Billing code 73700: Extremity CTMedicare rate & RVUs in Delaware

Reports CT imaging of a lower extremity performed without contrast, commonly to assess bone, soft tissue, or orthopedic findings.

CMS RVU26DEffective Oct 1, 20261 payment locality413.8K Medicare services in 2024

Medicare pays $129.05 for 73700 in the office in Delaware (Delaware). Which amount applies depends on the service address.

$129.05Office (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 73700 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Delaware
  2. What 73700 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 73700 covers

This service is a CT examination of a lower extremity acquired without contrast material. A technologist performs the scan in a hospital, emergency department, or freestanding imaging center, and a radiologist typically interprets the images. Orthopedic and emergency clinicians may order it to evaluate findings such as a suspected fracture, bone abnormality, or orthopedic hardware, depending on the clinical question and imaging protocol.

Report the code when the performed study covers a lower extremity without contrast; use the contrast-specific code when contrast is administered. The order, imaging record, and report should support the body region, side, clinical indication, and protocol performed. The global service includes the technical work and interpretation; modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service. When multiple diagnostic imaging procedures trigger the multiple-procedure reduction, it applies to both components. For bilateral studies, 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.

73700 in Delaware

73700 office and facility rates by payment locality
Payment localityOfficeFacility
Delaware$129.05Unavailable

How the 73700 rate is calculated

Each of 73700’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 · 73700

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 0.98Practice expense 2.85Malpractice 0.07

3.9000 adjusted RVUs×$33.4009 conversion factor=$130.26

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 73700

The CMS indicators that decide how 73700 is paid alongside other services.

CMS payment indicators · 73700

Extremity CT

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures4Diagnostic imaging reduction applies to the technical component (and professional component) of additional services.
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

73700 without 26 · national office

$130.26

Extremity CT

73700-26 · Professional component

$46.43

Pays only the interpretation and report.

When to use modifier 26

73700 compared with similar codes

Compare codes

73700 vs 73701 vs 73702 vs 73718 vs 73721: national Medicare rates

Swap in your local Medicare rate.

  • 73700
    Extremity CT · 0.98 wRVU
    $130.26
  • 73701
    Extremity CT · 1.13 wRVU
    $166.00+$35.74
  • 73702
    CT scan · 1.19 wRVU
    $194.73+$64.47
  • 73718
    MRI · 1.32 wRVU
    $222.45+$92.19
  • 73721
    Lower extremity joint MRI · 1.32 wRVU
    $204.41+$74.15

How to choose

73701Extremity CT
Use 73700 for a lower-extremity CT without contrast; 73701 describes the corresponding CT examination with contrast.
73702CT scan
73702 is for a lower-extremity CT performed without and with contrast, rather than a study performed only without contrast.
73718MRI
73718 is MRI of a lower extremity without contrast. Choose between it and 73700 based on the modality actually performed.
73721Lower extremity joint MRI
73721 is noncontrast MRI focused on a lower-extremity joint; 73700 reports CT of a lower extremity without contrast.

73700 billing questions

How does this differ from 73701?

73700 is for a lower-extremity CT performed without contrast. Report 73701 when the examination is performed with contrast.

Can the interpretation and scan be billed separately?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Billing without either modifier represents the global service.

How is a bilateral examination handled?

CMS pays each side separately at 100% when both sides are examined. Identify the side for each service and follow claim-line reporting instructions.

What happens when multiple diagnostic imaging procedures are performed?

The diagnostic imaging multiple-procedure reduction applies to both the technical and professional components when applicable.

What documentation supports reporting this code?

The order and imaging report should establish the lower-extremity region and side, the clinical reason for the study, and that the examination was performed without contrast.

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 73700PPRRVU2026_Oct_nonQPP.csv, line 8,255 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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