HCPCS G0130: Bone density studyMedicare rate & RVUs in Ohio
Reports a single-energy X-ray bone density measurement at one or more sites, used to assess bone mineral status, including in osteoporosis evaluation.
Medicare pays $36.96 for G0130 in the office in Ohio (Ohio). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What G0130 covers
G0130 describes single-energy X-ray absorptiometry (SEXA) for measuring bone density at one or more sites. It may be used in an osteoporosis evaluation when this single-energy technique is performed. Imaging staff acquire the measurement, and a qualified physician interprets the study. The service is generally encountered in outpatient imaging settings; the selected code should reflect the technique actually performed rather than simply the clinical reason for testing.
Report the study with documentation identifying the single-energy method and the measured site or sites, along with the interpretation when performed. The global service includes both the technical work of equipment and staff and the professional interpretation. When those portions are billed separately, modifier 26 identifies the professional component and modifier TC identifies the technical component; CMS separately prices both modifiers. The report should support the component billed and distinguish this method from dual-energy X-ray absorptiometry or CT-based bone density measurement.
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.
G0130 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | $36.96 | Unavailable |
How the G0130 rate is calculated
Each of G0130’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 · G0130
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.21Practice expense 0.96Malpractice 0.02
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for G0130
The CMS indicators that decide how G0130 is paid alongside other services.
CMS payment indicators · G0130
Bone density study
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
G0130 without 26 · national office
$39.75
Bone density study
G0130-26 · Professional component
$11.02
Pays only the interpretation and report.
G0130 compared with similar codes
Compare codes
G0130 vs 77080 vs 77081 vs 77078: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 77080DXA bone density scan
- Choose 77080 for dual-energy measurement of the axial skeleton, such as the spine or hip. G0130 represents a single-energy X-ray study.
- 77081Bone density
- Choose 77081 for dual-energy measurement of the appendicular skeleton. G0130 identifies the single-energy method rather than a dual-energy peripheral study.
- 77078CT bone density
- 77078 represents CT-based bone density measurement. G0130 is for single-energy X-ray absorptiometry, not CT.
G0130 billing questions
How does G0130 differ from a dual-energy bone density study?
G0130 represents the single-energy X-ray method. Use a dual-energy code, such as 77080 or 77081, when that is the technique documented.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 reports the interpretation, and modifier TC reports the equipment and staff portion. Without either modifier, the claim represents the global service.
What documentation supports G0130?
The record should identify the single-energy X-ray method, the site or sites measured, and the physician's interpretation when billing the professional component.
Is G0130 reported once for each measured site?
The code describes a study covering one or more sites. Follow the applicable code instructions for units and report the sites performed in the imaging documentation.
Should G0130 be used for CT bone density measurement?
No. G0130 is for the single-energy X-ray technique; CT-based bone density measurement is represented by a different code, such as 77078.
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
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