CPT code 73085: Contrast X-ray, elbow arthrography2026 Medicare rate & RVUs

Report elbow arthrography imaging when contrast is used to evaluate the joint and a physician provides radiographic supervision and interpretation.

CMS RVU26DEffective Oct 1, 2026109 payment localities68 Medicare services in 2024

Medicare pays $96.19 for 73085 nationally in the office. Local office rates run $84.67–$131.62.

Medicare rate · 73085

Contrast X-ray, elbow arthrography

Office or facility?

Work RVUs
0.53
Total RVUs
2.88
Global days
XXX

National rate · 2026

$96.19

Office setting, before claim adjustments.

See every locality for 73085 →Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 73085 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 73085 covers

Elbow arthrography uses contrast placed within the joint to outline its structures during radiographic imaging. Code 73085 represents the radiographic supervision and interpretation, commonly performed and documented by a radiologist; the contrast injection is a separate procedural service when performed. It may be ordered to assess suspected joint or capsular abnormalities when conventional elbow films do not provide the needed information.

Report the code for the elbow side examined and retain the imaging report, documented interpretation, and details identifying the side and arthrographic study. A claim without a component modifier represents the global service. Modifier 26 reports the professional interpretation, while modifier TC reports the technical work, equipment, and staff. For bilateral studies, 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 73085 pays more and less

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

109 payment localities

$84.67 to $131.62

$84.67$108.15$131.62
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

73085 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$85.97Unavailable
Alaska$109.46Unavailable
Arizona$93.61Unavailable
Arkansas$84.67Unavailable
Atlanta, GA$97.75Unavailable
Austin, TX$100.55Unavailable
Bakersfield, CA$103.42Unavailable
Baltimore area, MD$102.43Unavailable
Beaumont, TX$89.16Unavailable
Brazoria, TX$95.35Unavailable

73085 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$84.67

$117.45

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
73085 office rate range by state
State / territoryOffice rate rangeLocalities
AK$109.461
AL$85.971
AR$84.671
AZ$93.611
CA$103.28–$131.6229
CO$101.051
CT$102.771
DC$111.041
DE$95.221
FL$93.47–$101.403
GA$88.12–$97.752
GU$106.201
HI$106.201
IA$88.831
ID$89.321
IL$90.23–$99.434
IN$89.881
KS$88.121
KY$87.521
LA$87.27–$91.822
MA$100.30–$111.742
MD$97.19–$111.043
ME$89.52–$95.012
MI$89.65–$94.412
MN$97.491
MO$85.51–$92.493
MS$85.121
MT$96.191
NC$90.541
ND$95.401
NE$89.421
NH$99.191
NJ$104.13–$109.752
NM$90.061
NV$96.051
NY$91.94–$113.065
OH$89.491
OK$87.641
OR$95.49–$104.702
PA$89.79–$99.932
PR$97.021
RI$98.931
SC$90.131
SD$95.311
TN$88.551
TX$89.16–$100.558
UT$91.431
VA$94.49–$111.042
VI$97.021
VT$94.761
WA$100.19–$114.352
WI$92.031
WV$86.661
WY$95.851

How the 73085 rate is calculated

Each of 73085’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 · 73085

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.53

0.53 RVUs× 1.000 GPCI

Practice expense2.31

2.31 RVUs× 1.000 GPCI

Malpractice0.04

0.04 RVUs× 1.000 GPCI

Adjusted RVUs

2.8800

Conversion factor

$33.4009

Medicare rate

$96.19

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

Payment rules and modifiers for 73085

The CMS indicators that decide how 73085 is paid alongside other services.

CMS payment indicators · 73085

Contrast X-ray, elbow arthrography

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

73085 without 26 · national office

$96.19

Contrast X-ray, elbow arthrography

73085-26 · Professional component

$25.05

Pays only the interpretation and report.

When to use modifier 26

73085 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 73085

    Contrast X-ray, elbow arthrography0.53 wRVU

    $96.19

  • 73070

    Elbow X-ray, two views0.16 wRVU

    $29.39−$66.80

  • 73080

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

    $33.07−$63.12

  • 24220

    Arthrographic injection, elbow joint1.28 wRVU

    $186.38+$90.19

How to choose

73070Elbow X-rayTwo views
Choose 73070 for conventional elbow radiographs with two views. Use 73085 when the study is an elbow arthrogram with intra-articular contrast.
73080Elbow X-rayThree or more views
73080 covers conventional elbow radiographs with three or more views. It is not the contrast arthrography service represented by 73085.
24220Arthrographic injectionElbow joint
24220 represents the elbow arthrography injection procedure. Code 73085 represents the radiographic supervision and interpretation.

73085 billing questions

How does 73085 differ from 73070 or 73080?

73085 is for elbow arthrography using intra-articular contrast. Codes 73070 and 73080 are for conventional elbow radiographs, selected by the number of views.

Is the contrast injection included in 73085?

73085 represents the radiographic supervision and interpretation. The elbow arthrography injection may be reported separately with 24220 when that service is performed and documented.

When should modifier 26 or TC be used?

Use modifier 26 for the professional interpretation and modifier TC for the technical service. Billing without either modifier represents the global service.

How is bilateral elbow arthrography handled?

Each side is paid separately at 100% when both elbows are examined. Document the side for each study and follow the applicable claim-line reporting instructions.

What documentation supports 73085?

Keep the order or clinical indication, documentation identifying the elbow side and contrast study, and the radiologist's interpretation. The report should support that arthrographic imaging was performed rather than routine elbow films.

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 73085PPRRVU2026_Oct_nonQPP.csv, line 8,126 (RVU26D)

Open CMS sourceHow we calculate rates

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