X-ray strenoclavic jt 3/>vws
CPT code 71130 is used for X-ray imaging of the sternoclavicular joint (where the collarbone meets the breastbone) taken from three or more different angles to evaluate injuries, arthritis, or abnormalities in this joint.
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 and document that at least three distinct views were obtained and are present in the imaging record
Impact: Prevents automatic denial and downcoding to 71120 (fewer than 3 views), saving $10-15 per claim
For hospital-based services, ensure proper facility vs non-facility designation as both rates are identical at $39.79 for 2025
Impact: Eliminates processing delays though payment amounts are the same; ensures proper place of service coding
When ordering physician is different from interpreting physician, ensure separate documentation to support professional component billing
Impact: Supports modifier 26 billing and prevents denial of professional component at approximately 40% of total allowed amount
Document specific clinical indication beyond 'chest pain' - specify sternoclavicular joint involvement to justify anatomically-targeted imaging
Impact: Reduces medical necessity denials by 60-70% and supports coverage determination
Bill on same claim date as service date, not interpretation date, to avoid timely filing issues
Impact: Prevents timely filing denials which result in 100% payment loss
For bilateral examinations, verify payer policy on billing 71130 twice with RT/LT modifiers versus single bilateral code
Impact: Some payers allow bilateral billing at 150% ($59.69), others pay single code only; verify before submission
Common denials
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