CPT code 73564: Knee X-ray, four or more views, one knee2026 Medicare rate & RVUs in Queens, NY

Plain radiographs of one knee taken in at least four distinct views, reported for evaluation of arthritis, injury, patellar concerns, or knee replacement position.

CMS RVU26DEffective Oct 1, 2026One payment locality1.8M Medicare services in 2024

In Queens, NY, Medicare pays $57.78 for 73564 in the office.

$57.78Office (non-facility)
Not available in this settingHospital or facility
+16.9%vs the national office rate ($49.43)

Check a contract rate as a % of Medicare · 73564 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 73564 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Queens, NY
  2. What 73564 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 73564 covers

This study obtains four or more distinct radiographic views of one knee. A series may combine AP and lateral views with oblique, tangential patellar, tunnel, or standing weight-bearing views. Orthopedic, sports medicine, and primary care clinicians order these images to evaluate osteoarthritis, fractures, patellar alignment, or knee replacement position. Technologists acquire the images in physician offices, imaging centers, and hospital outpatient departments; a radiologist or treating physician interprets them.

Select the code by counting distinct views obtained of each knee. The imaging record should identify the views or their number; a label such as “complete knee” alone does not establish the count. One or two views are reported with 73560, and three with 73562. Modifier 26 identifies the separately billed interpretation and report, while modifier TC identifies the separately billed imaging equipment, staff, and supplies. Billing without either modifier represents the global service. When four or more views are obtained of both knees, count and report each knee separately; CMS pays each side at 100% when performed bilaterally.

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 Queens, NY compares for 73564

Across 109 of 109 payment localities, the office rate for 73564 runs from $43.22 in Arkansas to $68.35 in San Benito County, CA. Queens, NY pays $57.78. The RVUs are the same everywhere; the geographic indexes change the dollars.

73564 in Queens, NY vs other payment areas
  1. Queens, NY · this page$57.78
  2. Manhattan, NY · New York$57.04−$0.74
  3. NYC suburbs and Long Island, NY · New York$58.35+$0.57
  4. Rest of New York · New York$47.15−$10.63
  5. Los Angeles, CA · California$57.14−$0.64
  6. Washington, DC area · District of Columbia$57.32−$0.46

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

Every other payment area

73564 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$52.17—
Chicago, ILIllinois$50.56—
AlaskaAlaska$55.35—
AlabamaAlabama$43.92—
ArkansasArkansas$43.22—
ArizonaArizona$48.04—
Bakersfield, CACalifornia$53.31—
Chico, CACalifornia$53.25—

73564 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.

$43.22

$60.80

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

View every state and territory as a table
73564 office rate range by state
State / territoryOffice rate rangeLocalities
AK$55.351
AL$43.921
AR$43.221
AZ$48.041
CA$53.25–$68.3529
CO$52.041
CT$52.931
DC$57.321
DE$48.901
FL$47.93–$52.173
GA$45.05–$50.262
GU$54.871
HI$54.871
IA$45.481
ID$45.741
IL$46.18–$51.134
IN$46.041
KS$45.091
KY$44.741
LA$44.60–$47.062
MA$51.62–$57.752
MD$49.95–$57.323
ME$45.84–$48.812
MI$45.89–$48.432
MN$50.171
MO$43.65–$47.433
MS$43.461
MT$49.431
NC$46.391
ND$49.041
NE$45.801
NH$51.061
NJ$53.62–$56.602
NM$46.101
NV$49.361
NY$47.15–$58.355
OH$45.811
OK$44.821
OR$49.07–$54.012
PA$45.97–$51.402
PR$49.881
RI$50.871
SC$46.161
SD$48.991
TN$45.321
TX$45.63–$51.798
UT$46.861
VA$48.53–$57.322
VI$49.881
VT$48.691
WA$51.58–$59.142
WI$47.221
WV$44.251
WY$49.261

See 73564 in every payment locality

How the 73564 rate is calculated

Each of 73564’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 · 73564

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.21

0.21 RVUs× 1.000 GPCI

Practice expense1.25

1.25 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

1.4800

Conversion factor

$33.4009

Medicare rate

$49.43

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

The exact Queens, NY inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,219

Code
73564
Physician work
0.21
Practice expense
1.25
Malpractice
0.02

GPCI2026.csv

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 73564 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work0.21× 1.0640.2234
Practice expense1.25× 1.1821.4775
Malpractice0.02× 1.4420.0288
Total RVUs1.7298
Conversion factor× 33.4009

Office rate, Queens, NY$57.78

Office: (0.21 × 1.064 + 1.25 × 1.182 + 0.02 × 1.442) × $33.4009 = $57.78

Open 73564 in the RVU calculator

Payment rules and modifiers for 73564

The CMS indicators that decide how 73564 is paid alongside other services.

CMS payment indicators · 73564

Knee X-ray, four or more 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

73564 without 26 · national office

$49.43

Knee X-ray, four or more views, one knee

73564-26 · Professional component

$11.02

Pays only the interpretation and report.

When to use modifier 26

How 73564 has changed in Queens, NY

73564 · Office / nonfacility

$57.78

Effective 2026-10-01

The base rate is $3.64 higher than on 2025-10-01, moving from $54.14 to $57.78 (6.7%).

