not available in this settingRVU25D
2025-07-01$36.67Not available in this settingRVU25C
2025-04-01$36.67Not available in this settingRVU25B
2025-01-01$36.67Not available in this settingRVU25A

G0130 billing questions

How does G0130 differ from a dual-energy bone density study?

G0130 represents the single-energy X-ray method. Use a dual-energy code, such as 77080 or 77081, when that is the technique documented.

Can the professional and technical portions be billed separately?

Yes. Modifier 26 reports the interpretation, and modifier TC reports the equipment and staff portion. Without either modifier, the claim represents the global service.

What documentation supports G0130?

The record should identify the single-energy X-ray method, the site or sites measured, and the physician's interpretation when billing the professional component.

Is G0130 reported once for each measured site?

The code describes a study covering one or more sites. Follow the applicable code instructions for units and report the sites performed in the imaging documentation.

Should G0130 be used for CT bone density measurement?

No. G0130 is for the single-energy X-ray technique; CT-based bone density measurement is represented by a different code, such as 77078.

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 G0130PPRRVU2026_Oct_nonQPP.csv, line 15,100 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet