Billing code 73092: Arm X-rayMedicare rate & RVUs in Guam
Radiographs of an infant’s arm are reported when imaging evaluates the upper extremity as a whole rather than one localized bone or joint.
Medicare pays $33.83 for 73092 in the office in Guam (Hawaii, Guam). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 73092 covers
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%.
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 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | $33.83 | Unavailable |
How the 73092 rate is calculated
Each of 73092’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 · 73092
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.16Practice expense 0.74Malpractice 0.02
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 73092
The CMS indicators that decide how 73092 is paid alongside other services.
CMS payment indicators · 73092
Arm X-ray
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 3 | Each side paid at 100% (no 150% cap). |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
73092 without 26 · national office
$30.73
Arm X-ray
73092-26 · Professional component
$7.68
Pays only the interpretation and report.
73092 compared with similar codes
Compare codes
73092 vs 73060 vs 73090 vs 73070 vs 73080: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 73060Humerus X-ray
- This code applies to an infant arm examination. Use 73060 when the study is focused on the humerus.
- 73090Forearm X-ray
- This code evaluates the infant’s arm as a whole; 73090 is for a forearm-focused examination.
- 73070Elbow X-ray
- Use 73070 for imaging limited to the elbow, rather than an examination of the infant’s arm as a whole.
- 73080Elbow X-ray
- Use 73080 for a focused elbow examination with a different imaging extent, not a whole-arm infant study.
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 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
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