CPT code 71111: Rib X-ray2026 Medicare rate & RVUs in Texas

Reports bilateral rib radiography with a chest view when evaluating focal rib pain, suspected fracture, or injury and at least four views are obtained.

CMS RVU26DEffective Oct 1, 20268 payment localities28.7K Medicare services in 2024

Medicare pays $47.76–$53.67 for 71111 in the office in Texas, from Beaumont to Austin. Which amount applies depends on the service address.

$47.76–$53.67Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 71111 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Texas
  2. What 71111 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 71111 covers

This examination uses X-rays to assess both sides of the rib cage and includes a chest view, with four or more views obtained. It is commonly ordered for focal rib pain or chest-wall injury, including after trauma, when the clinician needs to assess the ribs on both sides. A radiologic technologist performs the imaging, and a radiologist or other qualified physician interprets the images in settings such as an emergency department, outpatient imaging center, or physician office.

Choose this code when the study covers both sides and includes the chest view with at least four views; a unilateral study or a bilateral study with fewer views belongs to a different code. The order and imaging record should support the clinical indication, bilateral examination, and views performed. The global service includes both image acquisition and interpretation. Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service. The code is priced for bilateral imaging, so modifier 50 does not increase payment.

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 71111 pays more and less in Texas

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

8 payment localities

$47.76 to $53.67

$47.76$50.72$53.67
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

8 of 8 payment localities

71111 office and facility rates by payment locality
Payment localityOfficeFacility
Austin$53.67Unavailable
Beaumont$47.76Unavailable
Brazoria$50.94Unavailable
Dallas$51.23Unavailable
Fort Worth$50.84Unavailable
Galveston$51.07Unavailable
Houston$51.62Unavailable
Rest Of Texas$49.30Unavailable

How the 71111 rate is calculated

Each of 71111’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 · 71111

RVUs × geographic indexes × conversion factor

Work0.31

0.31 RVUs× 1.000 GPCI

Practice expense1.20

1.20 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

1.5400

Conversion factor

$33.4009

Medicare rate

$51.44

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 71111

The CMS indicators that decide how 71111 is paid alongside other services.

CMS payment indicators · 71111

Rib X-ray

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)2Already bilateral by definition: paid once at 100%.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

71111 without 26 · national office

$51.44

Rib X-ray

71111-26 · Professional component

$15.03

Pays only the interpretation and report.

When to use modifier 26

71111 compared with similar codes

Compare codes · National

4 codes, side by side

  • 71111

    Rib X-ray0.31 wRVU

    $51.44

  • 71110

    Rib X-ray0.28 wRVU

    $42.75−$8.69

  • 71101

    Rib X-ray0.26 wRVU

    $41.75−$9.69

  • 71046

    Chest X-ray0.21 wRVU

    $33.07−$18.37

How to choose

71110Rib X-ray
71110 is for bilateral rib imaging with fewer views. Select 71111 when the study includes a chest view and at least four views are obtained.
71101Rib X-ray
71101 covers a unilateral rib study with chest imaging; 71111 is for bilateral rib imaging with the required view count.
71046Chest X-ray
71046 is a chest examination rather than dedicated bilateral rib imaging. Choose 71111 when both rib cages are specifically imaged along with a chest view.

71111 billing questions

When is this code preferable to 71110?

Use this code for bilateral rib imaging that includes a chest view and has at least four views. Code 71110 describes a bilateral rib study with fewer views.

Can a separate chest X-ray be billed for the included chest view?

The chest view is part of this rib examination. Do not report a separate chest study for the same view; a separately performed study must represent distinct imaging.

Which modifiers identify the professional and technical services?

Use modifier 26 for the physician's interpretation and modifier TC for the equipment and staff service. Without either modifier, the claim represents the global service.

Should modifier 50 be appended?

The code is already priced for bilateral imaging, and modifier 50 does not increase payment.

What documentation supports selecting this code?

The record should show the clinical reason for imaging, examination of both sides, inclusion of the chest view, and the number of views obtained.

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
RVUs for 71111PPRRVU2026_Oct_nonQPP.csv, line 7,901 (RVU26D)

Open CMS sourceHow we calculate rates

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