Billing code 76100: X-ray examMedicare rate & RVUs in Virginia
Reports a specifically requested single-view X-ray of a body section other than the chest when the study fits this broad radiographic service.
Medicare pays $84.66–$99.07 for 76100 in the office in Virginia, from Virginia to Dc + Md/Va Suburbs. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 76100 covers
This service covers a static X-ray examination of one body section outside the chest, performed as a single view. A radiologic technologist typically acquires the image in a hospital department, imaging center, or office; a physician interprets the study. It may fit a focused diagnostic question when the order and examination specify one projection and no more specific body-part code describes the service.
Choose the code based on the body section and number of views actually performed, not simply the number of images submitted. The record should identify the examined body section, support that the study was limited to one view, and include the order and interpretation. Modifier 26 identifies the professional interpretation; modifier TC identifies the technical work, equipment, and staff. Without either modifier, the claim 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.
Where 76100 pays more and less in Virginia
| Payment locality | Office | Facility |
|---|---|---|
| Dc + Md/Va Suburbs | $99.07 | Unavailable |
| Virginia | $84.66 | Unavailable |
How the 76100 rate is calculated
Each of 76100’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 · 76100
RVUs × geographic indexes × conversion factor
Work0.57
0.57 RVUs× 1.000 GPCI
Practice expense1.97
1.97 RVUs× 1.000 GPCI
Malpractice0.04
0.04 RVUs× 1.000 GPCI
Adjusted RVUs
2.5800
Conversion factor
$33.4009
Medicare rate
$86.17
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 76100
The CMS indicators that decide how 76100 is paid alongside other services.
CMS payment indicators · 76100
X-ray exam
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
76100 without 26 · national office
$86.17
X-ray exam
76100-26 · Professional component
$27.05
Pays only the interpretation and report.
76100 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 74018Abdomen X-ray
- This code is specific to a one-view abdominal radiograph. Use 76100 only when the nonchest body section does not have a more specific applicable code.
- 71045Chest X-ray
- This code describes a single-view chest radiograph; 76100 is for body sections other than the chest.
- 76000Fluoroscopy
- 76000 describes fluoroscopic imaging, which provides dynamic viewing; 76100 is for a static single-view X-ray.
76100 billing questions
When should 76100 be used instead of a body-part-specific X-ray code?
Use 76100 when the nonchest, single-view study fits this broad service and no more specific code describes the body section and view count. If a dedicated code matches the exam, report that code instead.
Can 76100 be reported for a chest X-ray?
No. This code describes a body section other than the chest; select the applicable chest radiography code for a chest study.
How are the interpretation and image acquisition reported?
Modifier 26 reports the professional interpretation, and modifier TC reports the technical service. An unmodified claim represents the global service.
Can 76100 be reported for each image when multiple views are obtained?
It describes a single-view study, not a per-image add-on. When multiple views are performed, select the code that matches the body section and view count.
What documentation supports 76100?
Document the body section examined, that only one view was performed, the clinical order, and the physician's interpretation.
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
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