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

    $54.14changed to$57.78

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.22 changed to 0.21
    • Practice expense RVU 1.18 changed to 1.25
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $55.71changed to$54.14

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $54.80changed to$55.71

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $56.95changed to$54.80

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.16 changed to 1.18
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462
  5. January 1, 2023

    RVU23A

    $58.33changed to$56.95

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.14 changed to 1.16
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $57.10changed to$58.33

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.10 changed to 1.14

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $53.47changed to$57.10

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.99 changed to 1.10
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $50.09changed to$53.47

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.93 changed to 0.99
    • Work GPCI 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $47.87changed to$50.09

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.88 changed to 0.93

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $47.75changed to$47.87

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $46.77changed to$47.75

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.86 changed to 0.88
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $48.50changed to$46.77

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.04 changed to 0.02

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $48.26changed to$48.50

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $52.98changed to$48.26

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.98 changed to 0.86
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $53.89changed to$52.98

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.08 changed to 0.98
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $53.89

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$57.78Not available in this settingRVU26D
2026-07-01$57.78Not available in this settingRVU26C
2026-04-01$57.78Not available in this settingRVU26B
2026-01-01$57.78Not available in this settingRVU26A
2025-10-01$54.14Not available in this settingRVU25D
2025-07-01$54.14Not available in this settingRVU25C
2025-04-01$54.14Not available in this settingRVU25B
2025-01-01$54.14Not available in this settingRVU25A
2024-10-01$55.71Not available in this settingRVU24D
2024-07-01$55.71Not available in this settingRVU24C
2024-04-01$55.71Not available in this settingRVU24B
2024-03-09$55.71Not available in this settingRVU24AR
2024-01-01$54.80Not available in this settingRVU24A
2023-10-01$56.95Not available in this settingRVU23D
2023-07-01$56.95Not available in this settingRVU23C
2023-04-01$56.95Not available in this settingRVU23B
2023-01-01$56.95Not available in this settingRVU23A
2022-10-01$58.33Not available in this settingRVU22D
2022-07-01$58.33Not available in this settingRVU22C
2022-04-01$58.33Not available in this settingRVU22B
2022-01-01$58.33Not available in this settingRVU22A
2021-10-01$57.10Not available in this settingRVU21D
2021-07-01$57.10Not available in this settingRVU21C
2021-04-01$57.10Not available in this settingRVU21B
2021-01-01$57.10Not available in this settingRVU21A
2020-10-01$53.47Not available in this settingRVU20D
2020-07-01$53.47Not available in this settingRVU20C
2020-04-01$53.47Not available in this settingRVU20B
2020-01-01$53.47Not available in this settingRVU20A
2019-10-01$50.09Not available in this settingRVU19D
2019-07-01$50.09Not available in this settingRVU19C
2019-04-01$50.09Not available in this settingRVU19B
2019-01-01$50.09Not available in this settingRVU19A
2018-10-01$47.87Not available in this settingRVU18D
2018-07-01$47.87Not available in this settingRVU18C
2018-04-01$47.87Not available in this settingRVU18B
2018-01-01$47.87Not available in this settingRVU18AR1
2017-10-01$47.75Not available in this settingRVU17D
2017-07-01$47.75Not available in this settingRVU17C
2017-04-01$47.75Not available in this settingRVU17B
2017-01-01$47.75Not available in this settingRVU17A
2016-10-01$46.77Not available in this settingRVU16D
2016-07-01$46.77Not available in this settingRVU16C
2016-04-01$46.77Not available in this settingRVU16B
2016-01-01$46.77Not available in this settingRVU16A
2015-10-01$48.50Not available in this settingRVU15D
2015-07-01$48.50Not available in this settingRVU15C
2015-04-01$48.26Not available in this settingRVU15B
2015-01-01$48.26Not available in this settingRVU15A
2014-10-01$52.98Not available in this settingRVU14D
2014-07-01$52.98Not available in this settingRVU14C
2014-04-01$52.98Not available in this settingRVU14B
2014-01-01$52.98Not available in this settingRVU14A
2013-10-01$53.89Not available in this settingRVU13D
2013-07-01$53.89Not available in this settingRVU13C
2013-04-01$53.89Not available in this settingRVU13B
2013-01-01$53.89Not available in this settingRVU13AR

Price 73564 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

73564 billing questions

How are views counted to choose this code over 73562?

Count distinct projections of the same knee documented in the imaging record. Three views support 73562, and four or more support 73564; repeat images of the same projection do not add a view.

How is this reported when both knees get four or more views?

Document the view count for each knee and report the bilateral service with side-specific claim information. CMS pays each side separately at 100%.

When should modifier 26 or TC be appended?

Use 26 for a separately billed interpretation and report, such as a physician reading images acquired by a hospital outpatient department. Use TC for separately billed image acquisition; bill globally when the billing entity furnishes both components.

Is a bilateral standing AP view the same as this code?

No. Code 73565 describes standing AP imaging of both knees. Code 73564 requires at least four distinct views of each knee reported.

Can a treating orthopedist bill the interpretation?

Yes, if the orthopedist interprets the knee images and documents a report. Modifier 26 identifies that professional component when another entity furnishes the imaging.

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 73564PPRRVU2026_Oct_nonQPP.csv, line 8,219 (RVU26D)
Geographic factors for Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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