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CMS RVU26D · Effective 2026-10-01

73000 in Modesto

Office / nonfacility

$35.81

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 73000: Clavicle radiographic examination

Reports radiographic imaging of the clavicle, commonly ordered to assess suspected fracture, focal pain, deformity, or injury involving the collarbone.

This service covers radiographs directed at the clavicle, with at least two views used to evaluate the bone’s alignment and integrity. It is commonly ordered after a fall or direct blow when a clavicle fracture is suspected, or for focal collarbone pain or deformity. A radiologic technologist obtains the images; a radiologist or other qualified physician interprets them. Imaging may occur in a hospital department, clinic, or freestanding imaging center.

Report the clavicle study when the images are centered on that bone, rather than on the shoulder joint, scapula, or humerus. The order and imaging report should identify the clinical concern and the side examined. CMS pays the professional interpretation with modifier 26 and the technical service with modifier TC; billing without either modifier represents the global service. For bilateral examinations, each side is paid separately at 100%, so the record should clearly support imaging of both clavicles.

CMS billing rules for 73000

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 · 16%
  • Practice expense (office) RVU0.82 · 82%
  • Malpractice RVU0.02 · 2%

99.1K

Medicare services in 2024 · #562 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.

73000 compared with similar codes

Office rates for Modesto, from the same CMS release.

73010

Scapula X-ray

Dedicated scapular examination

$26.63

This code evaluates the clavicle; 73010 is directed at the scapula. Select based on which bone the images cover.

73020

Shoulder X-ray

Single view

$23.02

This code is for clavicle imaging. 73020 describes a one-view shoulder examination, directed at the shoulder rather than the collarbone.

73030

Shoulder X-ray

Complete, minimum two views

$38.32

Use this code for the clavicle. 73030 is for a multiview shoulder examination when the shoulder joint is the imaging target.

73050

AC joint X-ray

Bilateral joints

$32.46

This code examines the clavicle; 73050 is for bilateral acromioclavicular-joint imaging, often selected when both AC joints are being assessed.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 73000 is $35.87—$0.06 higher than the $35.81 rate in Modesto. Both use the same code, release and participation basis.

73000 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $35.81

  2. Bakersfield

    $35.87

    $0.06 higher than Modesto

  3. Chico

    $35.81

    The same base rate than Modesto

  4. El Centro

    $35.81

    The same base rate than Modesto

  5. Fresno

    $35.81

    The same base rate than Modesto

  6. Hanford-Corcoran

    $35.81

    The same base rate than Modesto

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

    $38.41

    $2.60 higher than Modesto

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, 73000 ranges from $29.22 in Arkansas to $45.78 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

  • Madera

    California · 73000

    Office

    $35.81

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Merced

    California · 73000

    Office

    $35.81

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Napa

    California · 73000

    Office

    $42.12

    Facility

    Unavailable

    $6.31 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 73000

    Office

    $38.28

    Facility

    Unavailable

    $2.47 higher than Modesto for the office setting.

  • Redding

    California · 73000

    Office

    $35.81

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 73000

    Office

    $35.81

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 73000

    Office

    $36.03

    Facility

    Unavailable

    $0.22 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 73000

    Office

    $37.75

    Facility

    Unavailable

    $1.94 higher than Modesto for the office setting.

  • Salinas

    California · 73000

    Office

    $37.61

    Facility

    Unavailable

    $1.80 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 73000

    Office

    $38.62

    Facility

    Unavailable

    $2.81 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 73000

    Office

    $44.78

    Facility

    Unavailable

    $8.97 higher than Modesto for the office setting.

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

    California · 73000

    Office

    $44.75

    Facility

    Unavailable

    $8.94 higher than Modesto for the office setting.

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

    California · 73000

    Office

    $45.78

    Facility

    Unavailable

    $9.97 higher than Modesto for the office setting.

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

    California · 73000

    Office

    $45.69

    Facility

    Unavailable

    $9.88 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 73000

    Office

    $36.99

    Facility

    Unavailable

    $1.18 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 73000

    Office

    $39.09

    Facility

    Unavailable

    $3.28 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 73000

    Office

    $37.79

    Facility

    Unavailable

    $1.98 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 73000

    Office

    $39.50

    Facility

    Unavailable

    $3.69 higher than Modesto for the office setting.

