Use 73610 for an ankle examination with three or more views; this code is for two views.
On this page
CMS RVU26D · Effective 2026-10-01
73600 Ankle X-ray Medicare reimbursement rates in Connecticut
A two-view ankle radiograph evaluates the ankle after injury or for pain, swelling, or suspected bone abnormality when a limited study is performed. Compare 73600 office and facility rates across CMS payment localities in Connecticut.
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.
What does Medicare pay for 73600 in Connecticut?
Connecticut has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$34.68
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Radiology
About 73600: Two-view ankle radiograph
A two-view ankle radiograph evaluates the ankle after injury or for pain, swelling, or suspected bone abnormality when a limited study is performed.
This code represents a two-view X-ray examination of the ankle, commonly obtained for an ankle sprain or injury, pain, swelling, or suspected fracture. Images are acquired by radiology staff in an imaging department, hospital, urgent care center, or equipped office; a radiologist or other qualified physician interprets the study. The examination is limited to the ankle rather than a dedicated foot or heel study.
Choose this code when the documented ankle examination consists of two views; use the view count and body region actually imaged to distinguish it from a three-or-more-view ankle study. The record should support the ankle side, views obtained, clinical reason, and interpretation. Medicare allows the global service to be billed without a component modifier, or the interpretation with modifier 26 and the equipment and staff portion with modifier TC. For bilateral examinations, each side is paid separately at 100%.
CMS billing rules for 73600
- 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) RVU0.79 · 81%
- Malpractice RVU0.02 · 2%
196.8K
Medicare services in 2024 · #392 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.
73600 compared with similar codes
Office rates for Connecticut, from the same CMS release.
Compare 73600 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Connecticut →
Office / nonfacility
$34.68
Facility
Unavailable
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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 73600 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
8,234
- Code
- 73600
- Physician work
- 0.16
- Practice expense
- 0.79
- Malpractice
- 0.02
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.16 | × 1.020 | 0.1632 |
| Practice expense | 0.79 | × 1.077 | 0.8508 |
| Malpractice | 0.02 | × 1.210 | 0.0242 |
| Total RVUs | 1.0382 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$34.68
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.16 | 1.02 |
| Practice expense | 0.79 | 1.077 |
| Malpractice | 0.02 | 1.21 |
(0.16 × 1.02 + 0.79 × 1.077 + 0.02 × 1.21) × $33.4009 = $34.68
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.
73600 billing questions
How does this differ from 73610?
73600 is for a two-view ankle examination. Use 73610 when three or more ankle views are obtained and documented.
Can the interpretation and imaging be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical portion. Without either modifier, the claim represents the global service.
How is a bilateral ankle examination reported?
Report the examination for each side. CMS pays each side separately at 100%; use the applicable laterality identification on the claim.
Can an ankle and foot X-ray be reported together?
They may both be reported when distinct ankle and foot examinations are performed and documented. Use the foot code that matches its own view count rather than treating foot images as ankle views.
What documentation supports 73600?
Document the clinical reason, ankle side, two views obtained, and the physician's interpretation when reporting the professional service.
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.
