X-ray exam chest 3 views
CPT code 71047 represents a chest X-ray examination that includes three different views or angles of the chest to evaluate the lungs, heart, and surrounding structures.
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 that three distinct views were actually obtained and documented before billing 71047 instead of 71046 (2 views) or 71045 (1 view)
Impact: Prevents downcoding from $40.76 to lower reimbursement rates and potential fraud allegations for upcoding
For split billing scenarios, ensure modifier 26 and TC claims reconcile to avoid duplicate billing; confirm facility/non-facility designation matches service location
Impact: Both facility and non-facility rates are $40.76 for 71047; improper modifier use triggers automated denials and recovery audits
Document medical necessity for three views rather than standard two-view chest X-ray, particularly for Medicare patients where frequency limitations may apply
Impact: Prevents medical necessity denials and supports appeal success rates above 60% when clinical justification is clearly documented
When ordering physician and interpreting physician differ, ensure both the order and interpretation are documented to satisfy Medicare's physician supervision requirements
Impact: Missing order documentation is a leading cause of RAC audits and can result in full recoupment of the $40.76 payment plus potential penalties
Bundle professional and technical components when billing global service (no modifier) rather than splitting unnecessarily, reducing claim volume and administrative costs
Impact: Reduces claim processing time by 50% and eliminates risk of one component being denied while the other is paid
Review LCD and NCD policies for chest X-ray frequency limitations, particularly for routine screening which may not be covered without specific diagnostic indication
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