X-ray exam chest 1 view
CPT code 71045 covers a single-view chest X-ray, the most basic radiographic examination of the chest typically taken from the front (PA or AP view). This is one of the most frequently ordered diagnostic imaging tests in medicine.
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
Conversion factor: 32.3465 · Source: CMS MPFS RVU25A · Confidence: High
NCCI bundling edits
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Billing tips
Verify view count before coding - 71045 is for ONE view only; if PA and lateral views are obtained, use 71046 instead
Impact: Prevents $12-15 undercoding when two views are actually performed; most common coding error for chest radiography
Document whether facility or non-facility setting - both have identical $25.23 rate for 71045, but proper place of service coding is required
Impact: Ensures accurate claim processing and prevents potential audits for place of service mismatches
Apply modifier 26 or TC appropriately when split billing - many radiology practices bill professional component while hospital bills technical
Impact: Prevents duplicate billing rejections and ensures proper payment distribution between entities
Link to specific ICD-10 diagnosis codes that support medical necessity - avoid vague codes like R06.9 (unspecified breathing abnormality)
Impact: Reduces denial rate by 15-25%; specific diagnoses like J18.9 (pneumonia) or I50.9 (heart failure) have higher approval rates
Do not bill 71045 with 71046, 71047, or 71048 on same date of service for same anatomical area
Impact: Causes automatic denial for duplicate/overlapping services; select the code matching total number of views obtained
For portable chest X-rays, ensure proper documentation of medical necessity for bedside imaging rather than transport to radiology
Impact: While same CPT code applies, payers may scrutinize portable studies; documentation prevents medical necessity denials
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