Billing code 70355: Panoramic jaw x-rayMedicare rate & RVUs in Nebraska

Reports a panoramic x-ray survey of the upper and lower jaws, commonly used to assess dentition, jaw structures, or a broad oral concern.

CMS RVU26DEffective Oct 1, 20261 payment locality25.5K Medicare services in 2024

Medicare pays $18.03 for 70355 in the office in Nebraska (Nebraska). Which amount applies depends on the service address.

$18.03Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 70355 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Nebraska
  2. What 70355 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 70355 covers

This service produces a broad panoramic image of the upper and lower jaws in a single survey. Dental practices, oral and maxillofacial surgery offices, and imaging facilities commonly obtain it when a clinician needs an overview of the dentition and jaw structures, such as when evaluating a possible impacted tooth or a jaw abnormality. The image is interpreted by a qualified practitioner, with the technical work performed by staff using the imaging equipment.

Choose this code when the documented service is a panoramic jaw study, rather than a set of focused intraoral tooth images or a dedicated jaw-joint examination. The record should support the clinical reason for imaging and identify the study performed; the interpretation should be documented when billed separately. Report the global service without a component modifier, or report modifier 26 for the professional interpretation or TC for the technical service when billing only that portion.

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.

70355 in Nebraska

70355 office and facility rates by payment locality
Payment localityOfficeFacility
Nebraska$18.03Unavailable

How the 70355 rate is calculated

Each of 70355’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 · 70355

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 0.20Practice expense 0.36Malpractice 0.02

0.5800 adjusted RVUs×$33.4009 conversion factor=$19.37

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 70355

The CMS indicators that decide how 70355 is paid alongside other services.

CMS payment indicators · 70355

Panoramic jaw x-ray

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

70355 without 26 · national office

$19.37

Panoramic jaw x-ray

70355-26 · Professional component

$10.02

Pays only the interpretation and report.

When to use modifier 26

70355 compared with similar codes

Compare codes

70355 vs 70320 vs 70300 vs 70328: national Medicare rates

Swap in your local Medicare rate.

  • 70355
    Panoramic jaw x-ray · 0.2 wRVU
    $19.37
  • 70320
    Dental X-ray · 0.21 wRVU
    $56.78+$37.41
  • 70300
    Dental X-ray · 0.1 wRVU
    $14.36−$5.01
  • 70328
    Jaw joint X-ray · 0.18 wRVU
    $34.07+$14.70

How to choose

70320Dental X-ray
70355 is a panoramic survey of the jaws; 70320 is used for a full-mouth series of intraoral dental images.
70300Dental X-ray
Choose 70355 for the broad panoramic jaw study. 70300 represents a focused dental x-ray, not the panoramic survey.
70328Jaw joint X-ray
70355 surveys the jaws broadly. 70328 is for imaging focused on a jaw joint.

70355 billing questions

When should this be reported instead of a full-mouth dental x-ray?

Use 70355 for a panoramic survey of the jaws. A full-mouth dental x-ray code applies when the service consists of an intraoral series of dental images.

How are the professional and technical portions reported?

Report modifier 26 for the professional interpretation and TC for the technical service. Billing without either modifier represents the global service.

Can the interpretation be billed separately from the image acquisition?

Yes. The professional component may be reported with modifier 26 when the interpretation is separately furnished and documented; the technical component is reported with TC.

Is this the right code for a focused jaw-joint x-ray?

No. 70355 describes a panoramic survey of the jaws. A dedicated jaw-joint examination is represented by a joint-specific imaging code, such as 70328.

What documentation supports reporting this study?

Document the clinical reason for the panoramic study and the imaging performed. Include the interpretation when billing the professional component.

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
RVUs for 70355PPRRVU2026_Oct_nonQPP.csv, line 7,760 (RVU26D)
Geographic factors for NebraskaGPCI2026.csv, line 72 (RVU26D)

Open CMS sourceHow we calculate rates

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