  • Stockton

    California · 73000

    Office

    $35.81

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 73000

    Office

    $42.09

    Facility

    Unavailable

    $6.28 higher than Modesto for the office setting.

  • Visalia

    California · 73000

    Office

    $35.81

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 73000

    Office

    $35.81

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 73000

    Office

    $38.64

    Facility

    Unavailable

    $2.83 higher than Modesto for the office setting.

  • Miami

    Florida · 73000

    Office

    $35.55

    Facility

    Unavailable

    $0.26 lower than Modesto for the office setting.

  • Chicago

    Illinois · 73000

    Office

    $34.44

    Facility

    Unavailable

    $1.37 lower than Modesto for the office setting.

  • Manhattan

    New York · 73000

    Office

    $38.57

    Facility

    Unavailable

    $2.76 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 73000

    Office

    $37.55

    Facility

    Unavailable

    $1.74 higher than Modesto for the office setting.

  • Alabama

    Alabama · 73000

    Office

    $29.69

    Facility

    Unavailable

    $6.12 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 73000

    Office

    $29.22

    Facility

    Unavailable

    $6.59 lower than Modesto for the office setting.

  • Arizona

    Arizona · 73000

    Office

    $32.46

    Facility

    Unavailable

    $3.35 lower than Modesto for the office setting.

  • Colorado

    Colorado · 73000

    Office

    $35.07

    Facility

    Unavailable

    $0.74 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 73000

    Office

    $35.76

    Facility

    Unavailable

    $0.05 lower than Modesto for the office setting.

  • Delaware

    Delaware · 73000

    Office

    $33.03

    Facility

    Unavailable

    $2.78 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 73000

    Office

    $34.30

    Facility

    Unavailable

    $1.51 lower than Modesto for the office setting.

  • Rest Of Florida

    Florida · 73000

    Office

    $32.53

    Facility

    Unavailable

    $3.28 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 73000

    Office

    $33.99

    Facility

    Unavailable

    $1.82 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 73000

    Office

    $30.57

    Facility

    Unavailable

    $5.24 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 73000

    Office

    $36.87

    Facility

    Unavailable

    $1.06 higher than Modesto for the office setting.

  • Iowa

    Iowa · 73000

    Office

    $30.67

    Facility

    Unavailable

    $5.14 lower than Modesto for the office setting.

  • Idaho

    Idaho · 73000

    Office

    $30.86

    Facility

    Unavailable

    $4.95 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 73000

    Office

    $31.89

    Facility

    Unavailable

    $3.92 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 73000

    Office

    $31.39

    Facility

    Unavailable

    $4.42 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 73000

    Office

    $34.69

    Facility

    Unavailable

    $1.12 lower than Modesto for the office setting.

  • Indiana

    Indiana · 73000

    Office

    $31.06

    Facility

    Unavailable

    $4.75 lower than Modesto for the office setting.

  • Kansas

    Kansas · 73000

    Office

    $30.44

    Facility

    Unavailable

    $5.37 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 73000

    Office

    $30.30

    Facility

    Unavailable

    $5.51 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 73000

    Office

    $31.88

    Facility

    Unavailable

    $3.93 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 73000

    Office

    $30.22

    Facility

    Unavailable

    $5.59 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 73000

    Office

    $38.86

    Facility

    Unavailable

    $3.05 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 73000

    Office

    $34.80

    Facility

    Unavailable

    $1.01 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 73000

    Office

    $35.64

    Facility

    Unavailable

    $0.17 lower than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 73000

    Office

    $33.73

    Facility

    Unavailable

    $2.08 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 73000

    Office

    $30.96

    Facility

    Unavailable

    $4.85 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 73000

    Office

    $32.91

    Facility

    Unavailable

    $2.90 lower than Modesto for the office setting.

