70328 describes unilateral TMJ radiography; 70330 covers both joints with open- and closed-mouth imaging.
On this page
CMS RVU26D · Effective 2026-10-01
70330 TMJ X-ray Medicare reimbursement rates in Pennsylvania
Bilateral temporomandibular joint radiographs assess jaw-joint motion and bony alignment, typically for pain, clicking, restricted movement, or suspected structural abnormality. Compare 70330 office and facility rates across CMS payment localities in Pennsylvania.
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 70330 in Pennsylvania?
Pennsylvania has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$49.71–$55.56
2 of 2 localities have a supported rate.
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.
Diagnostic radiology
About 70330: Bilateral temporomandibular joint radiographs
Bilateral temporomandibular joint radiographs assess jaw-joint motion and bony alignment, typically for pain, clicking, restricted movement, or suspected structural abnormality.
70330 covers plain-film imaging of both temporomandibular joints (TMJs) with the jaw positioned open and closed, allowing comparison of joint movement and bony relationships. It is commonly ordered for persistent preauricular jaw pain, clicking, or limited opening when a clinician needs radiographic assessment of the joints. Dental practices, oral and maxillofacial clinics, and hospital or freestanding imaging departments may obtain the study; a radiologist or other qualified interpreting practitioner reviews the images and reports the findings.
Report 70330 for the bilateral open- and closed-mouth TMJ examination, rather than coding each side as a separate unilateral study. The order and report should identify the symptoms or suspected joint problem, document that both joints and the requested mouth positions were imaged, and include an interpretation. CMS treats this as a diagnostic test with separately priced professional and technical components: use modifier 26 for interpretation, TC for equipment and staff, or neither for the global service. CMS pricing already accounts for both sides, so modifier 50 does not increase payment.
CMS billing rules for 70330
- 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.
- Bilateral procedures
- The code is already priced as bilateral; modifier 50 does not increase payment.
Where the value comes from
- Work RVU0.23 · 14%
- Practice expense (office) RVU1.35 · 84%
- Malpractice RVU0.02 · 1%
3.9K
Medicare services in 2024 · #2015 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.
70330 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
70332 is for TMJ arthrography with radiologic supervision and interpretation, not the plain-film examination reported with 70330.
70336 reports MRI of the TMJ. Choose it for an MRI study, not open- and closed-mouth radiographs.
70355 is a panoramic radiograph of the jaws; 70330 specifically evaluates both TMJ regions in open and closed positions.
Compare 70330 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.
2 of 2 payment localities
Metropolitan Philadelphia →
Office / nonfacility
$55.56
Facility
Unavailable
Rest Of Pennsylvania →
Office / nonfacility
$49.71
Facility
Unavailable
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70330 billing questions
When should 70330 be selected instead of 70328?
Use 70330 for the bilateral TMJ radiographic examination. Code 70328 describes a unilateral examination.
Does 70330 include imaging both joints?
Yes. It represents a bilateral TMJ examination with the mouth open and closed; it is not reported as separate right- and left-side services.
How are the professional and technical portions billed?
Report modifier 26 for the interpretation and TC for the equipment and staff portion. Billing without either modifier represents the global service.
Should modifier 50 be appended?
CMS pricing for 70330 already accounts for both sides, and modifier 50 does not increase payment.
What documentation supports reporting 70330?
Document the jaw-joint symptoms or suspected problem, imaging of both TMJs in open and closed positions, and the interpreting practitioner's findings.
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.
