$42.41
Both describe mandible imaging; choose 70100 for fewer than four views and 70110 for four or more.
On this page
CMS RVU26D · Effective 2026-10-01
70100 Jaw X-ray Medicare reimbursement rates in Vermont
Reports radiographic imaging of the mandible with fewer than four views, such as a focused study for jaw trauma or suspected fracture. Compare 70100 office and facility rates across CMS payment localities in Vermont.
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 70100 in Vermont?
Vermont 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
$39.75
1 of 1 localities have a supported rate.
Payment area: Vermont
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.
Radiology
About 70100: Mandible radiographic examination, fewer than four views
Reports radiographic imaging of the mandible with fewer than four views, such as a focused study for jaw trauma or suspected fracture.
This service covers radiographic imaging focused on the mandible, commonly obtained after jaw trauma or for focal pain or suspected fracture. A radiologic technologist typically acquires the images in an imaging department, hospital, or office; a qualified interpreting practitioner reviews them and prepares the diagnostic report. The study must include fewer than four views of the mandible.
Select this code based on the documented anatomy and view count, rather than the reason for imaging alone. The order, image record, and interpretation should support a mandibular study and the number of views performed. CMS recognizes separately priced professional and technical components: modifier 26 identifies the interpretation, and modifier TC identifies equipment and staff. Without either modifier, the claim represents the global service, including both components.
CMS billing rules for 70100
- 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 RVU0.18 · 15%
- Practice expense (office) RVU1.01 · 83%
- Malpractice RVU0.02 · 2%
17.3K
Medicare services in 2024 · #1201 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.
70100 compared with similar codes
Office rates for Vermont, from the same CMS release.
$31.15
70140 describes imaging of the facial bones with fewer than three views. Choose 70100 when the study is focused on the mandible.
$46.05
70150 describes facial-bone imaging with three or more views; it is not the code for a mandible-focused study.
$18.92
70355 is for a panoramic survey of the maxilla and mandible, not a limited-view radiographic examination focused on the mandible.
Compare 70100 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
Vermont →
Office / nonfacility
$39.75
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 70100 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
7,685
- Code
- 70100
- Physician work
- 0.18
- Practice expense
- 1.01
- Malpractice
- 0.02
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.18 | × 1.000 | 0.1800 |
| Practice expense | 1.01 | × 0.990 | 0.9999 |
| Malpractice | 0.02 | × 0.506 | 0.0101 |
| Total RVUs | 1.1900 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$39.75
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.18 | 1 |
| Practice expense | 1.01 | 0.99 |
| Malpractice | 0.02 | 0.506 |
(0.18 × 1 + 1.01 × 0.99 + 0.02 × 0.506) × $33.4009 = $39.75
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.
70100 billing questions
When should this code be used instead of 70110?
Use 70100 for a mandible study with fewer than four views. Use 70110 when the study includes four or more views.
What do modifiers 26 and TC represent?
Modifier 26 reports the professional interpretation. Modifier TC reports the technical service, including equipment and staff.
What does billing the code without a modifier represent?
An unmodified claim represents the global service, with both the technical and professional components.
What documentation supports reporting this code?
The record should identify the mandible as the imaged anatomy and support the number of views performed. The interpreting practitioner’s report supports the professional component.
Is a panoramic dental image the same service?
No. A panoramic survey of the maxilla and mandible is reported with 70355; this code describes a mandible study with fewer than four views.
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.
7,68270030,,X-ray eye for foreign body,A,,0.18,0.78,,0.78,NA,0.02,0.98,0.98,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,2.69,2.69,0.05
7,68370030,26,X-ray eye for foreign body,A,,0.18,0.07,,0.07,,0.01,0.26,0.26,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,68470030,TC,X-ray eye for foreign body,A,,0.00,0.71,,0.71,NA,0.01,0.72,0.72,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,01,0,99,2.62,2.62,0.04
7,68570100,,X-ray exam of jaw <4views,A,,0.18,1.01,,1.01,NA,0.02,1.21,1.21,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,2.71,2.71,0.04
7,68670100,26,X-ray exam of jaw <4views,A,,0.18,0.08,,0.08,,0.01,0.27,0.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,68770100,TC,X-ray exam of jaw <4views,A,,0.00,0.93,,0.93,NA,0.01,0.94,0.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,2.63,2.63,0.03
7,6887010F,,Pt info into recall system,M,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817