CPT code 73562: Knee X-ray2026 Medicare rate & RVUs in Guam
Plain radiographic exam of a single knee with three views, reported for knee pain, trauma, arthritis evaluation, or postoperative checks when exactly three projections are obtained.
Medicare pays $47.03 for 73562 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 73562 covers
This study captures three distinct projections of one knee, often an AP, a lateral, and either an oblique or a patellar tangential view such as a sunrise view. Radiologic technologists obtain the images in orthopedic offices, urgent care centers, imaging centers, and hospital departments. A radiologist or treating physician interprets the images and documents a written report. Common indications include suspected fracture after a fall, degenerative joint disease, patellofemoral pain, and follow-up after arthroplasty or fracture fixation.
Select this code by counting the distinct views documented for one knee: three views fit here, while one or two views and four or more views have different codes. The report should identify the views and findings. Modifier 26 identifies the professional interpretation; modifier TC identifies the equipment-and-staff portion. Billing without either modifier represents the global service. If both knees receive three views each, report each side; Medicare 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.
73562 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | $47.03 | Unavailable |
How the 73562 rate is calculated
Each of 73562’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 · 73562
RVUs × geographic indexes × conversion factor
Work0.18
0.18 RVUs× 1.000 GPCI
Practice expense1.07
1.07 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
1.2700
Conversion factor
$33.4009
Medicare rate
$42.42
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 73562
The CMS indicators that decide how 73562 is paid alongside other services.
CMS payment indicators · 73562
Knee 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
73562 without 26 · national office
$42.42
Knee X-ray
73562-26 · Professional component
$9.35
Pays only the interpretation and report.
73562 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 73560Knee X-ray
- Use 73560 when only one or two views are documented, such as AP and lateral. A third distinct projection, such as a sunrise view, moves the study to 73562.
- 73564Knee X-ray
- 73564 applies when four or more views are obtained, for example AP, lateral, sunrise, and tunnel. Exactly three documented views stay at 73562.
- 73565Knee X-ray
- 73565 describes a standing AP image of both knees. 73562 describes a three-view series of one knee, reported per side.
- 73580Knee arthrography
- 73580 describes imaging supervision and interpretation for knee arthrography using contrast in the joint; 73562 describes a plain radiographic study.
73562 billing questions
How do views map to the knee x-ray codes?
One or two views of a knee report 73560, exactly three views report 73562, and four or more views report 73564. Count distinct documented projections, not repeat exposures of the same projection.
How is a bilateral three-view knee series reported?
Medicare pays each knee separately at 100%. Follow the contractor's claim instructions: modifier 50 on one line with one unit, or RT and LT on separate lines with one unit each.
Is a standing AP of both knees on one film the same as this code?
No. A standing AP image of both knees is described by 73565. When additional views are obtained, count the distinct views documented for each knee without counting the standing AP image twice.
When should modifier 26 or TC be appended?
Append 26 when the physician provides only the interpretation, such as a radiologist reading hospital images. Append TC when the billing entity supplies the equipment and staff but not the interpretation.
Can the ordering physician bill an E/M visit and the knee x-ray on the same day?
A distinct, documented knee-pain visit may be billed with the three-view study. If the x-ray interpretation is separately billed, do not also count it as an independent interpretation in the E/M data.
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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