$113.89
Choose 70380 for radiographic assessment of a salivary-gland calculus. Choose 70390 when the service is sialography directed at the salivary ducts.
On this page
CMS RVU26D · Effective 2026-10-01
70380 Salivary gland X-ray Medicare reimbursement rates in Rhode Island
Reports a radiographic examination directed at the salivary gland to evaluate a suspected calculus, with separate professional and technical billing available. Compare 70380 office and facility rates across CMS payment localities in Rhode Island.
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 70380 in Rhode Island?
Rhode Island 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
$37.78
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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.
Diagnostic radiology
About 70380: Salivary gland calculus radiograph
Reports a radiographic examination directed at the salivary gland to evaluate a suspected calculus, with separate professional and technical billing available.
This examination uses radiographic imaging focused on a salivary gland when a stone is suspected, such as in a patient with gland swelling or pain during meals. A radiology department or an appropriate dental or oral surgery setting may perform the imaging; a radiologist or other qualified practitioner interprets the study. The clinical question is a salivary-gland calculus, not a general dental survey or a jaw-joint problem.
Report 70380 for the gland-focused calculus examination, and retain the order, clinical indication, images, and interpretation supporting that service. CMS recognizes separately priced professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff portion, and billing without either modifier represents the global service. The professional component covers the interpretation; the technical component covers performing the imaging. The code’s CMS fee schedule values reflect work, practice expense, and malpractice inputs.
CMS billing rules for 70380
- 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 · 15%
- Practice expense (office) RVU0.91 · 83%
- Malpractice RVU0.02 · 2%
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.
70380 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$111.69
76536 is an ultrasound examination of head and neck soft tissues, which can include salivary glands. 70380 is the radiographic study directed at a salivary-gland calculus.
$103.22
70370 concerns imaging of the pharynx and larynx, not the salivary gland. Select based on the structure examined and the documented imaging service.
Compare 70380 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
Rhode Island →
Office / nonfacility
$37.78
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 70380 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
7,772
- Code
- 70380
- Physician work
- 0.17
- Practice expense
- 0.91
- Malpractice
- 0.02
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.17 | × 1.019 | 0.1732 |
| Practice expense | 0.91 | × 1.033 | 0.9400 |
| Malpractice | 0.02 | × 0.892 | 0.0178 |
| Total RVUs | 1.1311 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$37.78
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.17 | 1.019 |
| Practice expense | 0.91 | 1.033 |
| Malpractice | 0.02 | 0.892 |
(0.17 × 1.019 + 0.91 × 1.033 + 0.02 × 0.892) × $33.4009 = $37.78
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.
70380 billing questions
How does 70380 differ from 70390?
70380 is directed at radiographic evaluation of a salivary gland for a calculus. 70390 is the sialography code for imaging the salivary duct system.
Can the professional and technical portions be billed separately?
Yes. Use modifier 26 for the interpretation and modifier TC for the equipment and staff portion; billing without either modifier represents the global service.
What documentation supports 70380?
Document the suspected salivary-gland calculus, the reason for imaging, and the resulting images and interpretation. The record should support a gland-focused study rather than routine dental imaging.
Is 70380 a dental X-ray code?
It describes imaging of a salivary gland to evaluate a calculus, not a tooth survey. Use the dental radiograph code that matches the teeth and extent examined when the service is dental imaging.
Can 70380 be reported with modifier 26 alone?
Yes, when the billing practitioner provides the professional interpretation and another entity provides the technical service. Modifier TC identifies the technical portion when billed separately.
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.
7,76970371,,Speech evaluation complex,A,,0.82,2.46,,2.46,NA,0.05,3.33,3.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,7.63,7.63,0.08
7,77070371,26,Speech evaluation complex,A,,0.82,0.37,,0.37,,0.04,1.23,1.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,77170371,TC,Speech evaluation complex,A,,0.00,2.09,,2.09,NA,0.01,2.10,2.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,7.26,7.26,0.04
7,77270380,,X-ray exam of salivary gland,A,,0.17,0.91,,0.91,NA,0.02,1.10,1.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,2.69,2.69,0.04
7,77370380,26,X-ray exam of salivary gland,A,,0.17,0.06,,0.06,,0.01,0.24,0.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,77470380,TC,X-ray exam of salivary gland,A,,0.00,0.85,,0.85,NA,0.01,0.86,0.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,2.63,2.63,0.03
7,77570390,,X-ray exam of salivary duct,A,,0.37,2.91,,2.91,NA,0.03,3.31,3.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,7.40,7.40,0.05
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537