Use 71101 when the unilateral rib examination includes a chest view and at least three views total. Use 71100 for unilateral rib views without that chest view.
On this page
CMS RVU26D · Effective 2026-10-01
71101 Rib X-ray Medicare reimbursement rates in Hawaii
Reports radiographs of one side of the ribs with a chest view, commonly used to evaluate focal rib pain or suspected rib injury. Compare 71101 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 71101 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
$45.72
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.
Radiology
About 71101: Unilateral rib and chest radiographs
Reports radiographs of one side of the ribs with a chest view, commonly used to evaluate focal rib pain or suspected rib injury.
This examination images the ribs on one side and includes a posteroanterior chest view, with at least three views in total. It is commonly ordered for focal chest-wall pain or suspected rib injury after trauma. A radiologic technologist obtains the images in settings such as a hospital, emergency department, or outpatient imaging center; a qualified practitioner interprets them and documents the findings.
Choose this code when the study covers one side and includes the chest view, rather than a unilateral rib study without that view. The order and report should identify the side, clinical indication, and imaging findings. CMS recognizes separately priced professional and technical components: modifier 26 identifies the interpretation, and modifier TC identifies the equipment and staff portion. Reporting the code without either modifier represents the global service, including both components.
CMS billing rules for 71101
- 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.
Where the value comes from
- Work RVU0.26 · 21%
- Practice expense (office) RVU0.96 · 77%
- Malpractice RVU0.03 · 2%
266.2K
Medicare services in 2024 · #333 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.
71101 compared with similar codes
Office rates for Hawaii, from the same CMS release.
71110 covers bilateral rib imaging with three views; 71101 is for one side and includes a chest view.
71111 is the bilateral study that includes a chest view and requires at least four views. 71101 covers one side with a chest view and at least three views.
Compare 71101 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
$45.72
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 71101 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
7,895
- Code
- 71101
- Physician work
- 0.26
- Practice expense
- 0.96
- Malpractice
- 0.03
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.26 | × 1.000 | 0.2600 |
| Practice expense | 0.96 | × 1.137 | 1.0915 |
| Malpractice | 0.03 | × 0.579 | 0.0174 |
| Total RVUs | 1.3689 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$45.72
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.26 | 1 |
| Practice expense | 0.96 | 1.137 |
| Malpractice | 0.03 | 0.579 |
(0.26 × 1 + 0.96 × 1.137 + 0.03 × 0.579) × $33.4009 = $45.72
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.
71101 billing questions
How does this differ from 71100?
71101 includes a chest view and requires at least three views overall. 71100 is for unilateral rib imaging without the included chest view.
Can the included chest view be billed separately?
The chest view is part of 71101. Do not separately report that same view as a chest radiograph.
When should modifier 26 or TC be used?
Use modifier 26 for the professional interpretation only and TC for the technical service only. Without either modifier, the code represents the global service.
What should the record support?
Document the one-sided rib examination, the chest view, the reason for imaging, and the interpreted findings. The order and report should make the side examined clear.
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.
