76140
No office rateX-ray consultation
76140 is for consultation and interpretation of an x-ray examination made elsewhere. Use 76145 for a physicist’s technical evaluation of radiation dose from an exposure.
On this page
CMS RVU26D · Effective 2026-10-01
76145 Dose evaluation Medicare reimbursement rates in Guam
A medical physicist evaluates radiation exposure from diagnostic imaging or radiation therapy, typically when an event requires a focused dose assessment. Compare 76145 office and facility rates across CMS payment localities in Guam.
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.
What does Medicare pay for 76145 in Guam?
Guam has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$1171.95
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Medical physics
About 76145: Medical physics radiation dose evaluation
A medical physicist evaluates radiation exposure from diagnostic imaging or radiation therapy, typically when an event requires a focused dose assessment.
A medical physicist reconstructs or evaluates the radiation dose associated with a specific exposure, using relevant imaging or treatment details and patient information. The service may follow a concern about an unusual or unintended exposure from a CT examination, another diagnostic imaging procedure, or radiation therapy. It is a focused physics evaluation, not the routine dose calculation performed as part of ordinary imaging or treatment planning.
Report this code for the technical dose-evaluation work, supported by documentation identifying the exposure and the data reviewed or used in the assessment. The CMS physician fee schedule classifies it as technical-component-only: a separate code covers interpretation. Keep the technical evaluation distinct from the clinical interpretation and document the resulting dose assessment or report. The supplied CMS rules identify no add-on, global-period, or multiple-procedure payment instruction for this code.
CMS billing rules for 76145
- Professional and technical components
- Technical-component-only code: a separate code covers interpretation.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU30.60 · 98%
- Malpractice RVU0.51 · 2%
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.
76145 compared with similar codes
Office rates for Guam, from the same CMS release.
$168.86
77370 describes a special medical radiation physics consultation in radiation therapy. It is distinct from a focused evaluation of dose associated with a radiation exposure.
$72.84
77300 is a basic radiation dosimetry calculation for treatment planning. 76145 evaluates dose associated with an exposure, such as an unusual or unintended one.
Compare 76145 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Hawaii, Guam →
Office / nonfacility
$1171.95
Facility
Unavailable
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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 76145 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
8,675
- Code
- 76145
- Physician work
- 0.00
- Practice expense
- 30.60
- Malpractice
- 0.51
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 30.60 | × 1.137 | 34.7922 |
| Malpractice | 0.51 | × 0.579 | 0.2953 |
| Total RVUs | 35.0875 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$1171.95
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 30.6 | 1.137 |
| Malpractice | 0.51 | 0.579 |
(0 × 1 + 30.6 × 1.137 + 0.51 × 0.579) × $33.4009 = $1171.95
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.
76145 billing questions
How is this different from an x-ray consultation?
This code represents a medical physicist’s evaluation of radiation dose from an exposure. An x-ray consultation concerns interpretation of an imaging examination made elsewhere.
Is the interpretation included in this code?
No. CMS classifies this as technical-component-only; a separate code covers interpretation.
Is routine imaging dose monitoring reported with this code?
The service is a focused evaluation of a specific exposure, rather than routine dose calculation or monitoring performed as part of ordinary imaging.
What documentation supports reporting it?
Document the exposure being evaluated, the relevant imaging or treatment information reviewed, and the physicist’s dose assessment.
How does this differ from a radiation therapy physics consultation?
This code addresses evaluation of radiation exposure. A special medical radiation physics consultation concerns a physics problem associated with radiation therapy care.
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.
8,67276125,26,Cine/video x-rays add-on,A,,0.26,0.13,,0.13,,0.03,0.42,0.42,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,67376125,TC,Cine/video x-rays add-on,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
8,67476140,,X-ray consultation,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
8,67576145,,Med physic dos eval rad exps,A,,0.00,30.60,,30.60,NA,0.51,31.11,31.11,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,67676376,,3d render w/intrp postproces,A,,0.20,0.54,,0.54,NA,0.02,0.76,0.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,67776376,26,3d render w/intrp postproces,A,,0.20,0.07,,0.07,,0.01,0.28,0.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,67876376,TC,3d render w/intrp postproces,A,,0.00,0.47,,0.47,NA,0.01,0.48,0.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014