Billing code 70100: Jaw X-rayMedicare rate & RVUs in Delaware
Reports radiographic imaging of the mandible with fewer than four views, such as a focused study for jaw trauma or suspected fracture.
Medicare pays $39.97 for 70100 in the office in Delaware (Delaware). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 70100 covers
This service covers radiographic imaging focused on the mandible, commonly obtained after jaw trauma or for focal pain or suspected fracture. A radiologic technologist typically acquires the images in an imaging department, hospital, or office; a qualified interpreting practitioner reviews them and prepares the diagnostic report. The study must include fewer than four views of the mandible.
Select this code based on the documented anatomy and view count, rather than the reason for imaging alone. The order, image record, and interpretation should support a mandibular study and the number of views performed. CMS recognizes separately priced professional and technical components: modifier 26 identifies the interpretation, and modifier TC identifies equipment and staff. Without either modifier, the claim represents the global service, including both components.
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.
70100 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $39.97 | Unavailable |
How the 70100 rate is calculated
Each of 70100’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 · 70100
RVUs × geographic indexes × conversion factor
Work0.18
0.18 RVUs× 1.000 GPCI
Practice expense1.01
1.01 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
1.2100
Conversion factor
$33.4009
Medicare rate
$40.42
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 70100
The CMS indicators that decide how 70100 is paid alongside other services.
CMS payment indicators · 70100
Jaw X-ray
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
70100 without 26 · national office
$40.42
Jaw X-ray
70100-26 · Professional component
$9.02
Pays only the interpretation and report.
70100 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 70110Jaw X-ray
- Both describe mandible imaging; choose 70100 for fewer than four views and 70110 for four or more.
- 70140Facial bone X-ray
- 70140 describes imaging of the facial bones with fewer than three views. Choose 70100 when the study is focused on the mandible.
- 70150Facial bone X-ray
- 70150 describes facial-bone imaging with three or more views; it is not the code for a mandible-focused study.
- 70355Panoramic jaw x-ray
- 70355 is for a panoramic survey of the maxilla and mandible, not a limited-view radiographic examination focused on the mandible.
70100 billing questions
When should this code be used instead of 70110?
Use 70100 for a mandible study with fewer than four views. Use 70110 when the study includes four or more views.
What do modifiers 26 and TC represent?
Modifier 26 reports the professional interpretation. Modifier TC reports the technical service, including equipment and staff.
What does billing the code without a modifier represent?
An unmodified claim represents the global service, with both the technical and professional components.
What documentation supports reporting this code?
The record should identify the mandible as the imaged anatomy and support the number of views performed. The interpreting practitioner’s report supports the professional component.
Is a panoramic dental image the same service?
No. A panoramic survey of the maxilla and mandible is reported with 70355; this code describes a mandible study with fewer than four views.
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
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