71111 X-ray exam ribs/chest4/> vws
What 71111 is
CMS fee schedule short descriptor: X-ray exam ribs/chest4/> vws.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 71111 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 0.31 | 1.20 | 0.03 | 1.54 | $51.44 |
| Facility (hospital, ASC) | 0.31 | 1.20 | 0.03 | 1.54 | $51.44 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.
Medically Unlikely Edit (MUE)
Medicare caps 71111 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 71111? These codes are bundled into it
71111 is a Column 1 code in 10 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
71045 | X-ray exam chest 1 view | 1 - modifier may bypass | Check pair |
71046 | X-ray exam chest 2 views | 1 - modifier may bypass | Check pair |
71047 | X-ray exam chest 3 views | 1 - modifier may bypass | Check pair |
71048 | X-ray exam chest 4+ views | 1 - modifier may bypass | Check pair |
71100 | X-ray exam ribs uni 2 views | 0 - no modifier bypass | Check pair |
71101 | X-ray exam unilat ribs/chest | 0 - no modifier bypass | Check pair |
71110 | X-ray exam ribs bil 3 views | 0 - no modifier bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.