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CMS RVU26D · Effective 2026-10-01

73650 in Wyoming**

Office / nonfacility

$28.22

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 73650: Calcaneus radiographic examination

Reports radiographic imaging of the heel bone, generally for localized heel pain, suspected calcaneal fracture, or another condition centered on the calcaneus.

This study images the calcaneus, the heel bone, with at least two radiographic views. It is commonly ordered for focal heel pain, trauma with concern for a calcaneal fracture, or evaluation of a heel abnormality such as a spur. A radiologic technologist typically obtains the images in an office, imaging center, or hospital; a physician interprets them and documents the findings.

Choose this code when the imaging is specifically of the calcaneus, rather than a broader foot or ankle examination. The order and report should identify the heel examined and support the clinical reason for imaging. When one billing entity provides both image acquisition and interpretation, report the global service; use modifier 26 for the interpretation alone or TC for the technical service alone when those components are billed separately. For bilateral studies, CMS pays each side separately at 100%.

CMS billing rules for 73650

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 · 19%
  • Practice expense (office) RVU0.67 · 79%
  • Malpractice RVU0.02 · 2%

63.3K

Medicare services in 2024 · #699 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.

73650 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

73620

Foot X-ray

Two views

$28.55

This code is for calcaneus-focused imaging; 73620 is for radiographs of the foot. Select according to the anatomic examination performed.

73630

Foot X-ray

Complete, at least three views

$33.90

Use this code for a heel-focused study. Code 73630 describes a complete foot examination, not an isolated calcaneus study.

73600

Ankle X-ray

Two views

$32.23

This code images the calcaneus, while 73600 is for an ankle examination. A heel complaint alone does not make the study an ankle X-ray.

The same code, a different location

How does Wyoming** compare?

73650 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $28.22

  2. $4.26 higher than Wyoming**

  3. $4.52 higher than Wyoming**

  4. Miami

    $30.33

    $2.11 higher than Wyoming**

  5. Chicago

    $29.41

    $1.19 higher than Wyoming**

  6. Manhattan

    $32.75

    $4.53 higher than Wyoming**

  7. Alaska*

    $32.22

    $4.00 higher than Wyoming**

Other payment areas listed in Wyoming 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, 73650 ranges from $24.91 in Arkansas to $38.56 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
  • Alabama

    Alabama · 73650

    Office

    $25.30

    Facility

    Unavailable

    $2.92 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 73650

    Office

    $24.91

    Facility

    Unavailable

    $3.31 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 73650

    Office

    $27.60

    Facility

    Unavailable

    $0.62 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 73650

    Office

    $30.38

    Facility

    Unavailable

    $2.16 higher than Wyoming** for the office setting.

  • Chico

    California · 73650

    Office

    $30.32

    Facility

    Unavailable

    $2.10 higher than Wyoming** for the office setting.

  • El Centro

    California · 73650

    Office

    $30.32

    Facility

    Unavailable

    $2.10 higher than Wyoming** for the office setting.

  • Fresno

    California · 73650

    Office

    $30.32

    Facility

    Unavailable

    $2.10 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 73650

    Office

    $30.32

    Facility

    Unavailable

    $2.10 higher than Wyoming** for the office setting.

  • Madera

    California · 73650

    Office

    $30.32

    Facility

    Unavailable

    $2.10 higher than Wyoming** for the office setting.

  • Merced

    California · 73650

    Office

    $30.32

    Facility

    Unavailable

    $2.10 higher than Wyoming** for the office setting.

  • Modesto

    California · 73650

    Office

    $30.32

    Facility

    Unavailable

    $2.10 higher than Wyoming** for the office setting.

  • Napa

    California · 73650

    Office

    $35.52

    Facility

    Unavailable

    $7.30 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 73650

    Office

    $32.36

    Facility

    Unavailable

    $4.14 higher than Wyoming** for the office setting.

  • Redding

    California · 73650

    Office

    $30.32

    Facility

    Unavailable

    $2.10 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 73650

    Office

    $30.32

    Facility

    Unavailable

    $2.10 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 73650

    Office

    $30.54

    Facility

    Unavailable

    $2.32 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 73650

    Office

    $31.92

    Facility

    Unavailable

    $3.70 higher than Wyoming** for the office setting.

  • Salinas

    California · 73650

    Office

    $31.80

    Facility

    Unavailable

    $3.58 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 73650

    Office

    $32.63

    Facility

    Unavailable

    $4.41 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 73650

    Office

    $37.71

    Facility

    Unavailable

    $9.49 higher than Wyoming** for the office setting.

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

    California · 73650

    Office

    $37.69

    Facility

    Unavailable

    $9.47 higher than Wyoming** for the office setting.

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

    California · 73650

    Office

    $38.56

    Facility

    Unavailable

    $10.34 higher than Wyoming** for the office setting.

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

    California · 73650

    Office

    $38.47

    Facility

    Unavailable

    $10.25 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 73650

    Office

    $31.28

    Facility

    Unavailable

    $3.06 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 73650

    Office

    $33.00

    Facility

    Unavailable

    $4.78 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 73650

    Office

    $31.95

    Facility

    Unavailable

    $3.73 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 73650

    Office

    $33.34

    Facility

    Unavailable

    $5.12 higher than Wyoming** for the office setting.

