$125.28
77065 is diagnostic mammography of the patient’s breast. Use 76098 for radiographic imaging of tissue already removed during surgery.
On this page
CMS RVU26D · Effective 2026-10-01
76098 Specimen X-ray Medicare reimbursement rates in Minnesota
Radiographic imaging of an excised surgical specimen, commonly used during breast lesion removal to confirm the target or localization marker is present. Compare 76098 office and facility rates across CMS payment localities in Minnesota.
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 76098 in Minnesota?
Minnesota 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
$43.31
1 of 1 localities have a supported rate.
Payment area: Minnesota
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 76098: Radiographic examination of surgical specimen
Radiographic imaging of an excised surgical specimen, commonly used during breast lesion removal to confirm the target or localization marker is present.
Code 76098 covers radiographic imaging of tissue or another specimen removed during surgery. A common example is breast specimen radiography after excision of a mammographic or ultrasound target: the image helps the surgeon confirm that the lesion, calcifications, or localization marker is in the removed tissue. Radiology staff typically obtain the image in or near the operating room, and a radiologist interprets it.
Report the service for imaging and interpretation of the excised specimen, not for imaging the patient’s breast or microscopic examination of the tissue. Documentation should identify the specimen and link the image and interpretation to the operative target. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff, and billing without either modifier represents the global service.
CMS billing rules for 76098
- 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 RVU0.30 · 23%
- Practice expense (office) RVU0.96 · 74%
- Malpractice RVU0.03 · 2%
72K
Medicare services in 2024 · #660 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.
76098 compared with similar codes
Office rates for Minnesota, from the same CMS release.
$282.74
88307 reports surgical pathology examination of tissue. It does not report the radiographic image of the specimen captured by 76098.
$44.10
76000 reports fluoroscopy during a procedure, imaging the patient in real time. Code 76098 concerns an excised specimen.
Compare 76098 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
Minnesota →
Office / nonfacility
$43.31
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 76098 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
8,662
- Code
- 76098
- Physician work
- 0.30
- Practice expense
- 0.96
- Malpractice
- 0.03
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.30 | × 1.000 | 0.3000 |
| Practice expense | 0.96 | × 1.029 | 0.9878 |
| Malpractice | 0.03 | × 0.296 | 0.0089 |
| Total RVUs | 1.2967 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Minnesota$43.31
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.3 | 1 |
| Practice expense | 0.96 | 1.029 |
| Malpractice | 0.03 | 0.296 |
(0.3 × 1 + 0.96 × 1.029 + 0.03 × 0.296) × $33.4009 = $43.31
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.
76098 billing questions
How is 76098 different from diagnostic breast imaging?
76098 images tissue after it has been removed during surgery. Diagnostic breast imaging, such as 77065, images the patient’s breast.
Can the radiograph and pathology examination both be reported?
Yes. The radiograph documents the specimen’s imaging findings, while pathology evaluates the tissue microscopically; they are distinct services.
When should modifier 26 or TC be used?
Use modifier 26 for the professional interpretation and modifier TC for the technical service, including equipment and staff. Billing without either modifier represents the global service.
What documentation supports reporting 76098?
The record should identify the removed specimen and include the specimen image and its interpretation, connecting the imaging findings to the surgical target.
Is 76098 the same as an X-ray taken during surgery?
No. 76098 is for imaging a removed surgical specimen. Fluoroscopy, such as 76000, images the patient during a procedure.
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.
8,65976080,,X-ray exam of fistula,A,,0.53,1.18,,1.18,NA,0.05,1.76,1.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,16.70,16.70,0.20
8,66076080,26,X-ray exam of fistula,A,,0.53,0.15,,0.15,,0.04,0.72,0.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,66176080,TC,X-ray exam of fistula,A,,0.00,1.03,,1.03,NA,0.01,1.04,1.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,16.55,16.55,0.16
8,66276098,,X-ray exam surgical specimen,A,,0.30,0.96,,0.96,NA,0.03,1.29,1.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,16.64,16.64,0.22
8,66376098,26,X-ray exam surgical specimen,A,,0.30,0.12,,0.12,,0.02,0.44,0.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,66476098,TC,X-ray exam surgical specimen,A,,0.00,0.84,,0.84,NA,0.01,0.85,0.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,16.52,16.52,0.20
8,66576100,,X-ray exam of body section,A,,0.57,1.97,,1.97,NA,0.04,2.58,2.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.39,3.39,0.05
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002