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CMS RVU26D · Effective 2026-10-01

73590 in Chico

Office / nonfacility

$33.61

Base rate per service

Facility setting

Not available in this setting

Base rate per service

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.

Radiology

About 73590: Tibia and fibula radiograph, two views

Reports a two-view X-ray examination of the tibia and fibula, commonly obtained to evaluate lower-leg pain, injury, or suspected fracture.

This code represents a two-view radiographic examination of the tibia and fibula in the lower leg. It is commonly ordered for pain or trauma, including suspected fractures, deformity, or assessment of bone healing. A radiologic technologist obtains the images in settings such as an imaging center, physician office, or hospital; a radiologist or other qualified physician interprets them.

Select the code when the study images the tibia and fibula and includes two views. The order and report should support the body part, side examined, and imaging performed. The global service includes image acquisition and interpretation. When those portions are billed separately, modifier 26 identifies the professional interpretation and modifier TC identifies the technical service, including equipment and staff. For bilateral examinations, each side is paid separately at 100%; report the sides separately using the applicable laterality conventions.

CMS billing rules for 73590

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) RVU0.76 · 81%
  • Malpractice RVU0.02 · 2%

464.4K

Medicare services in 2024 · #237 by national volume

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.

73590 compared with similar codes

Office rates for Chico, from the same CMS release.

73592

Lower-extremity X-ray

Infant, two views

$32.88

This code is for a two-view tibia and fibula examination; 73592 is the lower-leg radiography code designated for an infant.

73551

Femur X-ray

One view

$31.42

73551 describes a one-view femur examination. Choose this code when the images instead cover the tibia and fibula.

73562

Knee X-ray

Three views, one knee

$45.64

73562 is for a three-view knee examination. This code is for a two-view tibia and fibula study.

The same code, a different location

How does Chico compare?

In Bakersfield, the office rate for 73590 is $33.67—$0.06 higher than the $33.61 rate in Chico. Both use the same code, release and participation basis.

73590 across payment areas

Same release and payment basis · bars start at $0

  1. Chico · This locality

    $33.61

  2. Bakersfield

    $33.67

    $0.06 higher than Chico

  3. El Centro

    $33.62

    $0.01 higher than Chico

  4. Fresno

    $33.61

    The same base rate than Chico

  5. Hanford-Corcoran

    $33.61

    The same base rate than Chico

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $36.04

    $2.43 higher than Chico

  7. Madera

    $33.61

    The same base rate than Chico

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 73590 ranges from $27.49 in Arkansas to $42.89 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Merced

    California · 73590

    Office

    $33.61

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Modesto

    California · 73590

    Office

    $33.61

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Napa

    California · 73590

    Office

    $39.48

    Facility

    Unavailable

    $5.87 higher than Chico for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 73590

    Office

    $35.91

    Facility

    Unavailable

    $2.30 higher than Chico for the office setting.

  • Redding

    California · 73590

    Office

    $33.61

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Rest Of California

    California · 73590

    Office

    $33.61

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 73590

    Office

    $33.83

    Facility

    Unavailable

    $0.22 higher than Chico for the office setting.

  • Sacramento-Roseville-Folsom

    California · 73590

    Office

    $35.42

    Facility

    Unavailable

    $1.81 higher than Chico for the office setting.

  • Salinas

    California · 73590

    Office

    $35.29

    Facility

    Unavailable

    $1.68 higher than Chico for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 73590

    Office

    $36.23

    Facility

    Unavailable

    $2.62 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 73590

    Office

    $41.95

    Facility

    Unavailable

    $8.34 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 73590

    Office

    $41.93

    Facility

    Unavailable

    $8.32 higher than Chico for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 73590

    Office

    $42.89

    Facility

    Unavailable

    $9.28 higher than Chico for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 73590

    Office

    $42.80

    Facility

    Unavailable

    $9.19 higher than Chico for the office setting.

  • San Luis Obispo-Paso Robles

    California · 73590

    Office

    $34.71

    Facility

    Unavailable

    $1.10 higher than Chico for the office setting.

