CPT code 71130: Joint X-ray2026 Medicare rate & RVUs in Alaska

Reports targeted radiographs of the sternoclavicular joints when three or more views are obtained to evaluate the joints and adjacent anatomy.

CMS RVU26DEffective Oct 1, 20261 payment locality1.9K Medicare services in 2024

Medicare pays $46.82 for 71130 in the office in Alaska (Alaska*). Which amount applies depends on the service address.

$46.82Office (non-facility)
—Hospital or facility

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 71130 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Alaska
  2. What 71130 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 71130 covers

This study uses X-rays to image the sternoclavicular joints, where the collarbones meet the breastbone, with three or more views. It may be ordered for pain, trauma, swelling, or suspected joint abnormality. A radiologic technologist obtains the images, and a radiologist or other qualified physician interprets them. The study is performed in settings with diagnostic X-ray equipment, including hospitals and imaging centers.

Report 71130 for the sternoclavicular joint examination when the documented study includes at least three views; select a different code when the requested anatomy or examination does not match. The order, imaging record, and interpretation should support the body site, views obtained, and clinical reason for the study. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff portion, and billing without either modifier represents the global service.

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.

71130 in Alaska*

71130 office and facility rates by payment locality
Payment localityOfficeFacility
Alaska*$46.82Unavailable

How the 71130 rate is calculated

Each of 71130’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 · 71130

RVUs × geographic indexes × conversion factor

Work0.21

0.21 RVUs× 1.000 GPCI

Practice expense1.01

1.01 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

1.2400

Conversion factor

$33.4009

Medicare rate

$41.42

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

Payment rules and modifiers for 71130

The CMS indicators that decide how 71130 is paid alongside other services.

CMS payment indicators · 71130

Joint X-ray

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

71130 without 26 · national office

$41.42

Joint X-ray

71130-26 · Professional component

$10.35

Pays only the interpretation and report.

When to use modifier 26

71130 compared with similar codes

Compare codes · National

4 codes, side by side

  • 71130

    Joint X-ray0.21 wRVU

    $41.42

  • 71120

    Sternum X-ray0.2 wRVU

    $33.07−$8.35

  • 73000

    Clavicle X-ray0.16 wRVU

    $33.40−$8.02

  • 73030

    Shoulder X-ray0.18 wRVU

    $35.74−$5.68

How to choose

71120Sternum X-ray
71120 is for radiographs focused on the sternum. Choose 71130 when the sternoclavicular joints are the target and three or more views are obtained.
73000Clavicle X-ray
73000 examines the clavicle. Use 71130 for a study directed to the sternoclavicular joints rather than the clavicle as a whole.
73030Shoulder X-ray
73030 covers shoulder radiographs. It is not the code for a targeted sternoclavicular joint examination.

71130 billing questions

When should 71130 be selected instead of a clavicle X-ray?

Use 71130 when the examination is directed to the sternoclavicular joints and includes three or more views. A clavicle study is selected when the clavicle itself is the target anatomy.

What do modifiers 26 and TC represent?

Modifier 26 reports the professional interpretation, while modifier TC reports the technical portion, including equipment and staff. Without either modifier, the claim represents the global service.

Does each image count as a separate unit?

The code describes the examination with three or more views, rather than separate reporting for each image. Documentation should show the views obtained and the anatomy examined.

What documentation supports reporting 71130?

The record should identify the sternoclavicular joints as the imaged anatomy, show that at least three views were obtained, and include the clinical indication and physician interpretation.

Can the professional interpretation be billed separately?

Yes. Modifier 26 identifies the professional component when the interpreting clinician bills separately; modifier TC identifies the technical component when billed separately.

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 71130PPRRVU2026_Oct_nonQPP.csv, line 7,907 (RVU26D)
Geographic factors for Alaska*GPCI2026.csv, line 5 (RVU26D)

Open CMS sourceHow we calculate rates

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