Billing code 70200: Orbit X-rayMedicare rate & RVUs in Oregon
Orbital radiographs with at least four views are reported to evaluate the eye sockets, such as after orbital trauma or for a suspected radiopaque foreign body.
Medicare pays $46.41–$50.85 for 70200 in the office in Oregon, from Rest Of Oregon to Portland. 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 70200 covers
This service is a multi-view X-ray examination focused on the bony eye sockets. It may be ordered after orbital trauma or when a radiopaque foreign body is suspected. A radiologic technologist obtains the images in an office imaging department, hospital, or other diagnostic setting; a radiologist or other qualified physician interprets them and issues a report.
Report 70200 when the documented study is a complete orbital examination with at least four views. The order, images, and interpretation should support the orbital anatomy examined and the clinical reason for imaging. The global service is billed without a component modifier. Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service, including equipment and staff; CMS separately prices these modifiers.
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.
Where 70200 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | $50.85 | Unavailable |
| Rest Of Oregon | $46.41 | Unavailable |
How the 70200 rate is calculated
Each of 70200’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 · 70200
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.27Practice expense 1.11Malpractice 0.02
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 70200
The CMS indicators that decide how 70200 is paid alongside other services.
CMS payment indicators · 70200
Orbit X-ray
| 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
70200 without 26 · national office
$46.76
Orbit X-ray
70200-26 · Professional component
$13.03
Pays only the interpretation and report.
70200 compared with similar codes
Compare codes
70200 vs 70150 vs 70250 vs 70260: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 70150Facial bone X-ray
- 70200 examines the orbits with at least four views. 70150 is directed at the facial bones, so choose according to the anatomy imaged and documented.
- 70250Skull X-ray
- 70250 is a limited skull radiographic examination. Use 70200 when the study is a complete orbital examination with at least four views.
- 70260Skull X-ray
- 70260 is a complete skull examination, while 70200 targets the eye sockets. The number of views alone does not determine the code; the imaged anatomy does.
70200 billing questions
How is 70200 distinguished from a skull X-ray?
70200 is focused on the orbits and requires a complete study with at least four views. A skull radiographic examination is selected when the skull, rather than the eye sockets, is the target.
Does this code require a minimum number of views?
Yes. Report 70200 for a complete orbital examination with at least four views; the record should support the views obtained.
When should modifier 26 or TC be used?
Use modifier 26 for the physician's professional interpretation and modifier TC for the technical service. Bill the global service without either modifier when one claim includes both components.
Can the orbital interpretation be billed separately from the images?
The professional interpretation may be reported with modifier 26, and the technical service with modifier TC. Documentation should identify the interpreting professional and include a report of the orbital findings.
What documentation supports reporting 70200?
The record should show the clinical reason for orbital imaging, the views obtained, and the physician's interpretation. The study should be a complete orbital examination rather than imaging directed at the sinuses or skull.
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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