CPT 71111
Global XXX ActiveX-ray exam ribs/chest4/> vws
CPT 71111 Billing & Documentation Guide
CPT code 71111 (X-ray exam ribs/chest4/> vws) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.31, a non-facility practice expense RVU of 1.2, and a malpractice RVU of 0.03, a total non-facility RVU of 1.54 and facility RVU of 1.54. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $53.25, though rates vary from $45.3 to $69.83 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 71111, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 71111 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 71111 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 71111
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.31 | 0.31 |
| Practice Expense RVU | 1.2 | 1.2 |
| Malpractice RVU | 0.03 | 0.03 |
| Total RVU | 1.54 | 1.54 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 71111
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $58.7 | $58.7 | $55 - $69.83 | 29 |
| Florida | $52.52 | $52.52 | $50.18 - $54.61 | 3 |
| Georgia | $49.81 | $49.81 | $47.3 - $52.31 | 2 |
| Illinois | $51.04 | $51.04 | $48.51 - $53.37 | 4 |
| Michigan | $49.4 | $49.4 | $48.08 - $50.72 | 2 |
| North Carolina | $48.39 | $48.39 | $48.39 - $48.39 | 1 |
| New York | $56.92 | $56.92 | $49.14 - $60.53 | 5 |
| Ohio | $47.96 | $47.96 | $47.96 - $47.96 | 1 |
| Pennsylvania | $50.78 | $50.78 | $48.1 - $53.46 | 2 |
| Texas | $50.8 | $50.8 | $47.76 - $53.67 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 71111
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 71111 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 71010 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 71023 | Column 1 (primary), can be billed with modifier | 9 | Mutually exclusive procedures |
| 71034 | Column 1 (primary), can be billed with modifier | 9 | Mutually exclusive procedures |
| 71045 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 71046 | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 71047 | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 71048 | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 71100 | Column 1 (primary), can be billed with modifier | No | More extensive procedure |
Frequently Asked Questions, CPT 71111
What does CPT code 71111 mean? +
CPT code 71111 represents: X-ray exam ribs/chest4/> vws. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 71111? +
The 2026 Medicare national average non-facility payment for CPT 71111 is $53.25. Rates range from $45.3 to $69.83 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 71111? +
Radiology codes rely heavily on the professional/technical split: modifier 26 (professional component only) and TC (technical component only). Also common: 50 (bilateral imaging), 76 (repeat by same physician), 77 (repeat by different physician), and LT/RT for laterality.
What bundling edits apply to CPT 71111? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 2, 2026.
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