CPT code 73130: Hand X-ray, minimum of three views2026 Medicare rate & RVUs

Plain radiographic exam of the hand with at least three views, typically PA, oblique, and lateral, reported for suspected fracture, dislocation, arthritis, or foreign body.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.3M Medicare services in 2024

Medicare pays $38.08 for 73130 nationally in the office. Local office rates run $33.28–$52.42.

Medicare rate · 73130

Hand X-ray, minimum of three views

Office or facility?

Work RVUs
0.17
Total RVUs
1.14
Global days
XXX

National rate · 2026

$38.08

Office setting, before claim adjustments.

See every locality for 73130 →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 73130 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 73130 covers

This study images the hand, including the metacarpals and phalanges, with a minimum of three projections. A standard series uses posteroanterior, oblique, and lateral views. It may be ordered after a fall, punch, or crush injury, or to evaluate suspected boxer's fracture, arthritis, bone lesions, or retained foreign bodies. A radiologic technologist obtains the images in physician offices, orthopedic and hand surgery clinics, urgent care centers, emergency departments, or hospital outpatient departments. A radiologist or treating physician interprets them.

Report 73130 when three or more hand views are obtained; use 73120 for a two-view hand exam or 73140 when imaging is limited to the fingers. The report should document the views, findings, and impression. Modifier 26 identifies interpretation alone; modifier TC identifies separately billed equipment and staff services. Bill the global service without either modifier when one entity provides both components. When both hands are imaged, Medicare pays each side separately at 100%; identify each hand with its laterality modifier.

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 73130 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

$33.28 to $52.42

$33.28$42.85$52.42
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

73130 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$33.82Unavailable
Alaska$42.68Unavailable
Arizona$37.00Unavailable
Arkansas$33.28Unavailable
Atlanta, GA$38.74Unavailable
Austin, TX$39.85Unavailable
Bakersfield, CA$40.97Unavailable
Baltimore area, MD$40.64Unavailable
Beaumont, TX$35.17Unavailable
Brazoria, TX$37.69Unavailable

73130 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.

$33.28

$46.67

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

View every state and territory as a table
73130 office rate range by state
State / territoryOffice rate rangeLocalities
AK$42.681
AL$33.821
AR$33.281
AZ$37.001
CA$40.91–$52.4229
CO$40.031
CT$40.771
DC$44.111
DE$37.661
FL$37.02–$40.403
GA$34.78–$38.742
GU$42.141
HI$42.141
IA$34.981
ID$35.191
IL$35.69–$39.494
IN$35.421
KS$34.701
KY$34.501
LA$34.40–$36.302
MA$39.71–$44.392
MD$38.46–$44.113
ME$35.29–$37.542
MI$35.40–$37.422
MN$38.531
MO$33.68–$36.563
MS$33.491
MT$38.081
NC$35.711
ND$37.681
NE$35.221
NH$39.291
NJ$41.29–$43.562
NM$35.581
NV$38.001
NY$36.29–$45.015
OH$35.321
OK$34.531
OR$37.75–$41.522
PA$35.44–$39.612
PR$38.421
RI$39.161
SC$35.571
SD$37.631
TN$34.881
TX$35.17–$39.858
UT$36.111
VA$37.34–$44.112
VI$38.421
VT$37.431
WA$39.67–$45.442
WI$36.281
WV$34.211
WY$37.901

How the 73130 rate is calculated

Each of 73130’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 · 73130

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.17

0.17 RVUs× 1.000 GPCI

Practice expense0.95

0.95 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

1.1400

Conversion factor

$33.4009

Medicare rate

$38.08

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

Payment rules and modifiers for 73130

The CMS indicators that decide how 73130 is paid alongside other services.

CMS payment indicators · 73130

Hand X-ray, minimum of three 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

73130 without 26 · national office

$38.08

Hand X-ray, minimum of three views

73130-26 · Professional component

$8.68

Pays only the interpretation and report.

When to use modifier 26

73130 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 73130

    Hand X-ray, minimum of three views0.17 wRVU

    $38.08

  • 73120

    Hand X-ray, two views0.16 wRVU

    $31.40−$6.68

  • 73140

    Finger X-ray, one or more fingers0.13 wRVU

    $39.41+$1.33

  • 73110

    Wrist X-ray, complete, minimum three views0.17 wRVU

    $42.75+$4.67

  • 77072

    Bone age, skeletal maturity study0.19 wRVU

    $25.38−$12.70

How to choose

73120Hand X-rayTwo views
73120 is a two-view hand study. 73130 requires three or more views. Count the projections documented in the report.
73140Finger X-rayOne or more fingers
73140 covers imaging limited to one or more fingers. 73130 images the hand, including the metacarpals.
73110Wrist X-rayComplete, minimum three views
73110 is a complete wrist series centered on the carpal bones and distal radius and ulna. 73130 is centered on the hand. Report both when separate, dedicated views are performed and documented.
77072Bone ageSkeletal maturity study
77072 is a bone-age study using a hand and wrist image to assess skeletal maturity. 73130 is a diagnostic multiview hand series for injury or disease.

73130 billing questions

When should 73130 be chosen instead of 73120?

Use 73130 when at least three views of the hand are obtained. Use 73120 for a two-view hand exam. The documented view count, not the order, controls code selection.

How are bilateral hand X-rays reported?

Report 73130 separately for each hand, using RT and LT to identify the sides. Medicare pays each side separately at 100%.

Which modifier applies when a radiologist only reads a hospital hand film?

Append modifier 26 for the interpretation. The hospital bills its technical services under facility billing rules; modifier TC identifies a separately billed technical component on physician claims.

Can a hand X-ray and a wrist X-ray be billed on the same day?

Yes, when separate wrist views are performed and documented for a distinct concern, such as suspected scaphoid injury. Wrist anatomy visible incidentally on hand views does not support a wrist code.

If only the fingers are imaged, is 73130 correct?

No. When imaging is limited to one or more digits, report the finger radiograph code, 73140, instead of a hand code.

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 73130PPRRVU2026_Oct_nonQPP.csv, line 8,147 (RVU26D)

Open CMS sourceHow we calculate rates

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