Billing code 70380: Salivary gland X-rayMedicare rate & RVUs in Delaware
Reports a radiographic examination directed at the salivary gland to evaluate a suspected calculus, with separate professional and technical billing available.
Medicare pays $36.34 for 70380 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 70380 covers
This examination uses radiographic imaging focused on a salivary gland when a stone is suspected, such as in a patient with gland swelling or pain during meals. A radiology department or an appropriate dental or oral surgery setting may perform the imaging; a radiologist or other qualified practitioner interprets the study. The clinical question is a salivary-gland calculus, not a general dental survey or a jaw-joint problem.
Report 70380 for the gland-focused calculus examination, and retain the order, clinical indication, images, and interpretation supporting that service. CMS recognizes separately priced 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. The professional component covers the interpretation; the technical component covers performing the imaging. The code’s CMS fee schedule values reflect work, practice expense, and malpractice inputs.
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.
70380 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $36.34 | Unavailable |
How the 70380 rate is calculated
Each of 70380’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 · 70380
RVUs × geographic indexes × conversion factor
Work0.17
0.17 RVUs× 1.000 GPCI
Practice expense0.91
0.91 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
1.1000
Conversion factor
$33.4009
Medicare rate
$36.74
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 70380
The CMS indicators that decide how 70380 is paid alongside other services.
CMS payment indicators · 70380
Salivary gland 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
70380 without 26 · national office
$36.74
Salivary gland X-ray
70380-26 · Professional component
$8.02
Pays only the interpretation and report.
70380 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 70390Salivary duct imaging
- Choose 70380 for radiographic assessment of a salivary-gland calculus. Choose 70390 when the service is sialography directed at the salivary ducts.
- 76536Head and neck ultrasound
- 76536 is an ultrasound examination of head and neck soft tissues, which can include salivary glands. 70380 is the radiographic study directed at a salivary-gland calculus.
- 70370Throat imaging
- 70370 concerns imaging of the pharynx and larynx, not the salivary gland. Select based on the structure examined and the documented imaging service.
70380 billing questions
How does 70380 differ from 70390?
70380 is directed at radiographic evaluation of a salivary gland for a calculus. 70390 is the sialography code for imaging the salivary duct system.
Can the professional and technical portions be billed separately?
Yes. Use modifier 26 for the interpretation and modifier TC for the equipment and staff portion; billing without either modifier represents the global service.
What documentation supports 70380?
Document the suspected salivary-gland calculus, the reason for imaging, and the resulting images and interpretation. The record should support a gland-focused study rather than routine dental imaging.
Is 70380 a dental X-ray code?
It describes imaging of a salivary gland to evaluate a calculus, not a tooth survey. Use the dental radiograph code that matches the teeth and extent examined when the service is dental imaging.
Can 70380 be reported with modifier 26 alone?
Yes, when the billing practitioner provides the professional interpretation and another entity provides the technical service. Modifier TC identifies the technical portion 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
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