Billing code 73592: Lower-extremity X-rayMedicare rate & RVUs in Guam
Reports radiographs of an infant's lower extremity in at least two views to evaluate bone injury, alignment, or a suspected developmental abnormality.
Medicare pays $33.83 for 73592 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 73592 covers
This service covers an X-ray examination of an infant's lower extremity using at least two views. A radiologic technologist obtains the images, and a physician, commonly a radiologist, interprets them. The study may be ordered for suspected injury, abnormal limb alignment, or a congenital or developmental bone concern. It is distinct from imaging directed only at a specific bone or joint when that narrower examination is performed.
Report the code when the documented examination matches the infant lower-extremity service and includes the required views. The order and imaging record should support the body area examined, the infant patient, and the views obtained. CMS recognizes separately priced professional and technical components: report modifier 26 for the interpretation, modifier TC for the equipment and staff, or neither modifier for the global service. When both sides are imaged, 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.
73592 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | $33.83 | Unavailable |
How the 73592 rate is calculated
Each of 73592’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 · 73592
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 73592
The CMS indicators that decide how 73592 is paid alongside other services.
CMS payment indicators · 73592
Lower-extremity 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
73592 without 26 · national office
$30.73
Lower-extremity X-ray
73592-26 · Professional component
$7.68
Pays only the interpretation and report.
73592 compared with similar codes
Compare codes
73592 vs 73590 vs 73551 vs 73552 vs 73501: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 73590Lower-leg X-ray
- 73590 is for imaging focused on the lower leg. Choose 73592 for the infant lower-extremity examination rather than a localized tibia-and-fibula study.
- 73551Femur X-ray
- 73551 describes a one-view femur examination. It is not the infant lower-extremity study represented by 73592.
- 73552Femur X-ray
- 73552 describes a femur examination with two or more views. Choose by the imaged body area and scope, not view count alone.
- 73501Hip X-ray
- 73501 is a one-view unilateral hip examination. Use it for focused hip imaging, rather than an infant lower-extremity examination.
73592 billing questions
How many views support this code?
The examination is for at least two views. Keep the imaging record showing the views obtained.
When should modifier 26 or TC be used?
Use modifier 26 for the professional interpretation and modifier TC for the technical service. Report the global service without either modifier when one billing entity provides both.
How is bilateral imaging handled?
CMS pays each side separately at 100% when both sides are examined. Document the side or sides imaged.
Should this code be used for a focused tibia and fibula study?
Use 73590 for an examination focused on the lower leg. This code is for the infant lower-extremity examination rather than a localized tibia-and-fibula study.
How does this differ from a femur X-ray?
Use 73551 or 73552 when the imaging is directed to the femur; those codes distinguish one view from two or more views. Select this code for the infant lower-extremity examination.
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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