Billing code 76010: Foreign body X-rayMedicare rate & RVUs in Illinois
A radiographic survey for a suspected foreign body spanning the nose to rectum, reported when broad coverage is needed to assess its location.
Medicare pays $27.18–$29.88 for 76010 in the office in Illinois, from Rest Of Illinois to Suburban Chicago. 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 76010 covers
This radiographic survey looks for a suspected radiopaque foreign body across the nose-to-rectum span when its location is unknown or may have shifted. A common presentation is a child who may have swallowed a coin; the ordering clinician may request broad coverage rather than a single chest or abdominal study. Radiology technologists acquire the images in hospital or outpatient imaging settings, and a radiologist or other qualified interpreting clinician provides the diagnostic reading.
Report 76010 for the complete foreign-body survey, supported by the indication and documentation that imaging covered the stated nose-to-rectum extent. Do not substitute a localized chest, neck, or abdominal radiograph when the requested service is the full survey, or relabel survey images as separate regional studies. CMS allows the professional interpretation to be billed with modifier 26 and the equipment-and-staff portion with modifier TC; an unmodified claim represents the global service. Select the component that matches the work furnished and the billing entity.
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.
Where 76010 pays more and less in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
4 payment localities
$27.18 to $29.88
| Payment locality | Office | Facility |
|---|---|---|
| Chicago | $29.74 | Unavailable |
| East St. Louis | $27.64 | Unavailable |
| Rest Of Illinois | $27.18 | Unavailable |
| Suburban Chicago | $29.88 | Unavailable |
How the 76010 rate is calculated
Each of 76010’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 · 76010
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.18Practice expense 0.66Malpractice 0.02
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 76010
The CMS indicators that decide how 76010 is paid alongside other services.
CMS payment indicators · 76010
Foreign body 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
76010 without 26 · national office
$28.72
Foreign body X-ray
76010-26 · Professional component
$8.35
Pays only the interpretation and report.
76010 compared with similar codes
Compare codes
76010 vs 70360 vs 71046 vs 74018: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 70360Neck X-ray
- Use 70360 for a neck-limited soft-tissue examination. Use 76010 when the foreign-body survey is intended to cover the nose-to-rectum span.
- 71046Chest X-ray
- 71046 describes a two-view chest study, not a nose-to-rectum foreign-body survey. Choose it when the diagnostic examination is limited to the chest.
- 74018Abdomen X-ray
- 74018 describes a single-view abdominal examination. Choose 76010 when the requested foreign-body imaging extends beyond the abdomen.
76010 billing questions
When should 76010 be selected instead of a chest or abdominal radiograph?
Use 76010 when the requested foreign-body evaluation spans the nose to rectum. A chest or abdominal code describes a localized study rather than the complete survey.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the equipment-and-staff portion. An unmodified claim represents the global service.
Can I report a separate regional radiograph for images included in the survey?
Do not relabel images that make up the nose-to-rectum survey as separate regional studies. A distinct regional examination needs its own documentation.
What documentation supports 76010?
Document the suspected foreign-body indication and that the examination covered the nose-to-rectum extent. A possible swallowed coin is a typical reason for broad coverage.
Is 76010 an add-on code, or is it reported by time or units?
It is reported as the foreign-body survey, not as an add-on service or a time-based service. The supplied CMS facts specify professional and technical component billing.
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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