$31.71
This code applies to an infant arm examination. Use 73060 when the study is focused on the humerus.
On this page
CMS RVU26D · Effective 2026-10-01
73092 Arm X-ray Medicare reimbursement rates in Delaware
Radiographs of an infant’s arm are reported when imaging evaluates the upper extremity as a whole rather than one localized bone or joint. Compare 73092 office and facility rates across CMS payment localities in Delaware.
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 73092 in Delaware?
Delaware 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
$30.39
1 of 1 localities have a supported rate.
Payment area: Delaware
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 73092: Infant upper-extremity radiograph
Radiographs of an infant’s arm are reported when imaging evaluates the upper extremity as a whole rather than one localized bone or joint.
This code is for an X-ray examination of an infant’s upper extremity, such as imaging ordered to evaluate a suspected injury or a congenital or developmental concern. A radiologic technologist obtains the images, and a radiologist or other qualified physician interprets them. It is distinct from an examination focused on one named region, such as the humerus, forearm, or elbow.
Select the code when the order and images support an infant arm examination; document the clinical indication, side, anatomy examined, views obtained, and interpretation. A claim without a component modifier represents the global service, including image acquisition and interpretation. Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service, including equipment and staff. When both arms are examined, CMS pays each side separately at 100%.
CMS billing rules for 73092
- 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 · 17%
- Practice expense (office) RVU0.74 · 80%
- Malpractice RVU0.02 · 2%
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.
73092 compared with similar codes
Office rates for Delaware, from the same CMS release.
$28.74
This code evaluates the infant’s arm as a whole; 73090 is for a forearm-focused examination.
$29.07
Use 73070 for imaging limited to the elbow, rather than an examination of the infant’s arm as a whole.
$32.71
Use 73080 for a focused elbow examination with a different imaging extent, not a whole-arm infant study.
Compare 73092 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
Delaware →
Office / nonfacility
$30.39
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 73092 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
8,132
- Code
- 73092
- Physician work
- 0.16
- Practice expense
- 0.74
- Malpractice
- 0.02
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.16 | × 1.005 | 0.1608 |
| Practice expense | 0.74 | × 0.988 | 0.7311 |
| Malpractice | 0.02 | × 0.899 | 0.0180 |
| Total RVUs | 0.9099 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$30.39
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.16 | 1.005 |
| Practice expense | 0.74 | 0.988 |
| Malpractice | 0.02 | 0.899 |
(0.16 × 1.005 + 0.74 × 0.988 + 0.02 × 0.899) × $33.4009 = $30.39
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.
73092 billing questions
When should this code be used instead of a humerus or forearm X-ray code?
Use this code when the examination evaluates the infant’s arm as a whole. Use a focused regional code when the imaging is limited to a specific bone or joint, such as the humerus or forearm.
How are the interpretation and image acquisition billed?
Bill without a component modifier for the global service. Modifier 26 represents the professional interpretation, and modifier TC represents the technical service.
How is bilateral imaging handled?
CMS pays each side separately at 100% when both arms are examined. Document the side or sides imaged.
What documentation supports reporting this code?
Keep the order or clinical indication, the infant’s side and anatomy examined, the views obtained, and the physician’s interpretation. The record should support an arm examination rather than imaging limited to a single region.
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.
8,12973090,,X-ray exam of forearm,A,,0.16,0.69,,0.69,NA,0.02,0.87,0.87,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,2.68,2.68,0.05
8,13073090,26,X-ray exam of forearm,A,,0.16,0.06,,0.06,,0.01,0.23,0.23,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,13173090,TC,X-ray exam of forearm,A,,0.00,0.63,,0.63,NA,0.01,0.64,0.64,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,01,0,99,2.62,2.62,0.04
8,13273092,,X-ray exam of arm infant,A,,0.16,0.74,,0.74,NA,0.02,0.92,0.92,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,3.21,3.21,0.06
8,13373092,26,X-ray exam of arm infant,A,,0.16,0.06,,0.06,,0.01,0.23,0.23,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,13473092,TC,X-ray exam of arm infant,A,,0.00,0.68,,0.68,NA,0.01,0.69,0.69,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,01,0,99,3.15,3.15,0.05
8,13573100,,X-ray exam of wrist,A,,0.16,0.85,,0.85,NA,0.02,1.03,1.03,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,2.71,2.71,0.04
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503