$27.49–$42.89
73590 is for imaging focused on the lower leg. Choose 73592 for the infant lower-extremity examination rather than a localized tibia-and-fibula study.
On this page
CMS RVU26D · Effective 2026-10-01
73592 Lower-extremity X-ray Medicare reimbursement rates
Reports radiographs of an infant's lower extremity in at least two views to evaluate bone injury, alignment, or a suspected developmental abnormality. Compare 73592 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 73592?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$26.92–$41.93
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $15.01 per service.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 73592 pays more and less
109 payment localities
$26.92 to $41.93
Radiology
About 73592: Infant lower-extremity radiographic examination
Reports radiographs of an infant's lower extremity in at least two views to evaluate bone injury, alignment, or a suspected developmental abnormality.
This service covers an X-ray examination of an infant's lower extremity using at least two views. A radiologic technologist obtains the images, and a physician, commonly a radiologist, interprets them. The study may be ordered for suspected injury, abnormal limb alignment, or a congenital or developmental bone concern. It is distinct from imaging directed only at a specific bone or joint when that narrower examination is performed.
Report the code when the documented examination matches the infant lower-extremity service and includes the required views. The order and imaging record should support the body area examined, the infant patient, and the views obtained. CMS recognizes separately priced professional and technical components: report modifier 26 for the interpretation, modifier TC for the equipment and staff, or neither modifier for the global service. When both sides are imaged, CMS pays each side separately at 100%.
CMS billing rules for 73592
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Bilateral procedures
- Each side is paid separately at 100% when performed bilaterally.
Where the value comes from
- Work RVU0.16 · 17%
- Practice expense (office) RVU0.74 · 80%
- Malpractice RVU0.02 · 2%
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.
73592 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$25.77–$40.00
73551 describes a one-view femur examination. It is not the infant lower-extremity study represented by 73592.
$31.32–$48.93
73552 describes a femur examination with two or more views. Choose by the imaged body area and scope, not view count alone.
$29.60–$46.04
73501 is a one-view unilateral hip examination. Use it for focused hip imaging, rather than an infant lower-extremity examination.
See how rates vary across the country
73592 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$26.92
$37.41
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $34.71 | 1 |
| AL | $27.35 | 1 |
| AR | $26.92 | 1 |
| AZ | $29.87 | 1 |
| CA | $32.88–$41.93 | 29 |
| CO | $32.23 | 1 |
| CT | $32.88 | 1 |
| DC | $35.49 | 1 |
| DE | $30.39 | 1 |
| FL | $29.98–$32.76 | 3 |
| GA | $28.19–$31.27 | 2 |
| GU | $33.83 | 1 |
| HI | $33.83 | 1 |
| IA | $28.23 | 1 |
| ID | $28.40 | 1 |
| IL | $28.95–$31.95 | 4 |
| IN | $28.58 | 1 |
| KS | $28.02 | 1 |
| KY | $27.93 | 1 |
| LA | $27.86–$29.36 | 2 |
| MA | $31.99–$35.67 | 2 |
| MD | $31.02–$35.49 | 3 |
| ME | $28.50–$30.26 | 2 |
| MI | $28.66–$30.32 | 2 |
| MN | $30.98 | 1 |
| MO | $27.30–$29.54 | 3 |
| MS | $27.12 | 1 |
| MT | $30.73 | 1 |
| NC | $28.83 | 1 |
| ND | $30.33 | 1 |
| NE | $28.41 | 1 |
| NH | $31.66 | 1 |
| NJ | $33.28–$35.07 | 2 |
| NM | $28.81 | 1 |
| NV | $30.64 | 1 |
| NY | $29.29–$36.31 | 5 |
| OH | $28.58 | 1 |
| OK | $27.94 | 1 |
| OR | $30.43–$33.39 | 2 |
| PA | $28.67–$31.97 | 2 |
| PR | $30.99 | 1 |
| RI | $31.57 | 1 |
| SC | $28.75 | 1 |
| SD | $30.29 | 1 |
| TN | $28.17 | 1 |
| TX | $28.46–$32.10 | 8 |
| UT | $29.18 | 1 |
| VA | $30.11–$35.49 | 2 |
| VI | $30.99 | 1 |
| VT | $30.15 | 1 |
| WA | $31.95–$36.48 | 2 |
| WI | $29.23 | 1 |
| WV | $27.78 | 1 |
| WY | $30.56 | 1 |
Compare 73592 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $27.35 | Facility Unavailable |
| Alaska* | Office $34.71 | Facility Unavailable |
| Arizona | Office $29.87 | Facility Unavailable |
| Arkansas | Office $26.92 | Facility Unavailable |
| Atlanta | Office $31.27 | Facility Unavailable |
| Austin | Office $32.10 | Facility Unavailable |
| Bakersfield | Office $32.94 | Facility Unavailable |
| Baltimore/Surr. Cntys | Office $32.78 | Facility Unavailable |
| Beaumont | Office $28.46 | Facility Unavailable |
| Brazoria | Office $30.40 | Facility Unavailable |
| Chicago | Office $31.75 | Facility Unavailable |
| Chico | Office $32.88 | Facility Unavailable |
| Colorado | Office $32.23 | Facility Unavailable |
| Connecticut | Office $32.88 | Facility Unavailable |
| Dallas | Office $30.58 | Facility Unavailable |
| Dc + Md/Va Suburbs | Office $35.49 | Facility Unavailable |
| Delaware | Office $30.39 | Facility Unavailable |
| Detroit | Office $30.32 | Facility Unavailable |
| East St. Louis | Office $29.43 | Facility Unavailable |
| El Centro | Office $32.89 | Facility Unavailable |
| Fort Lauderdale | Office $31.59 | Facility Unavailable |
| Fort Worth | Office $30.34 | Facility Unavailable |
| Fresno | Office $32.88 | Facility Unavailable |
| Galveston | Office $30.48 | Facility Unavailable |
| Hanford-Corcoran | Office $32.88 | Facility Unavailable |
| Hawaii, Guam | Office $33.83 | Facility Unavailable |
| Houston | Office $30.85 | Facility Unavailable |
| Idaho | Office $28.40 | Facility Unavailable |
| Indiana | Office $28.58 | Facility Unavailable |
| Iowa | Office $28.23 | Facility Unavailable |
| Kansas | Office $28.02 | Facility Unavailable |
| Kentucky | Office $27.93 | Facility Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $35.25 | Facility Unavailable |
| Madera | Office $32.88 | Facility Unavailable |
| Manhattan | Office $35.47 | Facility Unavailable |
| Merced | Office $32.88 | Facility Unavailable |
| Metropolitan Boston | Office $35.67 | Facility Unavailable |
| Metropolitan Kansas City | Office $29.21 | Facility Unavailable |
| Metropolitan Philadelphia | Office $31.97 | Facility Unavailable |
| Metropolitan St. Louis | Office $29.54 | Facility Unavailable |
| Miami | Office $32.76 | Facility Unavailable |
| Minnesota | Office $30.98 | Facility Unavailable |
| Mississippi | Office $27.12 | Facility Unavailable |
| Modesto | Office $32.88 | Facility Unavailable |
| Montana** | Office $30.73 | Facility Unavailable |
| Napa | Office $38.60 | Facility Unavailable |
| Nebraska | Office $28.41 | Facility Unavailable |
| Nevada** | Office $30.64 | Facility Unavailable |
| New Hampshire | Office $31.66 | Facility Unavailable |
| New Mexico | Office $28.81 | Facility Unavailable |
| New Orleans | Office $29.36 | Facility Unavailable |
| North Carolina | Office $28.83 | Facility Unavailable |
| North Dakota** | Office $30.33 | Facility Unavailable |
| Northern Nj | Office $35.07 | Facility Unavailable |
| Nyc Suburbs/Long Island | Office $36.31 | Facility Unavailable |
| Ohio | Office $28.58 | Facility Unavailable |
| Oklahoma | Office $27.94 | Facility Unavailable |
| Oxnard-Thousand Oaks-Ventura | Office $35.13 | Facility Unavailable |
| Portland | Office $33.39 | Facility Unavailable |
| Poughkpsie/N Nyc Suburbs | Office $33.46 | Facility Unavailable |
| Puerto Rico | Office $30.99 | Facility Unavailable |
| Queens | Office $35.86 | Facility Unavailable |
| Redding | Office $32.88 | Facility Unavailable |
| Rest Of California | Office $32.88 | Facility Unavailable |
| Rest Of Florida | Office $29.98 | Facility Unavailable |
| Rest Of Georgia | Office $28.19 | Facility Unavailable |
| Rest Of Illinois | Office $28.95 | Facility Unavailable |
| Rest Of Louisiana | Office $27.86 | Facility Unavailable |
| Rest Of Maine | Office $28.50 | Facility Unavailable |
| Rest Of Maryland | Office $31.02 | Facility Unavailable |
| Rest Of Massachusetts | Office $31.99 | Facility Unavailable |
| Rest Of Michigan | Office $28.66 | Facility Unavailable |
| Rest Of Missouri | Office $27.30 | Facility Unavailable |
| Rest Of New Jersey | Office $33.28 | Facility Unavailable |
| Rest Of New York | Office $29.29 | Facility Unavailable |
| Rest Of Oregon | Office $30.43 | Facility Unavailable |
| Rest Of Pennsylvania | Office $28.67 | Facility Unavailable |
| Rest Of Texas | Office $29.40 | Facility Unavailable |
| Rest Of Washington | Office $31.95 | Facility Unavailable |
| Rhode Island | Office $31.57 | Facility Unavailable |
| Riverside-San Bernardino-Ontario | Office $33.10 | Facility Unavailable |
| Sacramento-Roseville-Folsom | Office $34.64 | Facility Unavailable |
| Salinas | Office $34.51 | Facility Unavailable |
| San Diego-Chula Vista-Carlsbad | Office $35.43 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $41.01 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $40.99 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $41.93 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $41.84 | Facility Unavailable |
| San Luis Obispo-Paso Robles | Office $33.95 | Facility Unavailable |
| Santa Cruz-Watsonville | Office $35.85 | Facility Unavailable |
| Santa Maria-Santa Barbara | Office $34.67 | Facility Unavailable |
| Santa Rosa-Petaluma | Office $36.21 | Facility Unavailable |
| Seattle (King Cnty) | Office $36.48 | Facility Unavailable |
| South Carolina | Office $28.75 | Facility Unavailable |
| South Dakota** | Office $30.29 | Facility Unavailable |
| Southern Maine | Office $30.26 | Facility Unavailable |
| Stockton | Office $32.88 | Facility Unavailable |
| Suburban Chicago | Office $31.95 | Facility Unavailable |
| Tennessee | Office $28.17 | Facility Unavailable |
| Utah | Office $29.18 | Facility Unavailable |
| Vallejo | Office $38.56 | Facility Unavailable |
| Vermont | Office $30.15 | Facility Unavailable |
| Virgin Islands | Office $30.99 | Facility Unavailable |
| Virginia | Office $30.11 | Facility Unavailable |
| Visalia | Office $32.88 | Facility Unavailable |
| West Virginia | Office $27.78 | Facility Unavailable |
| Wisconsin | Office $29.23 | Facility Unavailable |
| Wyoming** | Office $30.56 | Facility Unavailable |
| Yuba City | Office $32.88 | Facility Unavailable |
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73592 billing questions
How many views support this code?
The examination is for at least two views. Keep the imaging record showing the views obtained.
When should modifier 26 or TC be used?
Use modifier 26 for the professional interpretation and modifier TC for the technical service. Report the global service without either modifier when one billing entity provides both.
How is bilateral imaging handled?
CMS pays each side separately at 100% when both sides are examined. Document the side or sides imaged.
Should this code be used for a focused tibia and fibula study?
Use 73590 for an examination focused on the lower leg. This code is for the infant lower-extremity examination rather than a localized tibia-and-fibula study.
How does this differ from a femur X-ray?
Use 73551 or 73552 when the imaging is directed to the femur; those codes distinguish one view from two or more views. Select this code for the infant lower-extremity examination.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
8,22873590,,X-ray exam of lower leg,A,,0.16,0.76,,0.76,NA,0.02,0.94,0.94,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,2.68,2.68,0.05
8,22973590,26,X-ray exam of lower leg,A,,0.16,0.06,,0.06,,0.01,0.23,0.23,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,23073590,TC,X-ray exam of lower leg,A,,0.00,0.70,,0.70,NA,0.01,0.71,0.71,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,01,0,99,2.62,2.62,0.04
8,23173592,,X-ray exam of leg infant,A,,0.16,0.74,,0.74,NA,0.02,0.92,0.92,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,2.68,2.68,0.05
8,23273592,26,X-ray exam of leg infant,A,,0.16,0.06,,0.06,,0.01,0.23,0.23,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,23373592,TC,X-ray exam of leg infant,A,,0.00,0.68,,0.68,NA,0.01,0.69,0.69,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,01,0,99,2.62,2.62,0.04
8,23473600,,X-ray exam of ankle,A,,0.16,0.79,,0.79,NA,0.02,0.97,0.97,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,2.70,2.70,0.05