CPT code 73562: Knee X-ray, three views, one knee2026 Medicare rate & RVUs in Iowa

Plain radiographic exam of a single knee with three views, reported for knee pain, trauma, arthritis evaluation, or postoperative checks when exactly three projections are obtained.

CMS RVU26DEffective Oct 1, 2026One payment locality2.3M Medicare services in 2024

In Iowa, Medicare pays $38.98 for 73562 in the office.

$38.98Office (non-facility)
Not available in this settingHospital or facility
−8.1%vs the national office rate ($42.42)

Check a contract rate as a % of Medicare · 73562 nationwide

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

We’ll open 73562 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Iowa
  2. What 73562 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 73562 covers

This study captures three distinct projections of one knee, often an AP, a lateral, and either an oblique or a patellar tangential view such as a sunrise view. Radiologic technologists obtain the images in orthopedic offices, urgent care centers, imaging centers, and hospital departments. A radiologist or treating physician interprets the images and documents a written report. Common indications include suspected fracture after a fall, degenerative joint disease, patellofemoral pain, and follow-up after arthroplasty or fracture fixation.

Select this code by counting the distinct views documented for one knee: three views fit here, while one or two views and four or more views have different codes. The report should identify the views and findings. Modifier 26 identifies the professional interpretation; modifier TC identifies the equipment-and-staff portion. Billing without either modifier represents the global service. If both knees receive three views each, report each side; Medicare pays each side 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.

How Iowa compares for 73562

Across 109 of 109 payment localities, the office rate for 73562 runs from $37.06 in Arkansas to $58.57 in San Benito County, CA. Iowa pays $38.98. The RVUs are the same everywhere; the geographic indexes change the dollars.

73562 in Iowa vs other payment areas
  1. Iowa · this page$38.98
  2. Los Angeles, CA · California$48.98+$10.00
  3. Washington, DC area · District of Columbia$49.18+$10.20
  4. Miami, FL · Florida$44.91+$5.93
  5. Chicago, IL · Illinois$43.51+$4.53
  6. Manhattan, NY · New York$48.99+$10.01
  7. Alaska · Alaska$47.45+$8.47

Other areas in Iowa first, then benchmark localities. Bars start at $0.

Every other payment area

73562 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$37.66—
ArkansasArkansas$37.06—
ArizonaArizona$41.22—
Bakersfield, CACalifornia$45.70—
Chico, CACalifornia$45.64—
El Centro, CACalifornia$45.65—
Fresno, CACalifornia$45.64—
Hanford, CACalifornia$45.64—

73562 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.

$37.06

$52.11

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

View every state and territory as a table
73562 office rate range by state
State / territoryOffice rate rangeLocalities
AK$47.451
AL$37.661
AR$37.061
AZ$41.221
CA$45.64–$58.5729
CO$44.631
CT$45.431
DC$49.181
DE$41.951
FL$41.18–$44.913
GA$38.69–$43.142
GU$47.031
HI$47.031
IA$38.981
ID$39.211
IL$39.69–$43.944
IN$39.471
KS$38.661
KY$38.401
LA$38.28–$40.402
MA$44.27–$49.532
MD$42.85–$49.183
ME$39.31–$41.852
MI$39.40–$41.632
MN$42.991
MO$37.47–$40.713
MS$37.281
MT$42.421
NC$39.781
ND$42.021
NE$39.251
NH$43.801
NJ$46.01–$48.562
NM$39.591
NV$42.341
NY$40.43–$50.135
OH$39.321
OK$38.451
OR$42.08–$46.312
PA$39.45–$44.122
PR$42.801
RI$43.641
SC$39.601
SD$41.981
TN$38.861
TX$39.16–$44.438
UT$40.211
VA$41.62–$49.182
VI$42.801
VT$41.731
WA$44.23–$50.712
WI$40.461
WV$38.031
WY$42.251

See 73562 in every payment locality

How the 73562 rate is calculated

Each of 73562’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 · 73562

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.18

0.18 RVUs× 1.000 GPCI

Practice expense1.07

1.07 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

1.2700

Conversion factor

$33.4009

Medicare rate

$42.42

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

The exact Iowa inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,216

Code
73562
Physician work
0.18
Practice expense
1.07
Malpractice
0.02

GPCI2026.csv

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 73562 in Iowa
ComponentRVULocality factorAdjusted
Physician work0.18× 1.0000.1800
Practice expense1.07× 0.9150.9791
Malpractice0.02× 0.3970.0079
Total RVUs1.1670
Conversion factor× 33.4009

Office rate, Iowa$38.98

Office: (0.18 × 1 + 1.07 × 0.915 + 0.02 × 0.397) × $33.4009 = $38.98

Open 73562 in the RVU calculator

Payment rules and modifiers for 73562

The CMS indicators that decide how 73562 is paid alongside other services.

CMS payment indicators · 73562

Knee X-ray, three views, one knee

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

73562 without 26 · national office

$42.42

Knee X-ray, three views, one knee

73562-26 · Professional component

$9.35

Pays only the interpretation and report.

