Billing code 73525: Hip arthrographyMedicare rate & RVUs in Delaware

Reports radiologic imaging and interpretation of a contrast study of the hip joint, typically performed after contrast is injected into the joint.

CMS RVU26DEffective Oct 1, 20261 payment locality7K Medicare services in 2024

Medicare pays $131.82 for 73525 in the office in Delaware (Delaware). Which amount applies depends on the service address.

$131.82Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 73525 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Delaware
  2. What 73525 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 73525 covers

This service covers radiographic imaging and physician interpretation of a hip arthrogram. Contrast is introduced into the hip joint so the images can show the joint and its internal structures; the imaging is commonly performed with fluoroscopy. Radiologists typically perform or interpret the study in a hospital or imaging center, often as part of an evaluation for suspected intra-articular disease or injury.

Report the service for the contrast imaging and interpretation, not for the joint injection itself. The record should support the hip and side examined, the contrast imaging performed, and the interpreting physician’s findings. Medicare recognizes professional and technical components: report modifier 26 for interpretation alone, modifier TC for equipment and staff alone, or no component modifier for the global service. When both hips are examined, CMS pays each side separately at 100%.

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.

73525 in Delaware

73525 office and facility rates by payment locality
Payment localityOfficeFacility
Delaware$131.82Unavailable

How the 73525 rate is calculated

Each of 73525’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 73525

RVUs × geographic indexes × conversion factor

Work0.53

0.53 RVUs× 1.000 GPCI

Practice expense3.41

3.41 RVUs× 1.000 GPCI

Malpractice0.05

0.05 RVUs× 1.000 GPCI

Adjusted RVUs

3.9900

Conversion factor

$33.4009

Medicare rate

$133.27

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 73525

The CMS indicators that decide how 73525 is paid alongside other services.

CMS payment indicators · 73525

Hip arthrography

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)3Each side paid at 100% (no 150% cap).
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

73525 without 26 · national office

$133.27

Hip arthrography

73525-26 · Professional component

$28.39

Pays only the interpretation and report.

When to use modifier 26

73525 compared with similar codes

Compare codes · National

4 codes, side by side

  • 73525

    Hip arthrography0.53 wRVU

    $133.27

  • 27093

    Hip arthrogram injection1.27 wRVU

    $232.47+$99.20

  • 73502

    Hip X-ray0.21 wRVU

    $48.77−$84.50

  • 73521

    Hip X-ray0.21 wRVU

    $41.75−$91.52

How to choose

27093Hip arthrogram injection
27093 represents the hip joint injection for arthrography; 73525 represents the radiographic imaging and interpretation. They may be reported together when both services are performed.
73502Hip X-ray
73502 is for routine noncontrast imaging of one hip. Choose 73525 when the study is a contrast arthrogram.
73521Hip X-ray
73521 reports routine bilateral hip radiographs, not contrast joint imaging. The distinction is the contrast arthrogram service, not simply imaging both hips.

73525 billing questions

How is 73525 different from a routine hip X-ray?

73525 is for contrast imaging of the hip joint and its interpretation. Use a routine hip radiograph code, such as 73502, for standard noncontrast views.

Does 73525 include the hip joint injection?

73525 reports the imaging and interpretation. The hip arthrogram injection service may be reported separately with 27093 when performed and documented.

When should modifier 26 or TC be used?

Use modifier 26 for the professional interpretation alone and TC for the technical service alone. Without either modifier, 73525 represents the global service.

How should bilateral hip arthrography be handled?

CMS pays each side separately at 100% when both hips are examined. Documentation should identify the side imaged.

What documentation supports reporting 73525?

Document the contrast hip imaging performed, the side examined, and the physician’s interpretation. The record should distinguish the imaging service from the separately performed joint injection.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 73525PPRRVU2026_Oct_nonQPP.csv, line 8,204 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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