CPT 70140Radiology

X-ray exam of facial bones

CPT code 70140 covers a basic X-ray examination of the facial bones to detect fractures, infections, or structural abnormalities. This is a common imaging study ordered after facial trauma or for chronic sinus issues.

Showing rates for

National Average

Base Medicare rate

$31.05

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

0.19

PE RVU (NF)

0.75

MP RVU

0.02

Total RVU

0.96

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

NCCI bundling edits

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Billing tips

Verify whether your facility bills global, professional-only (26), or technical-only (TC) for radiology services based on your practice arrangement
Impact: Incorrect component billing is the #1 denial reason for radiology codes; global vs. split billing affects 100% of reimbursement accuracy
Document specific clinical indication beyond 'facial pain' - include trauma mechanism, specific symptoms, or differential diagnosis to support medical necessity
Impact: Prevents denials for lack of medical necessity; detailed indication reduces audit risk by approximately 40-60% in radiology claims
Consider whether facial bone CT (70486-70488) is more appropriate for complex trauma cases rather than repeatedly billing 70140 with follow-ups
Impact: While CT costs more initially, it may prevent 2-3 repeat X-ray claims at $31.05 each and provides definitive diagnosis reducing downstream costs
When billing same-day E/M with 70140, ensure the E/M service is separately identifiable and documented; modifier 25 on E/M may be required by some payers
Impact: Prevents bundling of E/M into imaging interpretation; protects E/M reimbursement which typically ranges $75-$200 depending on level
Confirm that your radiologist's interpretation report includes all required elements: technique, findings, impression, and comparison to prior studies when available
Impact: Incomplete reports trigger audit flags and potential recoupment; comprehensive reports reduce professional liability and support full $31.05 payment
For Medicare patients, ensure the ordering physician's NPI is included on the claim as Medicare requires referring physician information for diagnostic tests

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Frequently asked questions

What is the Medicare reimbursement rate for CPT 70140 in 2025?

The 2025 Medicare national average reimbursement for CPT 70140 is $31.05 for both facility and non-facility settings. This is based on 0.96 total RVUs multiplied by the 2025 conversion factor of 32.3465. Actual payment may vary by geographic location based on local GPCI adjustments.

What is the difference between CPT 70140 and 70150 for facial bone X-rays?

CPT 70140 is a basic X-ray exam of facial bones with limited views (typically 2-3 projections), while CPT 70150 represents a complete facial bone X-ray series with comprehensive views including multiple projections. Code 70150 has higher RVUs and reimbursement due to the additional imaging and interpretation work required.

Can CPT 70140 be billed with an E/M visit on the same day?

Yes, CPT 70140 can be billed with an E/M service on the same day if the E/M service is separately identifiable and documented. Some payers require modifier 25 on the E/M code to indicate a significant, separately identifiable evaluation. The diagnostic X-ray itself does not include evaluation and management services.

Do I need modifier 26 or TC when billing CPT 70140?

Modifier 26 (professional component) is used when billing only the interpretation by the radiologist. Modifier TC (technical component) is used when billing only for the equipment, technologist, and supplies. If your facility provides both the imaging and interpretation (global service), no modifier is needed. The correct modifier depends on your practice's billing arrangement.

What diagnosis codes are typically used with CPT 70140?

Common ICD-10 codes paired with 70140 include S02.2 (nasal bone fracture), S02.4 (malar/maxillary fracture), S02.6 (mandibular fracture), J32.9 (chronic sinusitis), R51.9 (headache), and trauma codes like W19.XXXA (unspecified fall). The diagnosis must support medical necessity for facial bone imaging.

How many views are required for CPT 70140 facial bone X-ray?

CPT 70140 typically requires a minimum of 2-3 standard views of the facial bones, commonly including Waters view (occipitomental), Caldwell view (frontal), and lateral projections. The exact number and type of views should be documented in the radiology report and ordered based on clinical indication.

What are the RVU values for CPT 70140 in 2025?

For 2025, CPT 70140 has a work RVU of 0.19, practice expense RVU of 0.75 (both facility and non-facility), and malpractice RVU of 0.02, for a total of 0.96 RVUs. These values are from the CMS Medicare Physician Fee Schedule RVU25A released December 23, 2024.