When to use modifier 26

How 73562 has changed in Iowa

73562 · Office / nonfacility

$38.98

Effective 2026-10-01

The base rate is $2.74 higher than on 2025-10-01, moving from $36.24 to $38.98 (7.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $36.24changed to$38.98

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 1.02 changed to 1.07
    • Practice expense GPCI 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $37.60changed to$36.24

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.03 changed to 1.02

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $36.99changed to$37.60

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $37.85changed to$36.99

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.02 changed to 1.03
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457
  5. January 1, 2023

    RVU23A

    $38.54changed to$37.85

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $37.59changed to$38.54

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.98 changed to 1.02

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $36.26changed to$37.59

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.90 changed to 0.98
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $34.58changed to$36.26

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.85 changed to 0.90
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $33.23changed to$34.58

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.81 changed to 0.85

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $33.01changed to$33.23

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $32.46changed to$33.01

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.80 changed to 0.81
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 0.493 changed to 0.458

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $31.15changed to$32.46

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.75 changed to 0.80
    • Malpractice RVU 0.03 changed to 0.02

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $30.99changed to$31.15

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $34.29changed to$30.99

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.85 changed to 0.75
    • Malpractice RVU 0.04 changed to 0.03
    • Practice expense GPCI 0.892 changed to 0.896
    • Malpractice GPCI 0.475 changed to 0.493

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $34.81changed to$34.29

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.93 changed to 0.85
    • Practice expense GPCI 0.887 changed to 0.892
    • Malpractice GPCI 0.456 changed to 0.475

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $34.81

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$38.98Not available in this settingRVU26D
2026-07-01$38.98Not available in this settingRVU26C
2026-04-01$38.98Not available in this settingRVU26B
2026-01-01$38.98Not available in this settingRVU26A
2025-10-01$36.24Not available in this settingRVU25D
2025-07-01$36.24Not available in this settingRVU25C
2025-04-01$36.24Not available in this settingRVU25B
2025-01-01$36.24Not available in this settingRVU25A
2024-10-01$37.60Not available in this settingRVU24D
2024-07-01$37.60Not available in this settingRVU24C
2024-04-01$37.60Not available in this settingRVU24B
2024-03-09$37.60Not available in this settingRVU24AR
2024-01-01$36.99Not available in this settingRVU24A
2023-10-01$37.85Not available in this settingRVU23D
2023-07-01$37.85Not available in this settingRVU23C
2023-04-01$37.85Not available in this settingRVU23B
2023-01-01$37.85Not available in this settingRVU23A
2022-10-01$38.54Not available in this settingRVU22D
2022-07-01$38.54Not available in this settingRVU22C
2022-04-01$38.54Not available in this settingRVU22B
2022-01-01$38.54Not available in this settingRVU22A
2021-10-01$37.59Not available in this settingRVU21D
2021-07-01$37.59Not available in this settingRVU21C
2021-04-01$37.59Not available in this settingRVU21B
2021-01-01$37.59Not available in this settingRVU21A
2020-10-01$36.26Not available in this settingRVU20D
2020-07-01$36.26Not available in this settingRVU20C
2020-04-01$36.26Not available in this settingRVU20B
2020-01-01$36.26Not available in this settingRVU20A
2019-10-01$34.58Not available in this settingRVU19D
2019-07-01$34.58Not available in this settingRVU19C
2019-04-01$34.58Not available in this settingRVU19B
2019-01-01$34.58Not available in this settingRVU19A
2018-10-01$33.23Not available in this settingRVU18D
2018-07-01$33.23Not available in this settingRVU18C
2018-04-01$33.23Not available in this settingRVU18B
2018-01-01$33.23Not available in this settingRVU18AR1
2017-10-01$33.01Not available in this settingRVU17D
2017-07-01$33.01Not available in this settingRVU17C
2017-04-01$33.01Not available in this settingRVU17B
2017-01-01$33.01Not available in this settingRVU17A
2016-10-01$32.46Not available in this settingRVU16D
2016-07-01$32.46Not available in this settingRVU16C
2016-04-01$32.46Not available in this settingRVU16B
2016-01-01$32.46Not available in this settingRVU16A
2015-10-01$31.15Not available in this settingRVU15D
2015-07-01$31.15Not available in this settingRVU15C
2015-04-01$30.99Not available in this settingRVU15B
2015-01-01$30.99Not available in this settingRVU15A
2014-10-01$34.29Not available in this settingRVU14D
2014-07-01$34.29Not available in this settingRVU14C
2014-04-01$34.29Not available in this settingRVU14B
2014-01-01$34.29Not available in this settingRVU14A
2013-10-01$34.81Not available in this settingRVU13D
2013-07-01$34.81Not available in this settingRVU13C
2013-04-01$34.81Not available in this settingRVU13B
2013-01-01$34.81Not available in this settingRVU13AR

Price 73562 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

73562 billing questions

How do views map to the knee x-ray codes?

One or two views of a knee report 73560, exactly three views report 73562, and four or more views report 73564. Count distinct documented projections, not repeat exposures of the same projection.

How is a bilateral three-view knee series reported?

Medicare pays each knee separately at 100%. Follow the contractor's claim instructions: modifier 50 on one line with one unit, or RT and LT on separate lines with one unit each.

Is a standing AP of both knees on one film the same as this code?

No. A standing AP image of both knees is described by 73565. When additional views are obtained, count the distinct views documented for each knee without counting the standing AP image twice.

When should modifier 26 or TC be appended?

Append 26 when the physician provides only the interpretation, such as a radiologist reading hospital images. Append TC when the billing entity supplies the equipment and staff but not the interpretation.

Can the ordering physician bill an E/M visit and the knee x-ray on the same day?

A distinct, documented knee-pain visit may be billed with the three-view study. If the x-ray interpretation is separately billed, do not also count it as an independent interpretation in the E/M data.

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 73562PPRRVU2026_Oct_nonQPP.csv, line 8,216 (RVU26D)
Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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