  • Santa Cruz-Watsonville

    California · 73590

    Office

    $36.66

    Facility

    Unavailable

    $3.05 higher than Chico for the office setting.

  • Santa Maria-Santa Barbara

    California · 73590

    Office

    $35.45

    Facility

    Unavailable

    $1.84 higher than Chico for the office setting.

  • Santa Rosa-Petaluma

    California · 73590

    Office

    $37.03

    Facility

    Unavailable

    $3.42 higher than Chico for the office setting.

  • Stockton

    California · 73590

    Office

    $33.61

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Vallejo

    California · 73590

    Office

    $39.44

    Facility

    Unavailable

    $5.83 higher than Chico for the office setting.

  • Visalia

    California · 73590

    Office

    $33.61

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Yuba City

    California · 73590

    Office

    $33.61

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 73590

    Office

    $36.28

    Facility

    Unavailable

    $2.67 higher than Chico for the office setting.

  • Miami

    Florida · 73590

    Office

    $33.46

    Facility

    Unavailable

    $0.15 lower than Chico for the office setting.

  • Chicago

    Illinois · 73590

    Office

    $32.43

    Facility

    Unavailable

    $1.18 lower than Chico for the office setting.

  • Manhattan

    New York · 73590

    Office

    $36.24

    Facility

    Unavailable

    $2.63 higher than Chico for the office setting.

  • Alaska*

    Alaska · 73590

    Office

    $35.42

    Facility

    Unavailable

    $1.81 higher than Chico for the office setting.

  • Alabama

    Alabama · 73590

    Office

    $27.93

    Facility

    Unavailable

    $5.68 lower than Chico for the office setting.

  • Arkansas

    Arkansas · 73590

    Office

    $27.49

    Facility

    Unavailable

    $6.12 lower than Chico for the office setting.

  • Arizona

    Arizona · 73590

    Office

    $30.51

    Facility

    Unavailable

    $3.10 lower than Chico for the office setting.

  • Colorado

    Colorado · 73590

    Office

    $32.94

    Facility

    Unavailable

    $0.67 lower than Chico for the office setting.

  • Connecticut

    Connecticut · 73590

    Office

    $33.60

    Facility

    Unavailable

    $0.01 lower than Chico for the office setting.

  • Delaware

    Delaware · 73590

    Office

    $31.05

    Facility

    Unavailable

    $2.56 lower than Chico for the office setting.

  • Fort Lauderdale

    Florida · 73590

    Office

    $32.27

    Facility

    Unavailable

    $1.34 lower than Chico for the office setting.

  • Rest Of Florida

    Florida · 73590

    Office

    $30.62

    Facility

    Unavailable

    $2.99 lower than Chico for the office setting.

  • Atlanta

    Georgia · 73590

    Office

    $31.95

    Facility

    Unavailable

    $1.66 lower than Chico for the office setting.

  • Rest Of Georgia

    Georgia · 73590

    Office

    $28.78

    Facility

    Unavailable

    $4.83 lower than Chico for the office setting.

  • Hawaii, Guam

    Hawaii · 73590

    Office

    $34.59

    Facility

    Unavailable

    $0.98 higher than Chico for the office setting.

  • Iowa

    Iowa · 73590

    Office

    $28.84

    Facility

    Unavailable

    $4.77 lower than Chico for the office setting.

  • Idaho

    Idaho · 73590

    Office

    $29.01

    Facility

    Unavailable

    $4.60 lower than Chico for the office setting.

  • East St. Louis

    Illinois · 73590

    Office

    $30.04

    Facility

    Unavailable

    $3.57 lower than Chico for the office setting.

  • Rest Of Illinois

    Illinois · 73590

    Office

    $29.56

    Facility

    Unavailable

    $4.05 lower than Chico for the office setting.

  • Suburban Chicago

    Illinois · 73590

    Office

    $32.64

    Facility

    Unavailable

    $0.97 lower than Chico for the office setting.

  • Indiana

    Indiana · 73590

    Office

    $29.20

    Facility

    Unavailable

    $4.41 lower than Chico for the office setting.

  • Kansas

    Kansas · 73590

    Office

    $28.63

    Facility

    Unavailable

    $4.98 lower than Chico for the office setting.

  • Kentucky

    Kentucky · 73590

    Office

    $28.52

    Facility

    Unavailable

    $5.09 lower than Chico for the office setting.

  • New Orleans

    Louisiana · 73590

    Office

    $29.99

    Facility

    Unavailable

    $3.62 lower than Chico for the office setting.

  • Rest Of Louisiana

    Louisiana · 73590

    Office

    $28.45

    Facility

    Unavailable

    $5.16 lower than Chico for the office setting.

  • Metropolitan Boston

    Massachusetts · 73590

    Office

    $36.47

    Facility

    Unavailable

    $2.86 higher than Chico for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 73590

    Office

    $32.69

    Facility

    Unavailable

    $0.92 lower than Chico for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 73590

    Office

    $33.49

    Facility

    Unavailable

    $0.12 lower than Chico for the office setting.

  • Rest Of Maryland

    Maryland · 73590

    Office

    $31.70

    Facility

    Unavailable

    $1.91 lower than Chico for the office setting.

  • Rest Of Maine

    Maine · 73590

    Office

    $29.11

    Facility

    Unavailable

    $4.50 lower than Chico for the office setting.

  • Southern Maine

    Maine · 73590

    Office

    $30.92

    Facility

    Unavailable

    $2.69 lower than Chico for the office setting.

  • Detroit

    Michigan · 73590

    Office

    $30.97

    Facility

    Unavailable

    $2.64 lower than Chico for the office setting.

  • Rest Of Michigan

    Michigan · 73590

    Office

    $29.27

    Facility

    Unavailable

    $4.34 lower than Chico for the office setting.

  • Minnesota

    Minnesota · 73590

    Office

    $31.66

    Facility

    Unavailable

    $1.95 lower than Chico for the office setting.

  • Metropolitan Kansas City

    Missouri · 73590

    Office

    $29.83

    Facility

    Unavailable

    $3.78 lower than Chico for the office setting.

  • Metropolitan St. Louis

    Missouri · 73590

    Office

    $30.18

    Facility

    Unavailable

    $3.43 lower than Chico for the office setting.

  • Rest Of Missouri

    Missouri · 73590

    Office

    $27.88

    Facility

    Unavailable

    $5.73 lower than Chico for the office setting.

  • Mississippi

    Mississippi · 73590

    Office

    $27.69

    Facility

    Unavailable

    $5.92 lower than Chico for the office setting.

  • Montana**

    Montana · 73590

    Office

    $31.40

    Facility

    Unavailable

    $2.21 lower than Chico for the office setting.

  • North Carolina

    North Carolina · 73590

    Office

    $29.45

    Facility

    Unavailable

    $4.16 lower than Chico for the office setting.

  • North Dakota**

    North Dakota · 73590

    Office

    $31.00

    Facility

    Unavailable

    $2.61 lower than Chico for the office setting.

  • Nebraska

    Nebraska · 73590

    Office

    $29.03

    Facility

    Unavailable

    $4.58 lower than Chico for the office setting.

  • New Hampshire

    New Hampshire · 73590

    Office

    $32.35

    Facility

    Unavailable

    $1.26 lower than Chico for the office setting.

  • Northern Nj

    New Jersey · 73590

    Office

    $35.84

    Facility

    Unavailable

    $2.23 higher than Chico for the office setting.

  • Rest Of New Jersey

    New Jersey · 73590

    Office

    $34.01

    Facility

    Unavailable

    $0.40 higher than Chico for the office setting.

  • New Mexico

    New Mexico · 73590

    Office

    $29.42

    Facility

    Unavailable

    $4.19 lower than Chico for the office setting.

  • Nevada**

    Nevada · 73590

    Office

    $31.31

    Facility

    Unavailable

    $2.30 lower than Chico for the office setting.

  • Nyc Suburbs/Long Island

    New York · 73590

    Office

    $37.11

    Facility

    Unavailable

    $3.50 higher than Chico for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 73590

    Office

    $34.19

    Facility

    Unavailable

    $0.58 higher than Chico for the office setting.

  • Queens

    New York · 73590

    Office

    $36.65

    Facility

    Unavailable

    $3.04 higher than Chico for the office setting.

  • Rest Of New York

    New York · 73590

    Office

    $29.93

    Facility

    Unavailable

    $3.68 lower than Chico for the office setting.

  • Ohio

    Ohio · 73590

    Office

    $29.19

    Facility

    Unavailable

    $4.42 lower than Chico for the office setting.

  • Oklahoma

    Oklahoma · 73590

    Office

    $28.53

    Facility

    Unavailable

    $5.08 lower than Chico for the office setting.

  • Portland

    Oregon · 73590

    Office

    $34.13

    Facility

    Unavailable

    $0.52 higher than Chico for the office setting.

  • Rest Of Oregon

    Oregon · 73590

    Office

    $31.10

    Facility

    Unavailable

    $2.51 lower than Chico for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 73590

    Office

    $32.66

    Facility

    Unavailable

    $0.95 lower than Chico for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 73590

    Office

    $29.28

    Facility

    Unavailable

    $4.33 lower than Chico for the office setting.

  • Puerto Rico

    Puerto Rico · 73590

    Office

    $31.67

    Facility

    Unavailable

    $1.94 lower than Chico for the office setting.

  • Rhode Island

    Rhode Island · 73590

    Office

    $32.26

    Facility

    Unavailable

    $1.35 lower than Chico for the office setting.

  • South Carolina

    South Carolina · 73590

    Office

    $29.37

    Facility

    Unavailable

    $4.24 lower than Chico for the office setting.

  • South Dakota**

    South Dakota · 73590

    Office

    $30.95

    Facility

    Unavailable

    $2.66 lower than Chico for the office setting.

  • Tennessee

    Tennessee · 73590

    Office

    $28.78

    Facility

    Unavailable

    $4.83 lower than Chico for the office setting.

  • Austin

    Texas · 73590

    Office

    $32.80

    Facility

    Unavailable

    $0.81 lower than Chico for the office setting.

  • Beaumont

    Texas · 73590

    Office

    $29.06

    Facility

    Unavailable

    $4.55 lower than Chico for the office setting.

  • Brazoria

    Texas · 73590

    Office

    $31.06

    Facility

    Unavailable

    $2.55 lower than Chico for the office setting.

  • Dallas

    Texas · 73590

    Office

    $31.25

    Facility

    Unavailable

    $2.36 lower than Chico for the office setting.

  • Fort Worth

    Texas · 73590

    Office

    $31.00

    Facility

    Unavailable

    $2.61 lower than Chico for the office setting.

  • Galveston

    Texas · 73590

    Office

    $31.15

    Facility

    Unavailable

    $2.46 lower than Chico for the office setting.

  • Houston

    Texas · 73590

    Office

    $31.51

    Facility

    Unavailable

    $2.10 lower than Chico for the office setting.

  • Rest Of Texas

    Texas · 73590

    Office

    $30.04

    Facility

    Unavailable

    $3.57 lower than Chico for the office setting.

  • Utah

    Utah · 73590

    Office

    $29.81

    Facility

    Unavailable

    $3.80 lower than Chico for the office setting.

  • Virginia

    Virginia · 73590

    Office

    $30.77

    Facility

    Unavailable

    $2.84 lower than Chico for the office setting.

  • Virgin Islands

    United States Virgin Islands · 73590

    Office

    $31.67

    Facility

    Unavailable

    $1.94 lower than Chico for the office setting.

  • Vermont

    Vermont · 73590

    Office

    $30.81

    Facility

    Unavailable

    $2.80 lower than Chico for the office setting.

  • Rest Of Washington

    Washington · 73590

    Office

    $32.65

    Facility

    Unavailable

    $0.96 lower than Chico for the office setting.

  • Seattle (King Cnty)

    Washington · 73590

    Office

    $37.30

    Facility

    Unavailable

    $3.69 higher than Chico for the office setting.

  • Wisconsin

    Wisconsin · 73590

    Office

    $29.87

    Facility

    Unavailable

    $3.74 lower than Chico for the office setting.

  • West Virginia

    West Virginia · 73590

    Office

    $28.36

    Facility

    Unavailable

    $5.25 lower than Chico for the office setting.

  • Wyoming**

    Wyoming · 73590

    Office

    $31.22

    Facility

    Unavailable

    $2.39 lower than Chico for the office setting.

See how rates vary across the country

73590 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$27.49

$38.25

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$35.421
AL$27.931
AR$27.491
AZ$30.511
CA$33.61–$42.8929
CO$32.941
CT$33.601
DC$36.281
DE$31.051
FL$30.62–$33.463
GA$28.78–$31.952
GU$34.591
HI$34.591
IA$28.841
ID$29.011
IL$29.56–$32.644
IN$29.201
KS$28.631
KY$28.521
LA$28.45–$29.992
MA$32.69–$36.472
MD$31.70–$36.283
ME$29.11–$30.922
MI$29.27–$30.972
MN$31.661
MO$27.88–$30.183
MS$27.691
MT$31.401
NC$29.451
ND$31.001
NE$29.031
NH$32.351
NJ$34.01–$35.842
NM$29.421
NV$31.311
NY$29.93–$37.115
OH$29.191
OK$28.531
OR$31.10–$34.132
PA$29.28–$32.662
PR$31.671
RI$32.261
SC$29.371
SD$30.951
TN$28.781
TX$29.06–$32.808
UT$29.811
VA$30.77–$36.282
VI$31.671
VT$30.811
WA$32.65–$37.302
WI$29.871
WV$28.361
WY$31.221

Explore 73590 on the national rate map →

Where does this rate apply?

Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 73590 in Chico. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$36.97

$33.61 × 110% = $36.97

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 73590 in Chico.

PPRRVU2026_Oct_nonQPP.csv

8,228

Code
73590
Physician work
0.16
Practice expense
0.76
Malpractice
0.02

GPCI2026.csv

9

Locality
Chico
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 73590 in Chico
ComponentRVULocality factorAdjusted
Physician work0.16× 1.0170.1627
Practice expense0.76× 1.0960.8330
Malpractice0.02× 0.5360.0107
Total RVUs1.0064
Conversion factor× 33.4009

Office / nonfacility rate, Chico$33.61

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 73590 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.161.017
Practice expense0.761.096
Malpractice0.020.536

(0.16 × 1.017 + 0.76 × 1.096 + 0.02 × 0.536) × $33.4009 = $33.61

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

73590 · Office / nonfacility

$33.61

Effective 2026-10-01

The base rate is $0.78 higher than on 2025-10-01, moving from $32.83 to $33.61 (2.4%).

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

    $32.83changed to$33.61

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.77 changed to 0.76
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $32.83

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$33.61Not available in this settingRVU26D
2026-07-01$33.61Not available in this settingRVU26C
2026-04-01$33.61Not available in this settingRVU26B
2026-01-01$33.61Not available in this settingRVU26A
2025-10-01$32.83Not available in this settingRVU25D
2025-07-01$32.83Not available in this settingRVU25C
2025-04-01$32.83Not available in this settingRVU25B
2025-01-01$32.83Not available in this settingRVU25A

73590 billing questions

How many views are represented by this code?

This code represents a two-view examination of the tibia and fibula. Use the code matching the actual study and its documented views.

When should a femur X-ray be reported instead?

Use a femur radiography code when the imaged anatomy is the femur rather than the tibia and fibula. Codes 73551 and 73552 distinguish femur studies by view count.

Can the interpretation and image acquisition be billed separately?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Billing without either modifier represents the global service.

How is a bilateral examination reported?

Each side is paid separately at 100% when both legs are examined. Report each side separately using the applicable laterality conventions.

Does a knee X-ray replace this lower-leg study?

No. Use a knee radiography code when the examination is of the knee, selecting the code that matches its views. This code describes imaging of the tibia and fibula.

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.

RVUs for 73590PPRRVU2026_Oct_nonQPP.csv, line 8,228 (RVU26D)
Geographic factors for ChicoGPCI2026.csv, line 9 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet