CPT code 73092: Arm X-ray2026 Medicare rate & RVUs

Medicare pays $30.73 for 73092 nationally in the office. Local office rates run $26.92–$41.93.

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

What 73092 covers

This code is for an X-ray examination of an infant’s upper extremity, such as imaging ordered to evaluate a suspected injury or a congenital or developmental concern. A radiologic technologist obtains the images, and a radiologist or other qualified physician interprets them. It is distinct from an examination focused on one named region, such as the humerus, forearm, or elbow.

Select the code when the order and images support an infant arm examination; document the clinical indication, side, anatomy examined, views obtained, and interpretation. A claim without a component modifier represents the global service, including image acquisition and interpretation. Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service, including equipment and staff. When both arms are examined, 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 73092 pays more and less

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

109 of 109 payment localities

73092 rates by state

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

How the 73092 rate is calculated

Each of 73092’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.

Payment rules and modifiers for 73092

The CMS indicators that decide how 73092 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

73092 compared with similar codes

How to choose

73060Humerus X-ray

This code applies to an infant arm examination. Use 73060 when the study is focused on the humerus.

73090Forearm X-ray

This code evaluates the infant’s arm as a whole; 73090 is for a forearm-focused examination.

73070Elbow X-ray

Use 73070 for imaging limited to the elbow, rather than an examination of the infant’s arm as a whole.

73080Elbow X-ray

Use 73080 for a focused elbow examination with a different imaging extent, not a whole-arm infant study.

Codes related to 73092

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates