Use 70210 for a sinus radiograph with fewer than three views; use 70220 when three or more views are obtained.
On this page
CMS RVU26D · Effective 2026-10-01
70210 Sinus X-ray Medicare reimbursement rates in Oklahoma
Reports a plain-film examination of the paranasal sinuses using fewer than three views to evaluate suspected sinus disease or related findings. Compare 70210 office and facility rates across CMS payment localities in Oklahoma.
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 70210 in Oklahoma?
Oklahoma 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
$29.46
1 of 1 localities have a supported rate.
Payment area: Oklahoma
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 70210: Limited-view sinus radiograph
Reports a plain-film examination of the paranasal sinuses using fewer than three views to evaluate suspected sinus disease or related findings.
This service is a limited plain-film study of the paranasal sinuses, with fewer than three radiographic views. A radiologic technologist obtains the images in a hospital, imaging center, or office with X-ray equipment; a physician, commonly a radiologist, interprets the study. It may be ordered when a clinician is evaluating symptoms or findings involving the sinuses, although the specific imaging method depends on the clinical question.
Choose this code based on the number of views performed, not simply the number of sinuses or symptoms evaluated. The record should support the sinus study and the views obtained. Medicare recognizes professional and technical components: report modifier 26 for the physician’s interpretation and report modifier TC for the equipment and staff portion when those portions are billed separately. Without either modifier, the service represents the global study, including both components.
CMS billing rules for 70210
- 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 RVU0.17 · 18%
- Practice expense (office) RVU0.78 · 80%
- Malpractice RVU0.02 · 2%
15.1K
Medicare services in 2024 · #1252 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.
70210 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
70486 is a CT examination of the maxillofacial area without contrast. This code reports a plain-film sinus study with fewer than three views.
70200 is an X-ray examination of the eye sockets, not a limited-view study of the paranasal sinuses.
Compare 70210 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
Oklahoma →
Office / nonfacility
$29.46
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 70210 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
7,720
- Code
- 70210
- Physician work
- 0.17
- Practice expense
- 0.78
- Malpractice
- 0.02
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.17 | × 1.000 | 0.1700 |
| Practice expense | 0.78 | × 0.893 | 0.6965 |
| Malpractice | 0.02 | × 0.777 | 0.0155 |
| Total RVUs | 0.8821 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Oklahoma$29.46
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.17 | 1 |
| Practice expense | 0.78 | 0.893 |
| Malpractice | 0.02 | 0.777 |
(0.17 × 1 + 0.78 × 0.893 + 0.02 × 0.777) × $33.4009 = $29.46
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.
70210 billing questions
How does this code differ from 70220?
Select this code when fewer than three sinus views are obtained. Code 70220 is the sibling code for a study with three or more views.
What do modifiers 26 and TC identify?
Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical portion, including equipment and staff. Without either modifier, the claim represents the global service.
What documentation supports the view-count selection?
The imaging record should identify the sinus examination and the views obtained. The documented count distinguishes this limited-view study from 70220.
Can the professional and technical portions be billed separately?
Yes. CMS separately prices the professional and technical components when reported with modifiers 26 and TC, respectively.
When might a sinus CT be selected instead?
A clinician may choose CT when the clinical question calls for cross-sectional evaluation of the paranasal sinuses. Code 70486 describes a CT study of the maxillofacial area without contrast, rather than a plain-film sinus 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.