  • Detroit

    Michigan · 73000

    Office

    $32.90

    Facility

    Unavailable

    $2.91 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 73000

    Office

    $31.10

    Facility

    Unavailable

    $4.71 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 73000

    Office

    $33.72

    Facility

    Unavailable

    $2.09 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 73000

    Office

    $31.71

    Facility

    Unavailable

    $4.10 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 73000

    Office

    $32.09

    Facility

    Unavailable

    $3.72 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 73000

    Office

    $29.60

    Facility

    Unavailable

    $6.21 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 73000

    Office

    $29.42

    Facility

    Unavailable

    $6.39 lower than Modesto for the office setting.

  • Montana**

    Montana · 73000

    Office

    $33.40

    Facility

    Unavailable

    $2.41 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 73000

    Office

    $31.32

    Facility

    Unavailable

    $4.49 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 73000

    Office

    $33.00

    Facility

    Unavailable

    $2.81 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 73000

    Office

    $30.88

    Facility

    Unavailable

    $4.93 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 73000

    Office

    $34.44

    Facility

    Unavailable

    $1.37 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 73000

    Office

    $38.17

    Facility

    Unavailable

    $2.36 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 73000

    Office

    $36.20

    Facility

    Unavailable

    $0.39 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 73000

    Office

    $31.26

    Facility

    Unavailable

    $4.55 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 73000

    Office

    $33.32

    Facility

    Unavailable

    $2.49 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 73000

    Office

    $39.49

    Facility

    Unavailable

    $3.68 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 73000

    Office

    $36.38

    Facility

    Unavailable

    $0.57 higher than Modesto for the office setting.

  • Queens

    New York · 73000

    Office

    $39.02

    Facility

    Unavailable

    $3.21 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 73000

    Office

    $31.83

    Facility

    Unavailable

    $3.98 lower than Modesto for the office setting.

  • Ohio

    Ohio · 73000

    Office

    $31.02

    Facility

    Unavailable

    $4.79 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 73000

    Office

    $30.32

    Facility

    Unavailable

    $5.49 lower than Modesto for the office setting.

  • Portland

    Oregon · 73000

    Office

    $36.36

    Facility

    Unavailable

    $0.55 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 73000

    Office

    $33.09

    Facility

    Unavailable

    $2.72 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 73000

    Office

    $34.75

    Facility

    Unavailable

    $1.06 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 73000

    Office

    $31.12

    Facility

    Unavailable

    $4.69 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 73000

    Office

    $33.69

    Facility

    Unavailable

    $2.12 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 73000

    Office

    $34.33

    Facility

    Unavailable

    $1.48 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 73000

    Office

    $31.22

    Facility

    Unavailable

    $4.59 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 73000

    Office

    $32.96

    Facility

    Unavailable

    $2.85 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 73000

    Office

    $30.60

    Facility

    Unavailable

    $5.21 lower than Modesto for the office setting.

  • Austin

    Texas · 73000

    Office

    $34.92

    Facility

    Unavailable

    $0.89 lower than Modesto for the office setting.

  • Beaumont

    Texas · 73000

    Office

    $30.89

    Facility

    Unavailable

    $4.92 lower than Modesto for the office setting.

  • Brazoria

    Texas · 73000

    Office

    $33.05

    Facility

    Unavailable

    $2.76 lower than Modesto for the office setting.

  • Dallas

    Texas · 73000

    Office

    $33.24

    Facility

    Unavailable

    $2.57 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 73000

    Office

    $32.98

    Facility

    Unavailable

    $2.83 lower than Modesto for the office setting.

  • Galveston

    Texas · 73000

    Office

    $33.14

    Facility

    Unavailable

    $2.67 lower than Modesto for the office setting.

  • Houston

    Texas · 73000

    Office

    $33.50

    Facility

    Unavailable

    $2.31 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 73000

    Office

    $31.94

    Facility

    Unavailable

    $3.87 lower than Modesto for the office setting.

  • Utah

    Utah · 73000

    Office

    $31.69

    Facility

    Unavailable

    $4.12 lower than Modesto for the office setting.

  • Virginia

    Virginia · 73000

    Office

    $32.74

    Facility

    Unavailable

    $3.07 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 73000

    Office

    $33.69

    Facility

    Unavailable

    $2.12 lower than Modesto for the office setting.

