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CMS RVU26D · Effective 2026-10-01

73030 in Salinas

Office / nonfacility

$40.24

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 73030: Complete shoulder radiographs, two or more views

Complete plain-film radiographic exam of the shoulder with at least two views, reported for shoulder pain, trauma, suspected dislocation, arthritis, or postoperative follow-up.

This study images the glenohumeral joint, proximal humerus, and surrounding structures using two or more projections. Typical series include AP views in internal and external rotation, an axillary view, a scapular Y view, or a Grashey true AP view. A radiologic technologist acquires the images, and a radiologist, orthopedic surgeon, or other treating physician interprets them. It is performed in orthopedic and primary care offices, urgent care centers, emergency departments, and hospital outpatient imaging departments. Common indications include fall injuries, suspected fracture or dislocation, rotator cuff arthropathy, calcific tendinitis, and post-reduction or post-arthroplasty checks.

Select this code when at least two views are obtained; a single shoulder view goes to 73020. The report should state the views taken, findings, and an impression. Modifier 26 identifies the professional interpretation, and modifier TC identifies the equipment and staff portion. Billing without either modifier claims the global service when the billing entity furnishes both components. When both shoulders are imaged, CMS pays each side separately at 100%; report the right and left studies on separate lines with RT and LT.

CMS billing rules for 73030

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 RVU0.18 · 17%
  • Practice expense (office) RVU0.87 · 81%
  • Malpractice RVU0.02 · 2%

2.8M

Medicare services in 2024 · #62 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.

73030 compared with similar codes

Office rates for Salinas, from the same CMS release.

73020

Shoulder X-ray

Single view

$24.11

73020 covers a single view only; 73030 requires two or more views. Count the projections documented in the report to choose.

73050

AC joint X-ray

Bilateral joints

$34.04

73050 is a bilateral AC joint study, often with weighted distraction, for AC separation; 73030 is a standard glenohumeral shoulder series reported per side.

73000

Clavicle X-ray

At least two views

$37.61

73000 targets the clavicle; 73030 targets the shoulder joint and proximal humerus. Code by the body part ordered and imaged.

73040

Shoulder arthrography

Contrast joint imaging

$152.91

73040 is radiological supervision and interpretation of shoulder arthrography with contrast injection; 73030 is plain radiography without contrast.

The same code, a different location

How does Salinas compare?

In Bakersfield, the office rate for 73030 is $38.38—$1.86 lower than the $40.24 rate in Salinas. Both use the same code, release and participation basis.

73030 across payment areas

Same release and payment basis · bars start at $0

  1. Salinas · This locality

    $40.24

  2. $1.86 lower than Salinas

  3. Chico

    $38.32

    $1.92 lower than Salinas

  4. El Centro

    $38.32

    $1.92 lower than Salinas

  5. Fresno

    $38.32

    $1.92 lower than Salinas

  6. $1.92 lower than Salinas

  7. $0.84 higher than Salinas

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, 73030 ranges from $31.32 in Arkansas to $48.93 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 · 73030

    Office

    $38.32

    Facility

    Unavailable

    $1.92 lower than Salinas for the office setting.

  • Merced

    California · 73030

    Office

    $38.32

    Facility

    Unavailable

    $1.92 lower than Salinas for the office setting.

  • Modesto

    California · 73030

    Office

    $38.32

    Facility

    Unavailable

    $1.92 lower than Salinas for the office setting.

  • Napa

    California · 73030

    Office

    $45.03

    Facility

    Unavailable

    $4.79 higher than Salinas for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 73030

    Office

    $40.94

    Facility

    Unavailable

    $0.70 higher than Salinas for the office setting.

  • Redding

    California · 73030

    Office

    $38.32

    Facility

    Unavailable

    $1.92 lower than Salinas for the office setting.

  • Rest Of California

    California · 73030

    Office

    $38.32

    Facility

    Unavailable

    $1.92 lower than Salinas for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 73030

    Office

    $38.54

    Facility

    Unavailable

    $1.70 lower than Salinas for the office setting.

  • Sacramento-Roseville-Folsom

    California · 73030

    Office

    $40.38

    Facility

    Unavailable

    $0.14 higher than Salinas for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 73030

    Office

    $41.31

    Facility

    Unavailable

    $1.07 higher than Salinas for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 73030

    Office

    $47.86

    Facility

    Unavailable

    $7.62 higher than Salinas for the office setting.

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

    California · 73030

    Office

    $47.84

    Facility

    Unavailable

    $7.60 higher than Salinas for the office setting.

