CPT code 73070: Elbow X-ray, two views2026 Medicare rate & RVUs in California

A two-view plain radiograph of the elbow evaluates symptoms or injury when the study is limited to two images of that joint.

CMS RVU26DEffective Oct 1, 202629 payment localities200.6K Medicare services in 2024

Medicare pays $31.42–$40.00 for 73070 in the office in California, from Chico, CA to San Benito County, CA. Which amount applies depends on the service address.

$31.42–$40.00Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 9 sections
  1. Rate in California
  2. What 73070 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 73070 covers

This service is a plain-film examination of one elbow using two views. It is commonly ordered after a fall or other injury to assess for fracture or dislocation, and for elbow pain or limited motion. A radiologic technologist obtains the images in an imaging center, hospital, or office; a qualified practitioner interprets them and documents the findings. The study focuses on the elbow joint rather than a separate forearm or upper-arm examination.

Select this code when the elbow study consists of two views; use the appropriate sibling code when three or more views are obtained. The order and report should identify the side, clinical reason, views performed, and interpretation. CMS recognizes professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and billing without either modifier represents the global service. When both elbows are imaged, each side is paid separately at 100%.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 73070 pays more and less in California

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

29 payment localities

$31.42 to $40.00

$31.42$35.71$40.00
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

29 of 29 payment localities

73070 office and facility rates by payment locality
Payment localityOfficeFacility
Bakersfield, CA$31.48Unavailable
Chico, CA$31.42Unavailable
El Centro, CA$31.42Unavailable
Fresno, CA$31.42Unavailable
Hanford, CA$31.42Unavailable
Los Angeles, CA$33.67Unavailable
Madera, CA$31.42Unavailable
Marin County, CA$39.13Unavailable
Merced, CA$31.42Unavailable
Modesto, CA$31.42Unavailable

How the 73070 rate is calculated

Each of 73070’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 73070

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.16

0.16 RVUs× 1.000 GPCI

Practice expense0.70

0.70 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

0.8800

Conversion factor

$33.4009

Medicare rate

$29.39

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 73070

The CMS indicators that decide how 73070 is paid alongside other services.

CMS payment indicators · 73070

Elbow X-ray, two views

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)3Each side paid at 100% (no 150% cap).
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

73070 without 26 · national office

$29.39

Elbow X-ray, two views

73070-26 · Professional component

$8.02

Pays only the interpretation and report.

When to use modifier 26

73070 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 73070

    Elbow X-ray, two views0.16 wRVU

    $29.39

  • 73080

    Elbow X-ray, three or more views0.17 wRVU

    $33.07+$3.68

  • 73090

    Forearm X-ray, forearm, two views0.16 wRVU

    $29.06−$0.33

  • 73085

    Contrast X-ray, elbow arthrography0.53 wRVU

    $96.19+$66.80

How to choose

73080Elbow X-rayThree or more views
The distinction is the number of elbow views: 73070 is for two views, while 73080 is for three or more.
73090Forearm X-rayForearm, two views
73070 examines the elbow; 73090 examines the forearm. Choose according to the body region imaged.
73085Contrast X-rayElbow arthrography
73070 is a routine plain-film elbow study. 73085 is for an elbow examination performed with contrast.

73070 billing questions

When should 73070 be chosen instead of 73080?

Use 73070 for a two-view elbow study. Use 73080 when three or more views are obtained.

Can the interpretation and imaging be billed separately?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Billing without either modifier represents the global service.

How is imaging of both elbows reported?

Report the study for each side imaged. CMS pays each side separately at 100% when performed bilaterally.

What documentation supports 73070?

Document the clinical indication, the elbow side, the two views obtained, and the interpretation. The documented view count should support selection over 73080.

Does 73070 cover a forearm X-ray as well?

No. It describes the elbow study; a separately performed forearm examination is coded based on the forearm imaging obtained.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 73070PPRRVU2026_Oct_nonQPP.csv, line 8,120 (RVU26D)

Open CMS sourceHow we calculate rates

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