  • Stockton

    California · 73650

    Office

    $30.32

    Facility

    Unavailable

    $2.10 higher than Wyoming** for the office setting.

  • Vallejo

    California · 73650

    Office

    $35.48

    Facility

    Unavailable

    $7.26 higher than Wyoming** for the office setting.

  • Visalia

    California · 73650

    Office

    $30.32

    Facility

    Unavailable

    $2.10 higher than Wyoming** for the office setting.

  • Yuba City

    California · 73650

    Office

    $30.32

    Facility

    Unavailable

    $2.10 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 73650

    Office

    $29.74

    Facility

    Unavailable

    $1.52 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 73650

    Office

    $30.36

    Facility

    Unavailable

    $2.14 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 73650

    Office

    $28.08

    Facility

    Unavailable

    $0.14 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 73650

    Office

    $29.22

    Facility

    Unavailable

    $1.00 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 73650

    Office

    $27.74

    Facility

    Unavailable

    $0.48 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 73650

    Office

    $28.90

    Facility

    Unavailable

    $0.68 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 73650

    Office

    $26.10

    Facility

    Unavailable

    $2.12 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 73650

    Office

    $31.18

    Facility

    Unavailable

    $2.96 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 73650

    Office

    $26.09

    Facility

    Unavailable

    $2.13 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 73650

    Office

    $26.25

    Facility

    Unavailable

    $1.97 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 73650

    Office

    $27.28

    Facility

    Unavailable

    $0.94 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 73650

    Office

    $26.82

    Facility

    Unavailable

    $1.40 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 73650

    Office

    $29.55

    Facility

    Unavailable

    $1.33 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 73650

    Office

    $26.41

    Facility

    Unavailable

    $1.81 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 73650

    Office

    $25.91

    Facility

    Unavailable

    $2.31 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 73650

    Office

    $25.85

    Facility

    Unavailable

    $2.37 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 73650

    Office

    $27.16

    Facility

    Unavailable

    $1.06 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 73650

    Office

    $25.79

    Facility

    Unavailable

    $2.43 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 73650

    Office

    $32.88

    Facility

    Unavailable

    $4.66 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 73650

    Office

    $29.53

    Facility

    Unavailable

    $1.31 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 73650

    Office

    $30.27

    Facility

    Unavailable

    $2.05 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 73650

    Office

    $28.66

    Facility

    Unavailable

    $0.44 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 73650

    Office

    $26.35

    Facility

    Unavailable

    $1.87 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 73650

    Office

    $27.94

    Facility

    Unavailable

    $0.28 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 73650

    Office

    $28.07

    Facility

    Unavailable

    $0.15 lower than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 73650

    Office

    $26.53

    Facility

    Unavailable

    $1.69 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 73650

    Office

    $28.57

    Facility

    Unavailable

    $0.35 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 73650

    Office

    $27.01

    Facility

    Unavailable

    $1.21 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 73650

    Office

    $27.32

    Facility

    Unavailable

    $0.90 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 73650

    Office

    $25.29

    Facility

    Unavailable

    $2.93 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 73650

    Office

    $25.11

    Facility

    Unavailable

    $3.11 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 73650

    Office

    $28.39

    Facility

    Unavailable

    $0.17 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 73650

    Office

    $26.65

    Facility

    Unavailable

    $1.57 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 73650

    Office

    $27.99

    Facility

    Unavailable

    $0.23 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 73650

    Office

    $26.25

    Facility

    Unavailable

    $1.97 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 73650

    Office

    $29.22

    Facility

    Unavailable

    $1.00 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 73650

    Office

    $32.35

    Facility

    Unavailable

    $4.13 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 73650

    Office

    $30.73

    Facility

    Unavailable

    $2.51 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 73650

    Office

    $26.67

    Facility

    Unavailable

    $1.55 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 73650

    Office

    $28.30

    Facility

    Unavailable

    $0.08 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 73650

    Office

    $33.53

    Facility

    Unavailable

    $5.31 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 73650

    Office

    $30.90

    Facility

    Unavailable

    $2.68 higher than Wyoming** for the office setting.

  • Queens

    New York · 73650

    Office

    $33.10

    Facility

    Unavailable

    $4.88 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 73650

    Office

    $27.07

    Facility

    Unavailable

    $1.15 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 73650

    Office

    $26.45

    Facility

    Unavailable

    $1.77 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 73650

    Office

    $25.85

    Facility

    Unavailable

    $2.37 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 73650

    Office

    $30.79

    Facility

    Unavailable

    $2.57 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 73650

    Office

    $28.10

    Facility

    Unavailable

    $0.12 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 73650

    Office

    $29.53

    Facility

    Unavailable

    $1.31 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 73650

    Office

    $26.52

    Facility

    Unavailable

    $1.70 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 73650

    Office

    $28.63

    Facility

    Unavailable

    $0.41 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 73650

    Office

    $29.16

    Facility

    Unavailable

    $0.94 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 73650

    Office

    $26.59

    Facility

    Unavailable

    $1.63 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 73650

    Office

    $27.95

    Facility

    Unavailable

    $0.27 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 73650

    Office

    $26.05

    Facility

    Unavailable

    $2.17 lower than Wyoming** for the office setting.

  • Austin

    Texas · 73650

    Office

    $29.62

    Facility

    Unavailable

    $1.40 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 73650

    Office

    $26.33

    Facility

    Unavailable

    $1.89 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 73650

    Office

    $28.09

    Facility

    Unavailable

    $0.13 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 73650

    Office

    $28.25

    Facility

    Unavailable

    $0.03 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 73650

    Office

    $28.04

    Facility

    Unavailable

    $0.18 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 73650

    Office

    $28.16

    Facility

    Unavailable

    $0.06 lower than Wyoming** for the office setting.

  • Houston

    Texas · 73650

    Office

    $28.53

    Facility

    Unavailable

    $0.31 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 73650

    Office

    $27.18

    Facility

    Unavailable

    $1.04 lower than Wyoming** for the office setting.

  • Utah

    Utah · 73650

    Office

    $26.98

    Facility

    Unavailable

    $1.24 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 73650

    Office

    $27.81

    Facility

    Unavailable

    $0.41 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 73650

    Office

    $28.63

    Facility

    Unavailable

    $0.41 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 73650

    Office

    $27.84

    Facility

    Unavailable

    $0.38 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 73650

    Office

    $29.49

    Facility

    Unavailable

    $1.27 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 73650

    Office

    $33.62

    Facility

    Unavailable

    $5.40 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 73650

    Office

    $26.99

    Facility

    Unavailable

    $1.23 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 73650

    Office

    $25.75

    Facility

    Unavailable

    $2.47 lower than Wyoming** for the office setting.

See how rates vary across the country

73650 · 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.

$24.91

$34.44

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$32.221
AL$25.301
AR$24.911
AZ$27.601
CA$30.32–$38.5629
CO$29.741
CT$30.361
DC$32.741
DE$28.081
FL$27.74–$30.333
GA$26.10–$28.902
GU$31.181
HI$31.181
IA$26.091
ID$26.251
IL$26.82–$29.554
IN$26.411
KS$25.911
KY$25.851
LA$25.79–$27.162
MA$29.53–$32.882
MD$28.66–$32.743
ME$26.35–$27.942
MI$26.53–$28.072
MN$28.571
MO$25.29–$27.323
MS$25.111
MT$28.391
NC$26.651
ND$27.991
NE$26.251
NH$29.221
NJ$30.73–$32.352
NM$26.671
NV$28.301
NY$27.07–$33.535
OH$26.451
OK$25.851
OR$28.10–$30.792
PA$26.52–$29.532
PR$28.631
RI$29.161
SC$26.591
SD$27.951
TN$26.051
TX$26.33–$29.628
UT$26.981
VA$27.81–$32.742
VI$28.631
VT$27.841
WA$29.49–$33.622
WI$26.991
WV$25.751
WY$28.221

Explore 73650 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 73650 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$31.04

$28.22 × 110% = $31.04

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 73650 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

8,249

Code
73650
Physician work
0.16
Practice expense
0.67
Malpractice
0.02

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 73650 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work0.16× 1.0000.1600
Practice expense0.67× 1.0000.6700
Malpractice0.02× 0.7400.0148
Total RVUs0.8448
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$28.22

Open 73650 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.161
Practice expense0.671
Malpractice0.020.74

(0.16 × 1 + 0.67 × 1 + 0.02 × 0.74) × $33.4009 = $28.22

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

73650 · Office / nonfacility

$28.22

Effective 2026-10-01

The base rate is $0.89 higher than on 2025-10-01, moving from $27.33 to $28.22 (3.3%).

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

    $27.33changed to$28.22

    • Conversion factor 32.3465 changed to 33.4009
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $27.33

    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$28.22Not available in this settingRVU26D
2026-07-01$28.22Not available in this settingRVU26C
2026-04-01$28.22Not available in this settingRVU26B
2026-01-01$28.22Not available in this settingRVU26A
2025-10-01$27.33Not available in this settingRVU25D
2025-07-01$27.33Not available in this settingRVU25C
2025-04-01$27.33Not available in this settingRVU25B
2025-01-01$27.33Not available in this settingRVU25A

73650 billing questions

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

Use it for imaging centered on the calcaneus. A broader examination of the foot, rather than a heel-focused study, points to a foot radiography code.

How many views are required?

The study requires at least two radiographic views of the calcaneus. The order and imaging documentation should support the heel examination performed.

Can the interpretation and image acquisition be billed separately?

Yes. Modifier 26 identifies the professional interpretation, and TC identifies the technical service; without a component modifier, the claim represents the global service.

How is a bilateral heel study reported for Medicare payment?

CMS pays each side separately at 100% when both heels are examined. The documentation should identify the side or sides imaged.

What documentation supports this code?

Document the clinical indication, that the calcaneus was imaged, the side examined, and the views obtained. The interpreting physician's report should address the heel findings.

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 73650PPRRVU2026_Oct_nonQPP.csv, line 8,249 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)