X-ray exam chest 2 views

What is CPT Code 71046?

A two-view chest X-ray (typically PA and lateral). Standard imaging for evaluating the lungs, heart, and thoracic structures. More diagnostic than a single view and is the most common imaging code billed in US healthcare.

The Medicare reimbursement rate shown above is the amount the federal government has determined is a reasonable payment for this service. Hospitals and providers that participate in Medicare have agreed to accept these rates from Medicare patients.

Who typically bills this:Radiologist (interpretation) + hospital or imaging center (technical)

Common Billing Errors for CPT 71046

• !Billed twice on the same date when the clinician ordered a repeat — requires separate medical necessity
• !Both the facility and an independent radiology group billing interpretation without splitting the global correctly
• !Contrast agent billed separately as a supply item when no contrast is used for chest X-ray

Red Flags on Your Bill

Negotiation Tips for CPT 71046

1. 1The Medicare physician rate for 71046 is roughly $20–$25; the facility component adds more, but combined $300+ is negotiable
2. 2Request the radiology report — it should confirm PA and lateral views were obtained
3. 3If you're uninsured, independent imaging centers often perform chest X-rays for $50–$100 total

Codes That Often Appear With This One

These CPT codes commonly appear on the same bill. Review each one to spot potential bundling errors or duplicate charges.

Found CPT 71046 on Your Bill?

If you see CPT code 71046 on a hospital or medical bill, compare the charged amount to the Medicare rate above. If your bill shows a significantly higher charge, you may have grounds to negotiate.

1. Note the amount charged for CPT 71046 on your itemized bill
2. Compare it to the Medicare rate above — calculate the markup
3. Call the billing department and use the Medicare rate as your anchor:“I see CPT code 71046 billed at [amount]. The Medicare rate for this procedure is $34.29. I'd like to discuss a fair adjustment.”