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CMS RVU26D · Effective 2026-10-01

71111 Rib X-ray Medicare reimbursement rates in Indiana

Reports bilateral rib radiography with a chest view when evaluating focal rib pain, suspected fracture, or injury and at least four views are obtained. Compare 71111 office and facility rates across CMS payment localities in Indiana.

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 71111 in Indiana?

Indiana 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

$48.00

1 of 1 localities have a supported rate.

Payment area: Indiana

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.

Find 71111 in your payment locality →

Radiology

About 71111: Bilateral rib radiographs with chest view

Reports bilateral rib radiography with a chest view when evaluating focal rib pain, suspected fracture, or injury and at least four views are obtained.

This examination uses X-rays to assess both sides of the rib cage and includes a chest view, with four or more views obtained. It is commonly ordered for focal rib pain or chest-wall injury, including after trauma, when the clinician needs to assess the ribs on both sides. A radiologic technologist performs the imaging, and a radiologist or other qualified physician interprets the images in settings such as an emergency department, outpatient imaging center, or physician office.

Choose this code when the study covers both sides and includes the chest view with at least four views; a unilateral study or a bilateral study with fewer views belongs to a different code. The order and imaging record should support the clinical indication, bilateral examination, and views performed. The global service includes both image acquisition and interpretation. Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service. The code is priced for bilateral imaging, so modifier 50 does not increase payment.

CMS billing rules for 71111

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
The code is already priced as bilateral; modifier 50 does not increase payment.

Where the value comes from

  • Work RVU0.31 · 20%
  • Practice expense (office) RVU1.20 · 78%
  • Malpractice RVU0.03 · 2%

28.7K

Medicare services in 2024 · #988 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.

71111 compared with similar codes

Office rates for Indiana, from the same CMS release.

71110

Rib X-ray

Bilateral, three views

$40.02

71110 is for bilateral rib imaging with fewer views. Select 71111 when the study includes a chest view and at least four views are obtained.

71101

Rib X-ray

Unilateral with chest view

$38.90

71101 covers a unilateral rib study with chest imaging; 71111 is for bilateral rib imaging with the required view count.

71046

Chest X-ray

Two views

$30.87

71046 is a chest examination rather than dedicated bilateral rib imaging. Choose 71111 when both rib cages are specifically imaged along with a chest view.

Compare 71111 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

Office and facility base rates · shared scale starting at $0
  • Indiana →

    Office / nonfacility

    $48.00

    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 71111 in Indiana.

PPRRVU2026_Oct_nonQPP.csv

7,901

Code
71111
Physician work
0.31
Practice expense
1.20
Malpractice
0.03

GPCI2026.csv

52

Locality
Indiana
Physician work
1.000
Practice expense
0.927
Malpractice
0.486
Office / nonfacility calculation for 71111 in Indiana
ComponentRVULocality factorAdjusted
Physician work0.31× 1.0000.3100
Practice expense1.20× 0.9271.1124
Malpractice0.03× 0.4860.0146
Total RVUs1.4370
Conversion factor× 33.4009

Office / nonfacility rate, Indiana$48.00

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.311
Practice expense1.20.927
Malpractice0.030.486

(0.31 × 1 + 1.2 × 0.927 + 0.03 × 0.486) × $33.4009 = $48.00

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.

71111 billing questions

When is this code preferable to 71110?

Use this code for bilateral rib imaging that includes a chest view and has at least four views. Code 71110 describes a bilateral rib study with fewer views.

Can a separate chest X-ray be billed for the included chest view?

The chest view is part of this rib examination. Do not report a separate chest study for the same view; a separately performed study must represent distinct imaging.

Which modifiers identify the professional and technical services?

Use modifier 26 for the physician's interpretation and modifier TC for the equipment and staff service. Without either modifier, the claim represents the global service.

Should modifier 50 be appended?

The code is already priced for bilateral imaging, and modifier 50 does not increase payment.

What documentation supports selecting this code?

The record should show the clinical reason for imaging, examination of both sides, inclusion of the chest view, and the number of views obtained.

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.

RVUs for 71111PPRRVU2026_Oct_nonQPP.csv, line 7,901 (RVU26D)
Geographic factors for IndianaGPCI2026.csv, line 52 (RVU26D)