$36.02
70190 images the bony orbits; 70030 is for radiographic screening of the eye for a foreign body.
On this page
CMS RVU26D · Effective 2026-10-01
70190 Orbit X-ray Medicare reimbursement rates in Hawaii
Reports plain-film imaging focused on the eye sockets, such as evaluation of suspected orbital injury, with separate professional and technical billing options. Compare 70190 office and facility rates across CMS payment localities in Hawaii.
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 70190 in Hawaii?
Hawaii 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
$40.49
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.
Diagnostic radiology
About 70190: Orbital radiographic examination
Reports plain-film imaging focused on the eye sockets, such as evaluation of suspected orbital injury, with separate professional and technical billing options.
This service is plain-film imaging focused on the bony structures surrounding the eyes. It may be ordered for suspected orbital injury, including trauma, and is typically performed by a radiologic technologist in an imaging department or office. A radiologist or other qualified practitioner interprets the images. The order and report should make clear that the orbits, rather than the facial bones generally or the eye itself, were the imaging target.
Report the global service when one billing entity provides both image acquisition and interpretation. Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical work, equipment, and staff; CMS separately prices both modifiers. For bilateral imaging, CMS pays each side separately at 100%. The record should support the clinical indication, the imaged side or sides, the images obtained, and the interpretation. Select a different radiographic code when the study is specifically for foreign-body screening, facial bones, or another adjacent structure.
CMS billing rules for 70190
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Bilateral procedures
- Each side is paid separately at 100% when performed bilaterally.
Where the value comes from
- Work RVU0.20 · 18%
- Practice expense (office) RVU0.88 · 80%
- Malpractice RVU0.02 · 2%
294
Medicare services in 2024 · #4007 by national volume
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.
70190 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$34.84
Choose 70190 for an orbital study. Choose 70140 when the ordered examination targets facial bones.
$51.65
70150 is for a facial-bone examination, while 70190 is focused on the eye sockets.
70170
No office rateX-ray exam of tear duct
70170 evaluates the lacrimal drainage system radiographically; 70190 images the bony orbits.
Compare 70190 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
$40.49
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 70190 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
7,713
- Code
- 70190
- Physician work
- 0.20
- Practice expense
- 0.88
- Malpractice
- 0.02
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.20 | × 1.000 | 0.2000 |
| Practice expense | 0.88 | × 1.137 | 1.0006 |
| Malpractice | 0.02 | × 0.579 | 0.0116 |
| Total RVUs | 1.2121 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$40.49
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.2 | 1 |
| Practice expense | 0.88 | 1.137 |
| Malpractice | 0.02 | 0.579 |
(0.2 × 1 + 0.88 × 1.137 + 0.02 × 0.579) × $33.4009 = $40.49
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.
70190 billing questions
When should 70190 be chosen instead of 70030?
Use 70190 when the study images the bony orbits. Code 70030 is for radiographic screening of the eye for a foreign body.
How are the professional and technical services reported?
Use modifier 26 for the interpretation and modifier TC for the technical service. Billing without either modifier represents the global service.
How is bilateral orbital imaging paid?
CMS pays each side separately at 100% when imaging is performed bilaterally. Document which sides were imaged.
Should facial-bone imaging be included in 70190?
Choose the code that reflects the ordered and performed study. Use a facial-bone radiography code when the examination targets the facial skeleton rather than the orbits.
What documentation supports reporting 70190?
Retain the order and imaging report showing the clinical indication, orbital target, side or sides examined, and interpretation.
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.
7,71070170,,X-ray exam of tear duct,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,7.40,7.40,0.03
7,71170170,26,X-ray exam of tear duct,A,,0.29,0.11,,0.11,,0.02,0.42,0.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,71270170,TC,X-ray exam of tear duct,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,7.29,7.29,0.01
7,71370190,,X-ray exam of eye sockets,A,,0.20,0.88,,0.88,NA,0.02,1.10,1.10,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,2.73,2.73,0.04
7,71470190,26,X-ray exam of eye sockets,A,,0.20,0.10,,0.10,,0.01,0.31,0.31,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,71570190,TC,X-ray exam of eye sockets,A,,0.00,0.78,,0.78,NA,0.01,0.79,0.79,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,01,0,99,2.63,2.63,0.03
7,71670200,,X-ray exam of eye sockets,A,,0.27,1.11,,1.11,NA,0.02,1.40,1.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.28,3.28,0.04
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