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CMS RVU26D · Effective 2026-10-01

73564 in El Centro

Office / nonfacility

$53.25

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 73564: Knee radiograph, four or more views

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

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.

CMS billing rules for 73564

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 RVU0.21 · 14%
  • Practice expense (office) RVU1.25 · 84%
  • Malpractice RVU0.02 · 1%

1.8M

Medicare services in 2024 · #89 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.

73564 compared with similar codes

Office rates for El Centro, from the same CMS release.

73562

Knee X-ray

Three views, one knee

$45.65

73562 covers exactly three views of one knee. If four or more distinct projections are obtained, use 73564.

73560

Knee X-ray

One or two views

$36.91

73560 covers one or two views of a knee. Four or more documented views of that knee support 73564.

73565

Knee X-ray

Bilateral standing AP

$45.33

73565 covers standing AP imaging of both knees. 73564 covers four or more distinct views of a knee, reported for each knee imaged.

73580

Knee arthrography

Radiographic contrast study

$125.48

73580 covers radiologic supervision and interpretation of knee arthrography using intra-articular contrast. 73564 covers a plain radiographic knee study with four or more views.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 73564 is $53.31—$0.06 higher than the $53.25 rate in El Centro. Both use the same code, release and participation basis.

73564 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $53.25

  2. Bakersfield

    $53.31

    $0.06 higher than El Centro

  3. Chico

    $53.25

    The same base rate than El Centro

  4. Fresno

    $53.25

    The same base rate than El Centro

  5. Hanford-Corcoran

    $53.25

    The same base rate than El Centro

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

    $57.14

    $3.89 higher than El Centro

  7. Madera

    $53.25

    The same base rate than El Centro

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, 73564 ranges from $43.22 in Arkansas to $68.35 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 · 73564

    Office

    $53.25

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Modesto

    California · 73564

    Office

    $53.25

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Napa

    California · 73564

    Office

    $62.82

    Facility

    Unavailable

    $9.57 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 73564

    Office

    $56.98

    Facility

    Unavailable

    $3.73 higher than El Centro for the office setting.

  • Redding

    California · 73564

    Office

    $53.25

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Rest Of California

    California · 73564

    Office

    $53.25

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 73564

    Office

    $53.47

    Facility

    Unavailable

    $0.22 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 73564

    Office

    $56.18

    Facility

    Unavailable

    $2.93 higher than El Centro for the office setting.

  • Salinas

    California · 73564

    Office

    $55.98

    Facility

    Unavailable

    $2.73 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 73564

    Office

    $57.52

    Facility

    Unavailable

    $4.27 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 73564

    Office

    $66.86

    Facility

    Unavailable

    $13.61 higher than El Centro for the office setting.

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

    California · 73564

    Office

    $66.83

    Facility

    Unavailable

    $13.58 higher than El Centro for the office setting.

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

    California · 73564

    Office

    $68.35

    Facility

    Unavailable

    $15.10 higher than El Centro for the office setting.

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

    California · 73564

    Office

    $68.26

    Facility

    Unavailable

    $15.01 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 73564

    Office

    $55.05

    Facility

    Unavailable

    $1.80 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 73564

    Office

    $58.25

    Facility

    Unavailable

    $5.00 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 73564

    Office

    $56.25

    Facility

    Unavailable

    $3.00 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 73564

    Office

    $58.85

    Facility

    Unavailable

    $5.60 higher than El Centro for the office setting.

  • Stockton

    California · 73564

    Office

    $53.25

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Vallejo

    California · 73564

    Office

    $62.79

    Facility

    Unavailable

    $9.54 higher than El Centro for the office setting.

  • Visalia

    California · 73564

    Office

    $53.25

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Yuba City

    California · 73564

    Office

    $53.25

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 73564

    Office

    $57.32

    Facility

    Unavailable

    $4.07 higher than El Centro for the office setting.

  • Miami

    Florida · 73564

    Office

    $52.17

    Facility

    Unavailable

    $1.08 lower than El Centro for the office setting.

  • Chicago

    Illinois · 73564

    Office

    $50.56

    Facility

    Unavailable

    $2.69 lower than El Centro for the office setting.

  • Manhattan

    New York · 73564

    Office

    $57.04

    Facility

    Unavailable

    $3.79 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 73564

    Office

    $55.35

    Facility

    Unavailable

    $2.10 higher than El Centro for the office setting.

  • Alabama

    Alabama · 73564

    Office

    $43.92

    Facility

    Unavailable

    $9.33 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 73564

    Office

    $43.22

    Facility

    Unavailable

    $10.03 lower than El Centro for the office setting.

