Billing code 71101: Rib X-rayMedicare rate & RVUs in Utah

Reports radiographs of one side of the ribs with a chest view, commonly used to evaluate focal rib pain or suspected rib injury.

CMS RVU26DEffective Oct 1, 20261 payment locality266.2K Medicare services in 2024

Medicare pays $39.73 for 71101 in the office in Utah (Utah). Which amount applies depends on the service address.

$39.73Office (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 71101 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Utah
  2. What 71101 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 71101 covers

This examination images the ribs on one side and includes a posteroanterior chest view, with at least three views in total. It is commonly ordered for focal chest-wall pain or suspected rib injury after trauma. A radiologic technologist obtains the images in settings such as a hospital, emergency department, or outpatient imaging center; a qualified practitioner interprets them and documents the findings.

Choose this code when the study covers one side and includes the chest view, rather than a unilateral rib study without that view. The order and report should identify the side, clinical indication, and imaging findings. CMS recognizes separately priced professional and technical components: modifier 26 identifies the interpretation, and modifier TC identifies the equipment and staff portion. Reporting the code without either modifier represents the global service, including both components.

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.

71101 in Utah

71101 office and facility rates by payment locality
Payment localityOfficeFacility
Utah$39.73Unavailable

How the 71101 rate is calculated

Each of 71101’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 · 71101

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 0.26Practice expense 0.96Malpractice 0.03

1.2500 adjusted RVUs×$33.4009 conversion factor=$41.75

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 71101

The CMS indicators that decide how 71101 is paid alongside other services.

CMS payment indicators · 71101

Rib X-ray

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
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

71101 without 26 · national office

$41.75

Rib X-ray

71101-26 · Professional component

$12.69

Pays only the interpretation and report.

When to use modifier 26

71101 compared with similar codes

Compare codes

71101 vs 71100 vs 71110 vs 71111: national Medicare rates

Swap in your local Medicare rate.

  • 71101
    Rib X-ray · 0.26 wRVU
    $41.75
  • 71100
    Rib X-ray · 0.21 wRVU
    $36.07−$5.68
  • 71110
    Rib X-ray · 0.28 wRVU
    $42.75+$1.00
  • 71111
    Rib X-ray · 0.31 wRVU
    $51.44+$9.69

How to choose

71100Rib X-ray
Use 71101 when the unilateral rib examination includes a chest view and at least three views total. Use 71100 for unilateral rib views without that chest view.
71110Rib X-ray
71110 covers bilateral rib imaging with three views; 71101 is for one side and includes a chest view.
71111Rib X-ray
71111 is the bilateral study that includes a chest view and requires at least four views. 71101 covers one side with a chest view and at least three views.

71101 billing questions

How does this differ from 71100?

71101 includes a chest view and requires at least three views overall. 71100 is for unilateral rib imaging without the included chest view.

Can the included chest view be billed separately?

The chest view is part of 71101. Do not separately report that same view as a chest radiograph.

When should modifier 26 or TC be used?

Use modifier 26 for the professional interpretation only and TC for the technical service only. Without either modifier, the code represents the global service.

What should the record support?

Document the one-sided rib examination, the chest view, the reason for imaging, and the interpreted findings. The order and report should make the side examined clear.

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 71101PPRRVU2026_Oct_nonQPP.csv, line 7,895 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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