`G0130` Single energy x-ray study

What G0130 is

Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel)

HCPCS Level II long description, CMS October 2026 file. See the G codes page for the full section.

Medicare payment for G0130 (CY2026)

	Work RVU	Practice expense RVU	Malpractice RVU	Total	Medicare rate
Non-facility (office)	0.21	0.96	0.02	1.19	$39.75
Facility (hospital, ASC)	0.21	0.96	0.02	1.19	$39.75

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.

Adjust for a Medicare locality:

Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.

Medically Unlikely Edit (MUE)

Medicare caps G0130 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with G0130? These codes are bundled into it

G0130 is a Column 1 code in 6 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
`76977`	Us bone density measure	0 - no modifier bypass	Check pair
`77080`	Dxa bone density axial	1 - modifier may bypass	Check pair
`78445`	Vascular flow imaging	0 - no modifier bypass	Check pair
`96523`	Irrig drug delivery device	0 - no modifier bypass	Check pair

G0130 is bundled into these codes

G0130 appears as a Column 2 code in 3 active edits. Reported with one of these Column 1 codes on the same date of service, G0130 is the code that denies.

Column 1 code	Short description	Modifier indicator
`77078`	Ct bone density axial	1	Check pair
`77081`	Dxa bone density appendiculr	0	Check pair
`77085`	Dxa bone density axl vrt fx	1	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.