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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.

Find 70210 in your payment locality →

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.

70220

Sinus X-ray

Complete series, three or more views

$34.38

Use 70210 for a sinus radiograph with fewer than three views; use 70220 when three or more views are obtained.

70486

Maxillofacial CT

Without contrast

$117.27

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

Orbit X-ray

Complete, four or more views

$42.65

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

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

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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
Office / nonfacility calculation for 70210 in Oklahoma
ComponentRVULocality factorAdjusted
Physician work0.17× 1.0000.1700
Practice expense0.78× 0.8930.6965
Malpractice0.02× 0.7770.0155
Total RVUs0.8821
Conversion factor× 33.4009

Office / nonfacility rate, Oklahoma$29.46

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.171
Practice expense0.780.893
Malpractice0.020.777

(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.

RVUs for 70210PPRRVU2026_Oct_nonQPP.csv, line 7,720 (RVU26D)
Geographic factors for OklahomaGPCI2026.csv, line 86 (RVU26D)