  • Vermont

    Vermont · 73000

    Office

    $32.80

    Facility

    Unavailable

    $3.01 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 73000

    Office

    $34.76

    Facility

    Unavailable

    $1.05 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 73000

    Office

    $39.76

    Facility

    Unavailable

    $3.95 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 73000

    Office

    $31.79

    Facility

    Unavailable

    $4.02 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 73000

    Office

    $30.10

    Facility

    Unavailable

    $5.71 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 73000

    Office

    $33.23

    Facility

    Unavailable

    $2.58 lower than Modesto for the office setting.

See how rates vary across the country

73000 · 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.

$29.22

$40.80

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$37.551
AL$29.691
AR$29.221
AZ$32.461
CA$35.81–$45.7829
CO$35.071
CT$35.761
DC$38.641
DE$33.031
FL$32.53–$35.553
GA$30.57–$33.992
GU$36.871
HI$36.871
IA$30.671
ID$30.861
IL$31.39–$34.694
IN$31.061
KS$30.441
KY$30.301
LA$30.22–$31.882
MA$34.80–$38.862
MD$33.73–$38.643
ME$30.96–$32.912
MI$31.10–$32.902
MN$33.721
MO$29.60–$32.093
MS$29.421
MT$33.401
NC$31.321
ND$33.001
NE$30.881
NH$34.441
NJ$36.20–$38.172
NM$31.261
NV$33.321
NY$31.83–$39.495
OH$31.021
OK$30.321
OR$33.09–$36.362
PA$31.12–$34.752
PR$33.691
RI$34.331
SC$31.221
SD$32.961
TN$30.601
TX$30.89–$34.928
UT$31.691
VA$32.74–$38.642
VI$33.691
VT$32.801
WA$34.76–$39.762
WI$31.791
WV$30.101
WY$33.231

Explore 73000 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 73000 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$39.39

$35.81 × 110% = $39.39

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.

Compare your contract offer →

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 73000 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

8,099

Code
73000
Physician work
0.16
Practice expense
0.82
Malpractice
0.02

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 73000 in Modesto
ComponentRVULocality factorAdjusted
Physician work0.16× 1.0170.1627
Practice expense0.82× 1.0960.8987
Malpractice0.02× 0.5360.0107
Total RVUs1.0722
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$35.81

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

Open 73000 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.161.017
Practice expense0.821.096
Malpractice0.020.536

(0.16 × 1.017 + 0.82 × 1.096 + 0.02 × 0.536) × $33.4009 = $35.81

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

73000 · Office / nonfacility

$35.81

Effective 2026-10-01

The base rate is $1.92 higher than on 2025-10-01, moving from $33.89 to $35.81 (5.7%).

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

    $33.89changed to$35.81

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.80 changed to 0.82
    • 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: $33.89

    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$35.81Not available in this settingRVU26D
2026-07-01$35.81Not available in this settingRVU26C
2026-04-01$35.81Not available in this settingRVU26B
2026-01-01$35.81Not available in this settingRVU26A
2025-10-01$33.89Not available in this settingRVU25D
2025-07-01$33.89Not available in this settingRVU25C
2025-04-01$33.89Not available in this settingRVU25B
2025-01-01$33.89Not available in this settingRVU25A

73000 billing questions

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

Use this code when the examination is directed at the clavicle, such as for suspected collarbone fracture. Choose a shoulder radiograph when the study is directed at the shoulder joint.

How are the interpretation and image acquisition reported?

Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Without either modifier, the claim represents the global service.

How is bilateral clavicle imaging paid?

CMS pays each side separately at 100% when both clavicles are examined. The documentation should identify the right and left sides.

What documentation supports reporting this study?

The order and report should establish the clavicle as the imaging target and identify the side examined. Include the clinical concern, such as trauma, focal pain, or suspected fracture.

Can a shoulder-joint examination replace this code?

Not when the requested and performed study is centered on the clavicle. A shoulder-joint study addresses a different anatomic target and should be selected according to the images obtained and interpreted.

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 73000PPRRVU2026_Oct_nonQPP.csv, line 8,099 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet