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CMS RVU26D · Effective 2026-10-01

70250 Skull X-ray Medicare reimbursement rates in Michigan

Reports a plain-film skull examination using fewer than four views, with payment for the global service or separately billed professional and technical components. Compare 70250 office and facility rates across CMS payment localities in Michigan.

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 70250 in Michigan?

Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.

Office / nonfacility

$33.30–$35.18

2 of 2 localities have a supported rate.

Lowest: Rest Of Michigan

Highest: Detroit

A spread of $1.88 per service.

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 70250 in your payment locality →

Radiology

About 70250: Skull radiographs, fewer than four views

Reports a plain-film skull examination using fewer than four views, with payment for the global service or separately billed professional and technical components.

This service covers a plain-film examination of the skull using fewer than four views. A radiologic technologist typically obtains the images in an outpatient imaging center, clinic, or hospital department, and a physician interprets them. It may be ordered to assess the skull’s bony structures when the clinical question concerns the skull rather than a more specifically targeted area such as the eye sockets or sella.

Select this code based on the number of views performed: use it for fewer than four, and use 70260 when four or more views are obtained. Documentation should identify the skull examination and support the views performed. Without a modifier, the claim represents the global service, including equipment and staff as well as interpretation. Modifier 26 reports the professional interpretation; modifier TC reports the technical service. CMS separately prices both components.

CMS billing rules for 70250

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 RVU0.18 · 17%
  • Practice expense (office) RVU0.87 · 81%
  • Malpractice RVU0.02 · 2%

46.8K

Medicare services in 2024 · #805 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.

70250 compared with similar codes

Office rates for Michigan, from the same CMS release.

70260

Skull X-ray

Complete, four or more views

$40.88–$43.02

Both report skull radiography; choose 70250 for fewer than four views and 70260 for four or more.

70200

Orbit X-ray

Complete, four or more views

$43.62–$45.92

70200 is directed to the eye sockets. Use 70250 when the examination is of the skull rather than an orbit-focused study.

70240

X-ray exam

Sella turcica

$29.97–$31.65

70240 targets the sella, while 70250 reports a skull examination with fewer than four views.

Compare 70250 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.

2 of 2 payment localities

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

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70250 billing questions

How is 70250 distinguished from 70260?

The number of views determines the code: 70250 is for fewer than four views, while 70260 is for four or more.

Does 70250 include the radiologist’s interpretation?

A claim without a modifier represents the global service, including the professional interpretation and technical service. Modifier 26 identifies the professional component.

When should modifier TC be used?

Use TC to report the technical component, which covers the equipment and staff involved in obtaining the images.

What documentation supports reporting 70250?

The record should support that a skull radiographic examination was performed and document the views obtained, establishing that fewer than four views were taken.

Should 70250 be used for an orbit or sella examination?

Use a code directed to the area examined when the study is specifically of the eye sockets or sella, rather than a general skull examination.

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 70250PPRRVU2026_Oct_nonQPP.csv, line 7,729 (RVU26D)