G0130
Single energy x-ray study
Code typePrimary
Payment statusActive (A)
Global periodNone
Pricing with Related Codes
Line
Qty
Global fee
Pro fee
PrimaryG0130Single energy x-ray study
1
$39.75
$39.75
Whole procedure · 0.21 wRVU credited
$39.75
$39.75
RVU Breakdown
Component
Office
Facility
Work
0.21
0.21
Practice expense
0.96
0.96
Malpractice
0.02
0.02
Total RVU
1.19
1.19
Payment Policy & Modifiers
Allowed adjustments
Assistant surgeon -80/81/8216% · documented
Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.
Prof / tech split -26 / -TCSplit
Has professional (-26) and technical (-TC) components, each priced separately.
Not applicable to this code
Bilateral -50Multiple procedure Co-surgeon -62Team surgeon -66