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

    California · 73030

    Office

    $48.93

    Facility

    Unavailable

    $8.69 higher than Salinas for the office setting.

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

    California · 73030

    Office

    $48.84

    Facility

    Unavailable

    $8.60 higher than Salinas for the office setting.

  • San Luis Obispo-Paso Robles

    California · 73030

    Office

    $39.57

    Facility

    Unavailable

    $0.67 lower than Salinas for the office setting.

  • Santa Cruz-Watsonville

    California · 73030

    Office

    $41.80

    Facility

    Unavailable

    $1.56 higher than Salinas for the office setting.

  • Santa Maria-Santa Barbara

    California · 73030

    Office

    $40.42

    Facility

    Unavailable

    $0.18 higher than Salinas for the office setting.

  • Santa Rosa-Petaluma

    California · 73030

    Office

    $42.23

    Facility

    Unavailable

    $1.99 higher than Salinas for the office setting.

  • Stockton

    California · 73030

    Office

    $38.32

    Facility

    Unavailable

    $1.92 lower than Salinas for the office setting.

  • Vallejo

    California · 73030

    Office

    $45.00

    Facility

    Unavailable

    $4.76 higher than Salinas for the office setting.

  • Visalia

    California · 73030

    Office

    $38.32

    Facility

    Unavailable

    $1.92 lower than Salinas for the office setting.

  • Yuba City

    California · 73030

    Office

    $38.32

    Facility

    Unavailable

    $1.92 lower than Salinas for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 73030

    Office

    $41.31

    Facility

    Unavailable

    $1.07 higher than Salinas for the office setting.

  • Miami

    Florida · 73030

    Office

    $37.95

    Facility

    Unavailable

    $2.29 lower than Salinas for the office setting.

  • Chicago

    Illinois · 73030

    Office

    $36.79

    Facility

    Unavailable

    $3.45 lower than Salinas for the office setting.

  • Manhattan

    New York · 73030

    Office

    $41.22

    Facility

    Unavailable

    $0.98 higher than Salinas for the office setting.

  • Alaska*

    Alaska · 73030

    Office

    $40.33

    Facility

    Unavailable

    $0.09 higher than Salinas for the office setting.

  • Alabama

    Alabama · 73030

    Office

    $31.82

    Facility

    Unavailable

    $8.42 lower than Salinas for the office setting.

  • Arkansas

    Arkansas · 73030

    Office

    $31.32

    Facility

    Unavailable

    $8.92 lower than Salinas for the office setting.

  • Arizona

    Arizona · 73030

    Office

    $34.74

    Facility

    Unavailable

    $5.50 lower than Salinas for the office setting.

  • Colorado

    Colorado · 73030

    Office

    $37.52

    Facility

    Unavailable

    $2.72 lower than Salinas for the office setting.

  • Connecticut

    Connecticut · 73030

    Office

    $38.24

    Facility

    Unavailable

    $2.00 lower than Salinas for the office setting.

  • Delaware

    Delaware · 73030

    Office

    $35.35

    Facility

    Unavailable

    $4.89 lower than Salinas for the office setting.

  • Fort Lauderdale

    Florida · 73030

    Office

    $36.66

    Facility

    Unavailable

    $3.58 lower than Salinas for the office setting.

  • Rest Of Florida

    Florida · 73030

    Office

    $34.80

    Facility

    Unavailable

    $5.44 lower than Salinas for the office setting.

  • Atlanta

    Georgia · 73030

    Office

    $36.36

    Facility

    Unavailable

    $3.88 lower than Salinas for the office setting.

  • Rest Of Georgia

    Georgia · 73030

    Office

    $32.73

    Facility

    Unavailable

    $7.51 lower than Salinas for the office setting.

  • Hawaii, Guam

    Hawaii · 73030

    Office

    $39.44

    Facility

    Unavailable

    $0.80 lower than Salinas for the office setting.

  • Iowa

    Iowa · 73030

    Office

    $32.87

    Facility

    Unavailable

    $7.37 lower than Salinas for the office setting.

  • Idaho

    Idaho · 73030

    Office

    $33.06

    Facility

    Unavailable

    $7.18 lower than Salinas for the office setting.

  • East St. Louis

    Illinois · 73030

    Office

    $34.09

    Facility

    Unavailable

    $6.15 lower than Salinas for the office setting.

  • Rest Of Illinois

    Illinois · 73030

    Office

    $33.59

    Facility

    Unavailable

    $6.65 lower than Salinas for the office setting.

  • Suburban Chicago

    Illinois · 73030

    Office

    $37.08

    Facility

    Unavailable

    $3.16 lower than Salinas for the office setting.

  • Indiana

    Indiana · 73030

    Office

    $33.27

    Facility

    Unavailable

    $6.97 lower than Salinas for the office setting.

  • Kansas

    Kansas · 73030

    Office

    $32.62

    Facility

    Unavailable

    $7.62 lower than Salinas for the office setting.

  • Kentucky

    Kentucky · 73030

    Office

    $32.46

    Facility

    Unavailable

    $7.78 lower than Salinas for the office setting.

  • New Orleans

    Louisiana · 73030

    Office

    $34.12

    Facility

    Unavailable

    $6.12 lower than Salinas for the office setting.

  • Rest Of Louisiana

    Louisiana · 73030

    Office

    $32.37

    Facility

    Unavailable

    $7.87 lower than Salinas for the office setting.

  • Metropolitan Boston

    Massachusetts · 73030

    Office

    $41.55

    Facility

    Unavailable

    $1.31 higher than Salinas for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 73030

    Office

    $37.24

    Facility

    Unavailable

    $3.00 lower than Salinas for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 73030

    Office

    $38.11

    Facility

    Unavailable

    $2.13 lower than Salinas for the office setting.

  • Rest Of Maryland

    Maryland · 73030

    Office

    $36.09

    Facility

    Unavailable

    $4.15 lower than Salinas for the office setting.

  • Rest Of Maine

    Maine · 73030

    Office

    $33.16

    Facility

    Unavailable

    $7.08 lower than Salinas for the office setting.

  • Southern Maine

    Maine · 73030

    Office

    $35.23

    Facility

    Unavailable

    $5.01 lower than Salinas for the office setting.

  • Detroit

    Michigan · 73030

    Office

    $35.18

    Facility

    Unavailable

    $5.06 lower than Salinas for the office setting.

  • Rest Of Michigan

    Michigan · 73030

    Office

    $33.30

    Facility

    Unavailable

    $6.94 lower than Salinas for the office setting.

  • Minnesota

    Minnesota · 73030

    Office

    $36.11

    Facility

    Unavailable

    $4.13 lower than Salinas for the office setting.

  • Metropolitan Kansas City

    Missouri · 73030

    Office

    $33.95

    Facility

    Unavailable

    $6.29 lower than Salinas for the office setting.

  • Metropolitan St. Louis

    Missouri · 73030

    Office

    $34.35

    Facility

    Unavailable

    $5.89 lower than Salinas for the office setting.

  • Rest Of Missouri

    Missouri · 73030

    Office

    $31.71

    Facility

    Unavailable

    $8.53 lower than Salinas for the office setting.

  • Mississippi

    Mississippi · 73030

    Office

    $31.53

    Facility

    Unavailable

    $8.71 lower than Salinas for the office setting.

  • Montana**

    Montana · 73030

    Office

    $35.74

    Facility

    Unavailable

    $4.50 lower than Salinas for the office setting.

  • North Carolina

    North Carolina · 73030

    Office

    $33.55

    Facility

    Unavailable

    $6.69 lower than Salinas for the office setting.

  • North Dakota**

    North Dakota · 73030

    Office

    $35.34

    Facility

    Unavailable

    $4.90 lower than Salinas for the office setting.

  • Nebraska

    Nebraska · 73030

    Office

    $33.09

    Facility

    Unavailable

    $7.15 lower than Salinas for the office setting.

  • New Hampshire

    New Hampshire · 73030

    Office

    $36.85

    Facility

    Unavailable

    $3.39 lower than Salinas for the office setting.

  • Northern Nj

    New Jersey · 73030

    Office

    $40.81

    Facility

    Unavailable

    $0.57 higher than Salinas for the office setting.

  • Rest Of New Jersey

    New Jersey · 73030

    Office

    $38.72

    Facility

    Unavailable

    $1.52 lower than Salinas for the office setting.

  • New Mexico

    New Mexico · 73030

    Office

    $33.46

    Facility

    Unavailable

    $6.78 lower than Salinas for the office setting.

  • Nevada**

    Nevada · 73030

    Office

    $35.66

    Facility

    Unavailable

    $4.58 lower than Salinas for the office setting.

  • Nyc Suburbs/Long Island

    New York · 73030

    Office

    $42.19

    Facility

    Unavailable

    $1.95 higher than Salinas for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 73030

    Office

    $38.91

    Facility

    Unavailable

    $1.33 lower than Salinas for the office setting.

  • Queens

    New York · 73030

    Office

    $41.71

    Facility

    Unavailable

    $1.47 higher than Salinas for the office setting.

  • Rest Of New York

    New York · 73030

    Office

    $34.09

    Facility

    Unavailable

    $6.15 lower than Salinas for the office setting.

  • Ohio

    Ohio · 73030

    Office

    $33.22

    Facility

    Unavailable

    $7.02 lower than Salinas for the office setting.

  • Oklahoma

    Oklahoma · 73030

    Office

    $32.48

    Facility

    Unavailable

    $7.76 lower than Salinas for the office setting.

  • Portland

    Oregon · 73030

    Office

    $38.89

    Facility

    Unavailable

    $1.35 lower than Salinas for the office setting.

  • Rest Of Oregon

    Oregon · 73030

    Office

    $35.42

    Facility

    Unavailable

    $4.82 lower than Salinas for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 73030

    Office

    $37.17

    Facility

    Unavailable

    $3.07 lower than Salinas for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 73030

    Office

    $33.32

    Facility

    Unavailable

    $6.92 lower than Salinas for the office setting.

  • Puerto Rico

    Puerto Rico · 73030

    Office

    $36.05

    Facility

    Unavailable

    $4.19 lower than Salinas for the office setting.

  • Rhode Island

    Rhode Island · 73030

    Office

    $36.74

    Facility

    Unavailable

    $3.50 lower than Salinas for the office setting.

  • South Carolina

    South Carolina · 73030

    Office

    $33.43

    Facility

    Unavailable

    $6.81 lower than Salinas for the office setting.

  • South Dakota**

    South Dakota · 73030

    Office

    $35.30

    Facility

    Unavailable

    $4.94 lower than Salinas for the office setting.

  • Tennessee

    Tennessee · 73030

    Office

    $32.79

    Facility

    Unavailable

    $7.45 lower than Salinas for the office setting.

  • Austin

    Texas · 73030

    Office

    $37.36

    Facility

    Unavailable

    $2.88 lower than Salinas for the office setting.

  • Beaumont

    Texas · 73030

    Office

    $33.08

    Facility

    Unavailable

    $7.16 lower than Salinas for the office setting.

  • Brazoria

    Texas · 73030

    Office

    $35.38

    Facility

    Unavailable

    $4.86 lower than Salinas for the office setting.

  • Dallas

    Texas · 73030

    Office

    $35.58

    Facility

    Unavailable

    $4.66 lower than Salinas for the office setting.

  • Fort Worth

    Texas · 73030

    Office

    $35.30

    Facility

    Unavailable

    $4.94 lower than Salinas for the office setting.

  • Galveston

    Texas · 73030

    Office

    $35.47

    Facility

    Unavailable

    $4.77 lower than Salinas for the office setting.

  • Houston

    Texas · 73030

    Office

    $35.83

    Facility

    Unavailable

    $4.41 lower than Salinas for the office setting.

  • Rest Of Texas

    Texas · 73030

    Office

    $34.19

    Facility

    Unavailable

    $6.05 lower than Salinas for the office setting.

  • Utah

    Utah · 73030

    Office

    $33.93

    Facility

    Unavailable

    $6.31 lower than Salinas for the office setting.

  • Virginia

    Virginia · 73030

    Office

    $35.05

    Facility

    Unavailable

    $5.19 lower than Salinas for the office setting.

  • Virgin Islands

    United States Virgin Islands · 73030

    Office

    $36.05

    Facility

    Unavailable

    $4.19 lower than Salinas for the office setting.

  • Vermont

    Vermont · 73030

    Office

    $35.12

    Facility

    Unavailable

    $5.12 lower than Salinas for the office setting.

  • Rest Of Washington

    Washington · 73030

    Office

    $37.20

    Facility

    Unavailable

    $3.04 lower than Salinas for the office setting.

  • Seattle (King Cnty)

    Washington · 73030

    Office

    $42.51

    Facility

    Unavailable

    $2.27 higher than Salinas for the office setting.

  • Wisconsin

    Wisconsin · 73030

    Office

    $34.06

    Facility

    Unavailable

    $6.18 lower than Salinas for the office setting.

  • West Virginia

    West Virginia · 73030

    Office

    $32.22

    Facility

    Unavailable

    $8.02 lower than Salinas for the office setting.

  • Wyoming**

    Wyoming · 73030

    Office

    $35.57

    Facility

    Unavailable

    $4.67 lower than Salinas for the office setting.

See how rates vary across the country

73030 · 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.

$31.32

$43.63

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$40.331
AL$31.821
AR$31.321
AZ$34.741
CA$38.32–$48.9329
CO$37.521
CT$38.241
DC$41.311
DE$35.351
FL$34.80–$37.953
GA$32.73–$36.362
GU$39.441
HI$39.441
IA$32.871
ID$33.061
IL$33.59–$37.084
IN$33.271
KS$32.621
KY$32.461
LA$32.37–$34.122
MA$37.24–$41.552
MD$36.09–$41.313
ME$33.16–$35.232
MI$33.30–$35.182
MN$36.111
MO$31.71–$34.353
MS$31.531
MT$35.741
NC$33.551
ND$35.341
NE$33.091
NH$36.851
NJ$38.72–$40.812
NM$33.461
NV$35.661
NY$34.09–$42.195
OH$33.221
OK$32.481
OR$35.42–$38.892
PA$33.32–$37.172
PR$36.051
RI$36.741
SC$33.431
SD$35.301
TN$32.791
TX$33.08–$37.368
UT$33.931
VA$35.05–$41.312
VI$36.051
VT$35.121
WA$37.20–$42.512
WI$34.061
WV$32.221
WY$35.571

Explore 73030 on the national rate map →

Where does this rate apply?

Salinas 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.

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 73030 in Salinas. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$44.26

$40.24 × 110% = $44.26

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 73030 in Salinas.

PPRRVU2026_Oct_nonQPP.csv

8,108

Code
73030
Physician work
0.18
Practice expense
0.87
Malpractice
0.02

GPCI2026.csv

22

Locality
Salinas
Physician work
1.031
Practice expense
1.159
Malpractice
0.536
Office / nonfacility calculation for 73030 in Salinas
ComponentRVULocality factorAdjusted
Physician work0.18× 1.0310.1856
Practice expense0.87× 1.1591.0083
Malpractice0.02× 0.5360.0107
Total RVUs1.2046
Conversion factor× 33.4009

Office / nonfacility rate, Salinas$40.24

Open 73030 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.181.031
Practice expense0.871.159
Malpractice0.020.536

(0.18 × 1.031 + 0.87 × 1.159 + 0.02 × 0.536) × $33.4009 = $40.24

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

73030 · Office / nonfacility

$40.24

Effective 2026-10-01

The base rate is $2.20 higher than on 2025-10-01, moving from $38.04 to $40.24 (5.8%).

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

    $38.04changed to$40.24

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.84 changed to 0.87
    • Work GPCI 1.035 changed to 1.031
    • Practice expense GPCI 1.165 changed to 1.159
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $38.04

    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$40.24Not available in this settingRVU26D
2026-07-01$40.24Not available in this settingRVU26C
2026-04-01$40.24Not available in this settingRVU26B
2026-01-01$40.24Not available in this settingRVU26A
2025-10-01$38.04Not available in this settingRVU25D
2025-07-01$38.04Not available in this settingRVU25C
2025-04-01$38.04Not available in this settingRVU25B
2025-01-01$38.04Not available in this settingRVU25A

73030 billing questions

How many views are required to report 73030 instead of 73020?

73030 requires at least two views of the shoulder. If only one projection is obtained, report 73020. Additional views beyond two do not increase the code or units.

How is a bilateral shoulder series reported?

CMS pays each shoulder separately at 100% when both are imaged. Report the right and left studies on separate lines with RT and LT.

When should modifier 26 or TC be used?

Use 26 when the physician provides only the interpretation, such as for images acquired by a hospital outpatient department. Use TC when the billing entity supplies the equipment and technologist but another entity interprets the study. Bill globally when the same entity furnishes both components.

Can 73030 be billed for acromioclavicular joint films?

Dedicated bilateral AC joint films, with or without weighted distraction, are reported with 73050 rather than 73030. If a routine shoulder series is also ordered and performed, document the separate studies and medical necessity for each.

Can the ordering orthopedist bill a shoulder X-ray with an office visit on the same day?

A separately medically necessary office visit may be reported with the shoulder study. The practice bills globally only if it furnishes both imaging and interpretation; routine review of the result during the visit is not a separately billable interpretation.

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 73030PPRRVU2026_Oct_nonQPP.csv, line 8,108 (RVU26D)
Geographic factors for SalinasGPCI2026.csv, line 22 (RVU26D)