  • Arizona

    Arizona · 73564

    Office

    $48.04

    Facility

    Unavailable

    $5.21 lower than El Centro for the office setting.

  • Colorado

    Colorado · 73564

    Office

    $52.04

    Facility

    Unavailable

    $1.21 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 73564

    Office

    $52.93

    Facility

    Unavailable

    $0.32 lower than El Centro for the office setting.

  • Delaware

    Delaware · 73564

    Office

    $48.90

    Facility

    Unavailable

    $4.35 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 73564

    Office

    $50.52

    Facility

    Unavailable

    $2.73 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 73564

    Office

    $47.93

    Facility

    Unavailable

    $5.32 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 73564

    Office

    $50.26

    Facility

    Unavailable

    $2.99 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 73564

    Office

    $45.05

    Facility

    Unavailable

    $8.20 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 73564

    Office

    $54.87

    Facility

    Unavailable

    $1.62 higher than El Centro for the office setting.

  • Iowa

    Iowa · 73564

    Office

    $45.48

    Facility

    Unavailable

    $7.77 lower than El Centro for the office setting.

  • Idaho

    Idaho · 73564

    Office

    $45.74

    Facility

    Unavailable

    $7.51 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 73564

    Office

    $46.77

    Facility

    Unavailable

    $6.48 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 73564

    Office

    $46.18

    Facility

    Unavailable

    $7.07 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 73564

    Office

    $51.13

    Facility

    Unavailable

    $2.12 lower than El Centro for the office setting.

  • Indiana

    Indiana · 73564

    Office

    $46.04

    Facility

    Unavailable

    $7.21 lower than El Centro for the office setting.

  • Kansas

    Kansas · 73564

    Office

    $45.09

    Facility

    Unavailable

    $8.16 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 73564

    Office

    $44.74

    Facility

    Unavailable

    $8.51 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 73564

    Office

    $47.06

    Facility

    Unavailable

    $6.19 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 73564

    Office

    $44.60

    Facility

    Unavailable

    $8.65 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 73564

    Office

    $57.75

    Facility

    Unavailable

    $4.50 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 73564

    Office

    $51.62

    Facility

    Unavailable

    $1.63 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 73564

    Office

    $52.75

    Facility

    Unavailable

    $0.50 lower than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 73564

    Office

    $49.95

    Facility

    Unavailable

    $3.30 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 73564

    Office

    $45.84

    Facility

    Unavailable

    $7.41 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 73564

    Office

    $48.81

    Facility

    Unavailable

    $4.44 lower than El Centro for the office setting.

  • Detroit

    Michigan · 73564

    Office

    $48.43

    Facility

    Unavailable

    $4.82 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 73564

    Office

    $45.89

    Facility

    Unavailable

    $7.36 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 73564

    Office

    $50.17

    Facility

    Unavailable

    $3.08 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 73564

    Office

    $46.87

    Facility

    Unavailable

    $6.38 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 73564

    Office

    $47.43

    Facility

    Unavailable

    $5.82 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 73564

    Office

    $43.65

    Facility

    Unavailable

    $9.60 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 73564

    Office

    $43.46

    Facility

    Unavailable

    $9.79 lower than El Centro for the office setting.

  • Montana**

    Montana · 73564

    Office

    $49.43

    Facility

    Unavailable

    $3.82 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 73564

    Office

    $46.39

    Facility

    Unavailable

    $6.86 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 73564

    Office

    $49.04

    Facility

    Unavailable

    $4.21 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 73564

    Office

    $45.80

    Facility

    Unavailable

    $7.45 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 73564

    Office

    $51.06

    Facility

    Unavailable

    $2.19 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 73564

    Office

    $56.60

    Facility

    Unavailable

    $3.35 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 73564

    Office

    $53.62

    Facility

    Unavailable

    $0.37 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 73564

    Office

    $46.10

    Facility

    Unavailable

    $7.15 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 73564

    Office

    $49.36

    Facility

    Unavailable

    $3.89 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 73564

    Office

    $58.35

    Facility

    Unavailable

    $5.10 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 73564

    Office

    $53.86

    Facility

    Unavailable

    $0.61 higher than El Centro for the office setting.

  • Queens

    New York · 73564

    Office

    $57.78

    Facility

    Unavailable

    $4.53 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 73564

    Office

    $47.15

    Facility

    Unavailable

    $6.10 lower than El Centro for the office setting.

