71046 Chest X-ray Medicare reimbursement rates in Arkansas

This study captures two distinct radiographic projections of the chest, classically a standing posteroanterior (PA) view and a left lateral view. It shows the lungs, heart, mediastinum, pleural spaces, diaphragm, and bony thorax. Common reasons for the study include suspected pneumonia, persistent cough, shortness of breath, chest pain, heart failure follow-up, and suspected pleural effusion. Radiologic technologists acquire the images in hospital radiology departments, emergency departments, imaging centers, urgent care clinics, and physician offices. A radiologist or other qualified physician interprets the images and issues a written report.

Select 71046 by the number of distinct chest projections obtained, not their orientation; AP and lateral views also qualify. The image record and signed interpretation should support two views and document the findings. CMS prices this diagnostic test by component: modifier 26 identifies the professional interpretation, and modifier TC identifies the equipment, staff, and supplies used to produce the images. Billing without either modifier represents the global service when the billing entity furnishes both components. For a hospital study, the interpreting physician typically bills with modifier 26, while the hospital bills for producing the images.