CPT code 73650: Heel X-ray, calcaneus study2026 Medicare rate & RVUs

Reports radiographic imaging of the heel bone, generally for localized heel pain, suspected calcaneal fracture, or another condition centered on the calcaneus.

CMS RVU26DEffective Oct 1, 2026109 payment localities63.3K Medicare services in 2024

Medicare pays $28.39 for 73650 nationally in the office. Local office rates run $24.91–$38.56.

Medicare rate · 73650

Heel X-ray, calcaneus study

Office or facility?

Work RVUs
0.16
Total RVUs
0.85
Global days
XXX

National rate · 2026

$28.39

Office setting, before claim adjustments.

See every locality for 73650 →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 73650 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 73650 covers

This study images the calcaneus, the heel bone, with at least two radiographic views. It is commonly ordered for focal heel pain, trauma with concern for a calcaneal fracture, or evaluation of a heel abnormality such as a spur. A radiologic technologist typically obtains the images in an office, imaging center, or hospital; a physician interprets them and documents the findings.

Choose this code when the imaging is specifically of the calcaneus, rather than a broader foot or ankle examination. The order and report should identify the heel examined and support the clinical reason for imaging. When one billing entity provides both image acquisition and interpretation, report the global service; use modifier 26 for the interpretation alone or TC for the technical service alone when those components are billed separately. For bilateral studies, CMS 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.

Where 73650 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

$24.91 to $38.56

$24.91$31.73$38.56
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

73650 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$25.30Unavailable
Alaska$32.22Unavailable
Arizona$27.60Unavailable
Arkansas$24.91Unavailable
Atlanta, GA$28.90Unavailable
Austin, TX$29.62Unavailable
Bakersfield, CA$30.38Unavailable
Baltimore area, MD$30.27Unavailable
Beaumont, TX$26.33Unavailable
Brazoria, TX$28.09Unavailable

73650 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.

$24.91

$34.44

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

View every state and territory as a table
73650 office rate range by state
State / territoryOffice rate rangeLocalities
AK$32.221
AL$25.301
AR$24.911
AZ$27.601
CA$30.32–$38.5629
CO$29.741
CT$30.361
DC$32.741
DE$28.081
FL$27.74–$30.333
GA$26.10–$28.902
GU$31.181
HI$31.181
IA$26.091
ID$26.251
IL$26.82–$29.554
IN$26.411
KS$25.911
KY$25.851
LA$25.79–$27.162
MA$29.53–$32.882
MD$28.66–$32.743
ME$26.35–$27.942
MI$26.53–$28.072
MN$28.571
MO$25.29–$27.323
MS$25.111
MT$28.391
NC$26.651
ND$27.991
NE$26.251
NH$29.221
NJ$30.73–$32.352
NM$26.671
NV$28.301
NY$27.07–$33.535
OH$26.451
OK$25.851
OR$28.10–$30.792
PA$26.52–$29.532
PR$28.631
RI$29.161
SC$26.591
SD$27.951
TN$26.051
TX$26.33–$29.628
UT$26.981
VA$27.81–$32.742
VI$28.631
VT$27.841
WA$29.49–$33.622
WI$26.991
WV$25.751
WY$28.221

How the 73650 rate is calculated

Each of 73650’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 · 73650

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.16

0.16 RVUs× 1.000 GPCI

Practice expense0.67

0.67 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

0.8500

Conversion factor

$33.4009

Medicare rate

$28.39

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

Payment rules and modifiers for 73650

The CMS indicators that decide how 73650 is paid alongside other services.

CMS payment indicators · 73650

Heel X-ray, calcaneus study

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

73650 without 26 · national office

$28.39

Heel X-ray, calcaneus study

73650-26 · Professional component

$7.68

Pays only the interpretation and report.

When to use modifier 26

73650 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 73650

    Heel X-ray, calcaneus study0.16 wRVU

    $28.39

  • 73620

    Foot X-ray, two views0.16 wRVU

    $28.72+$0.33

  • 73630

    Foot X-ray, complete, at least three views0.17 wRVU

    $34.07+$5.68

  • 73600

    Ankle X-ray, two views0.16 wRVU

    $32.40+$4.01

How to choose

73620Foot X-rayTwo views
This code is for calcaneus-focused imaging; 73620 is for radiographs of the foot. Select according to the anatomic examination performed.
73630Foot X-rayComplete, at least three views
Use this code for a heel-focused study. Code 73630 describes a complete foot examination, not an isolated calcaneus study.
73600Ankle X-rayTwo views
This code images the calcaneus, while 73600 is for an ankle examination. A heel complaint alone does not make the study an ankle X-ray.

73650 billing questions

When should this code be chosen instead of a foot X-ray?

Use it for imaging centered on the calcaneus. A broader examination of the foot, rather than a heel-focused study, points to a foot radiography code.

How many views are required?

The study requires at least two radiographic views of the calcaneus. The order and imaging documentation should support the heel examination performed.

Can the interpretation and image acquisition be billed separately?

Yes. Modifier 26 identifies the professional interpretation, and TC identifies the technical service; without a component modifier, the claim represents the global service.

How is a bilateral heel study reported for Medicare payment?

CMS pays each side separately at 100% when both heels are examined. The documentation should identify the side or sides imaged.

What documentation supports this code?

Document the clinical indication, that the calcaneus was imaged, the side examined, and the views obtained. The interpreting physician's report should address the heel findings.

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 73650PPRRVU2026_Oct_nonQPP.csv, line 8,249 (RVU26D)

Open CMS sourceHow we calculate rates

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