$43.15
70200 examines the orbits with at least four views. 70150 is directed at the facial bones, so choose according to the anatomy imaged and documented.
On this page
CMS RVU26D · Effective 2026-10-01
70200 Orbit X-ray Medicare reimbursement rates in Iowa
Orbital radiographs with at least four views are reported to evaluate the eye sockets, such as after orbital trauma or for a suspected radiopaque foreign body. Compare 70200 office and facility rates across CMS payment localities in Iowa.
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 70200 in Iowa?
Iowa 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
$43.21
1 of 1 localities have a supported rate.
Payment area: Iowa
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 70200: Complete orbital radiographic examination
Orbital radiographs with at least four views are reported to evaluate the eye sockets, such as after orbital trauma or for a suspected radiopaque foreign body.
This service is a multi-view X-ray examination focused on the bony eye sockets. It may be ordered after orbital trauma or when a radiopaque foreign body is suspected. A radiologic technologist obtains the images in an office imaging department, hospital, or other diagnostic setting; a radiologist or other qualified physician interprets them and issues a report.
Report 70200 when the documented study is a complete orbital examination with at least four views. The order, images, and interpretation should support the orbital anatomy examined and the clinical reason for imaging. The global service is billed without a component modifier. Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service, including equipment and staff; CMS separately prices these modifiers.
CMS billing rules for 70200
- 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 RVU0.27 · 19%
- Practice expense (office) RVU1.11 · 79%
- Malpractice RVU0.02 · 1%
5.2K
Medicare services in 2024 · #1849 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.
70200 compared with similar codes
Office rates for Iowa, from the same CMS release.
$32.87
70250 is a limited skull radiographic examination. Use 70200 when the study is a complete orbital examination with at least four views.
$40.46
70260 is a complete skull examination, while 70200 targets the eye sockets. The number of views alone does not determine the code; the imaged anatomy does.
Compare 70200 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
Iowa →
Office / nonfacility
$43.21
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 70200 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
7,716
- Code
- 70200
- Physician work
- 0.27
- Practice expense
- 1.11
- Malpractice
- 0.02
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.27 | × 1.000 | 0.2700 |
| Practice expense | 1.11 | × 0.915 | 1.0157 |
| Malpractice | 0.02 | × 0.397 | 0.0079 |
| Total RVUs | 1.2936 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$43.21
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.27 | 1 |
| Practice expense | 1.11 | 0.915 |
| Malpractice | 0.02 | 0.397 |
(0.27 × 1 + 1.11 × 0.915 + 0.02 × 0.397) × $33.4009 = $43.21
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.
70200 billing questions
How is 70200 distinguished from a skull X-ray?
70200 is focused on the orbits and requires a complete study with at least four views. A skull radiographic examination is selected when the skull, rather than the eye sockets, is the target.
Does this code require a minimum number of views?
Yes. Report 70200 for a complete orbital examination with at least four views; the record should support the views obtained.
When should modifier 26 or TC be used?
Use modifier 26 for the physician's professional interpretation and modifier TC for the technical service. Bill the global service without either modifier when one claim includes both components.
Can the orbital interpretation be billed separately from the images?
The professional interpretation may be reported with modifier 26, and the technical service with modifier TC. Documentation should identify the interpreting professional and include a report of the orbital findings.
What documentation supports reporting 70200?
The record should show the clinical reason for orbital imaging, the views obtained, and the physician's interpretation. The study should be a complete orbital examination rather than imaging directed at the sinuses or skull.
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.
7,71370190,,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
7,71770200,26,X-ray exam of eye sockets,A,,0.27,0.11,,0.11,,0.01,0.39,0.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,71870200,TC,X-ray exam of eye sockets,A,,0.00,1.00,,1.00,NA,0.01,1.01,1.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,3.17,3.17,0.03
7,7197020F,,Mammo assess cat in dbase,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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136