CPT 70110Radiology

X-ray exam of jaw 4/> views

CPT code 70110 covers a comprehensive x-ray examination of the jaw that requires at least four different views or angles. This multi-view imaging helps doctors evaluate jaw fractures, infections, tumors, or dental problems that aren't visible from a single angle.

Showing rates for

National Average

Base Medicare rate

$42.37

This calculator gives a typical-case estimate using standard Medicare modifier rules. Actual payment depends on payer policies, documentation, code-specific CMS status indicators, and locality. Verify before billing.

RVU breakdown

Work RVU

0.25

PE RVU (NF)

1.04

MP RVU

0.02

Total RVU

1.31

Conversion factor: 32.3465 · Source: CMS MPFS RVU25A · Confidence: High

NCCI bundling edits

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Billing tips

Document the exact number and type of views obtained (e.g., 'AP, lateral, right oblique, left oblique') in radiology report
Impact: Prevents downcoding to 70100 which reimburses lower; protects the $42.37 reimbursement versus potential $35-38 for fewer views
Do not bill 70110 with modifier 52 for reduced services; instead bill 70100 if only 1-3 views were obtained
Impact: Modifier 52 invites manual review and unpredictable reimbursement reduction; using correct base code ensures predictable payment
When billing split/shared in hospital outpatient, ensure technical component is billed by facility and professional component by radiologist to maximize total reimbursement
Impact: Both components together equal the full $42.37; improper splitting can result in 30-40% revenue loss
Link appropriate ICD-10 diagnosis codes indicating medical necessity (fracture, pain, trauma, neoplasm) rather than dental-only diagnoses
Impact: Dental diagnosis codes may trigger Medicare denials as non-covered service; medical diagnoses ensure payment eligibility
For bilateral jaw imaging, bill 70110 once without bilateral modifier as code includes complete jaw examination
Impact: Billing with modifier 50 or twice will result in denial or recoupment; proper single billing maintains $42.37 payment
Verify that panoramic x-rays are coded separately (70355) not as 70110; these are distinct procedures with different reimbursement
Impact: Miscoding panoramic as 70110 results in underpayment of approximately $15-20 per study

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Frequently asked questions

What is the Medicare reimbursement rate for CPT 70110 in 2025?

The 2025 Medicare national average reimbursement for CPT 70110 is $42.37 for both facility and non-facility settings. This rate is based on 1.31 total RVUs multiplied by the 2025 conversion factor of 32.3465.

What is the difference between CPT 70110 and 70100?

CPT 70100 covers jaw x-rays with fewer than four views (typically 1-3 views), while CPT 70110 requires four or more views. The view count must be documented in the radiology report to support the correct code selection and reimbursement level.

How many RVUs is CPT code 70110 worth?

CPT 70110 has a total of 1.31 RVUs in 2025, consisting of 0.25 work RVUs, 1.04 practice expense RVUs, and 0.02 malpractice RVUs. The practice expense RVU is the same (1.04) for both facility and non-facility settings.

Can CPT 70110 be billed with a modifier 50 for bilateral jaw imaging?

No, CPT 70110 should not be billed with modifier 50 for bilateral procedures. The code descriptor encompasses examination of the entire jaw area (both sides) as a single comprehensive study, so billing once without bilateral modifier is appropriate.

Is CPT 70110 covered by Medicare?

Yes, CPT 70110 is covered by Medicare when medically necessary for evaluation of trauma, infection, neoplasm, or other medical conditions affecting the jaw. Purely dental diagnoses or routine dental exams may not be covered as Medicare generally excludes dental services.

What diagnosis codes support medical necessity for CPT 70110?

Common supporting diagnoses include jaw fractures (S02.6xx), temporomandibular joint disorders (M26.6x), facial trauma (S00-S09), jaw pain (M25.51, R68.84), suspected neoplasm (D16.5, C41.0-C41.1), and osteomyelitis (M86.x). Dental-only diagnosis codes may result in denials.

Can CPT 70110 be billed on the same day as a panoramic x-ray (70355)?

While both can be performed same day, billing both requires clear documentation of separate clinical indications and distinct diagnostic purposes. Append modifier 59 to indicate a distinct procedural service and ensure documentation supports medical necessity for both imaging studies to avoid bundling denials.