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Official Description

Radiologic examination; sternoclavicular joint or joints, minimum of 3 views

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 71130 refers to a radiologic examination of the sternoclavicular joint or joints, requiring a minimum of three views. This procedure is primarily utilized to diagnose conditions such as dislocations or other injuries affecting the sternoclavicular (SC) joint, which is the joint connecting the sternum to the clavicle. The examination typically involves obtaining multiple radiographic views to ensure a comprehensive assessment of the joint's condition. The common views utilized in this examination include the anteroposterior (AP) view, Heinig view, Hobbs view, and serendipity view. Each view provides unique angles and perspectives that aid in identifying any abnormalities or injuries. The AP view captures the joint from the front, while the Heinig view is taken with the patient in a supine position, allowing for a tangential view of the joint. The Hobbs view requires the patient to lean forward, providing a different angle for assessment, and the serendipity view is performed with the patient lying prone, offering a 40-degree angled view of the sternum and joint. After the images are captured, a physician reviews them to identify any potential issues and documents their findings in a written interpretation.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

The radiologic examination of the sternoclavicular joint is indicated for various clinical scenarios, particularly when there is a suspicion of injury or abnormality in the joint. The following conditions may warrant this examination:

  • Dislocation The procedure is commonly performed to assess for dislocation of the sternoclavicular joint, which can occur due to trauma or injury.
  • Injury Other injuries to the SC joint, such as fractures or ligament tears, may also necessitate this imaging to evaluate the extent of damage.
  • Joint Pain Patients presenting with unexplained pain in the area of the sternoclavicular joint may require this examination to determine the underlying cause.

2. Procedure

The procedure for obtaining radiologic images of the sternoclavicular joint involves several specific steps to ensure accurate and comprehensive imaging. The following procedural steps are typically followed:

  • Step 1: Patient Positioning for AP View The patient is positioned facing the X-ray machine to obtain the anteroposterior (AP) view. This frontal view allows for a direct assessment of the joint's alignment and any visible abnormalities.
  • Step 2: Heinig View Acquisition For the Heinig view, the patient is placed in a supine position. The X-ray beam is directed tangentially to the injured sternoclavicular joint and parallel to the opposite clavicle. A cassette is positioned on the opposite shoulder, centered on the manubrium, to capture this specific angle.
  • Step 3: Hobbs View Positioning In the Hobbs view, the patient is seated at the X-ray table with an X-ray cassette placed on the table. The patient leans forward, positioning the anterior rib cage against the cassette. The X-ray beam is directed from above toward the nape of the neck, providing a different perspective of the joint.
  • Step 4: Serendipity View Execution For the serendipity view, the patient lies prone on the X-ray table. The cassette is centered under the upper shoulder and neck, while the X-ray beam is centered over the sternum and directed at a 40-degree angle from vertical. This view helps in visualizing the joint in a unique orientation.
  • Step 5: Image Review After obtaining a minimum of three views of the sternoclavicular joints, the physician reviews the images for any abnormalities. A written interpretation of the findings is then provided, detailing any observed issues.

3. Post-Procedure

Post-procedure care for patients undergoing a radiologic examination of the sternoclavicular joint typically involves minimal recovery time, as the procedure is non-invasive. Patients may resume normal activities immediately following the examination. However, they may be advised to follow up with their physician to discuss the results of the imaging and any necessary further evaluations or treatments based on the findings. It is important for the physician to communicate any significant abnormalities noted in the images to the patient and to outline any additional steps that may be required for management of their condition.

Short Descr X-RAY STRENOCLAVIC JT 3/>VWS
Medium Descr RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS
Long Descr Radiologic examination; sternoclavicular joint or joints, minimum of 3 views
Status Code Active Code
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 1 - Diagnostic Tests for Radiology Services
Multiple Procedures (51) 0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62) 0 - Co-surgeons not permitted for this procedure.
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator STV-Packaged Codes
ASC Payment Indicator Packaged service/item; no separate payment made.
Type of Service (TOS) 4 - Diagnostic Radiology
Berenson-Eggers TOS (BETOS) I1B - Standard imaging - musculoskeletal
MUE 1
CCS Clinical Classification 226 - Other diagnostic radiology and related techniques
26 Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number.
X5 Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician
52 Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use).
59 Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25.
76 Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service.
77 Repeat procedure by another physician or other qualified health care professional: it may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 77 to the repeated procedure or service. note: this modifier should not be appended to an e/m service.
AQ Physician providing a service in an unlisted health professional shortage area (hpsa)
CC Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)
CR Catastrophe/disaster related
FY X-ray taken using computed radiography technology/cassette-based imaging
GA Waiver of liability statement issued as required by payer policy, individual case
GC This service has been performed in part by a resident under the direction of a teaching physician
GZ Item or service expected to be denied as not reasonable and necessary
LT Left side (used to identify procedures performed on the left side of the body)
Q5 Service furnished under a reciprocal billing arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area
Q6 Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area
RT Right side (used to identify procedures performed on the right side of the body)
TC Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles
X4 Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period
XS Separate structure, a service that is distinct because it was performed on a separate organ/structure
XU Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service
Date
Action
Notes
2013-01-01 Changed Short Descriptor changed.
2009-01-01 Changed Code description changed
Pre-1990 Added Code added.
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