  • Ohio

    Ohio · 73564

    Office

    $45.81

    Facility

    Unavailable

    $7.44 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 73564

    Office

    $44.82

    Facility

    Unavailable

    $8.43 lower than El Centro for the office setting.

  • Portland

    Oregon · 73564

    Office

    $54.01

    Facility

    Unavailable

    $0.76 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 73564

    Office

    $49.07

    Facility

    Unavailable

    $4.18 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 73564

    Office

    $51.40

    Facility

    Unavailable

    $1.85 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 73564

    Office

    $45.97

    Facility

    Unavailable

    $7.28 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 73564

    Office

    $49.88

    Facility

    Unavailable

    $3.37 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 73564

    Office

    $50.87

    Facility

    Unavailable

    $2.38 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 73564

    Office

    $46.16

    Facility

    Unavailable

    $7.09 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 73564

    Office

    $48.99

    Facility

    Unavailable

    $4.26 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 73564

    Office

    $45.32

    Facility

    Unavailable

    $7.93 lower than El Centro for the office setting.

  • Austin

    Texas · 73564

    Office

    $51.79

    Facility

    Unavailable

    $1.46 lower than El Centro for the office setting.

  • Beaumont

    Texas · 73564

    Office

    $45.63

    Facility

    Unavailable

    $7.62 lower than El Centro for the office setting.

  • Brazoria

    Texas · 73564

    Office

    $48.97

    Facility

    Unavailable

    $4.28 lower than El Centro for the office setting.

  • Dallas

    Texas · 73564

    Office

    $49.23

    Facility

    Unavailable

    $4.02 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 73564

    Office

    $48.83

    Facility

    Unavailable

    $4.42 lower than El Centro for the office setting.

  • Galveston

    Texas · 73564

    Office

    $49.08

    Facility

    Unavailable

    $4.17 lower than El Centro for the office setting.

  • Houston

    Texas · 73564

    Office

    $49.45

    Facility

    Unavailable

    $3.80 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 73564

    Office

    $47.24

    Facility

    Unavailable

    $6.01 lower than El Centro for the office setting.

  • Utah

    Utah · 73564

    Office

    $46.86

    Facility

    Unavailable

    $6.39 lower than El Centro for the office setting.

  • Virginia

    Virginia · 73564

    Office

    $48.53

    Facility

    Unavailable

    $4.72 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 73564

    Office

    $49.88

    Facility

    Unavailable

    $3.37 lower than El Centro for the office setting.

  • Vermont

    Vermont · 73564

    Office

    $48.69

    Facility

    Unavailable

    $4.56 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 73564

    Office

    $51.58

    Facility

    Unavailable

    $1.67 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 73564

    Office

    $59.14

    Facility

    Unavailable

    $5.89 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 73564

    Office

    $47.22

    Facility

    Unavailable

    $6.03 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 73564

    Office

    $44.25

    Facility

    Unavailable

    $9.00 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 73564

    Office

    $49.26

    Facility

    Unavailable

    $3.99 lower than El Centro for the office setting.

See how rates vary across the country

73564 · 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.

$43.22

$60.80

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

View all state and territory rates as a table
State / territoryRate 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

Explore 73564 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 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 73564 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$58.58

$53.25 × 110% = $58.58

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 73564 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

8,219

Code
73564
Physician work
0.21
Practice expense
1.25
Malpractice
0.02

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 73564 in El Centro
ComponentRVULocality factorAdjusted
Physician work0.21× 1.0170.2136
Practice expense1.25× 1.0961.3700
Malpractice0.02× 0.5410.0108
Total RVUs1.5944
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$53.25

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

Open 73564 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.211.017
Practice expense1.251.096
Malpractice0.020.541

(0.21 × 1.017 + 1.25 × 1.096 + 0.02 × 0.541) × $33.4009 = $53.25

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

73564 · Office / nonfacility

$53.25

Effective 2026-10-01

The base rate is $3.95 higher than on 2025-10-01, moving from $49.30 to $53.25 (8.0%).

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

    $49.30changed to$53.25

    • 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 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $49.30

    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$53.25Not available in this settingRVU26D
2026-07-01$53.25Not available in this settingRVU26C
2026-04-01$53.25Not available in this settingRVU26B
2026-01-01$53.25Not available in this settingRVU26A
2025-10-01$49.30Not available in this settingRVU25D
2025-07-01$49.30Not available in this settingRVU25C
2025-04-01$49.30Not available in this settingRVU25B
2025-01-01$49.30Not available in this settingRVU25A

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 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 73564PPRRVU2026_Oct_nonQPP.csv, line 8,219 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet