$23.63
73020 describes a single-view plain shoulder X-ray. Use 73040 for contrast imaging of the shoulder joint.
On this page
CMS RVU26D · Effective 2026-10-01
73040 Shoulder arthrography Medicare reimbursement rates in Hawaii
Reports contrast X-ray imaging of a shoulder joint to evaluate internal structures, with the professional interpretation and technical imaging service represented by this code. Compare 73040 office and facility rates across CMS payment localities in Hawaii.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 73040 in Hawaii?
Hawaii has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$149.88
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Radiology
About 73040: Shoulder contrast arthrography imaging
Reports contrast X-ray imaging of a shoulder joint to evaluate internal structures, with the professional interpretation and technical imaging service represented by this code.
This service covers X-ray imaging of the shoulder joint after contrast has been introduced into the joint, often with fluoroscopic guidance. A radiologist or other qualified imaging physician interprets the images; imaging staff operate the equipment and assist with image acquisition. It may be used to assess joint structures when a clinician requests an arthrogram, including evaluation for suspected internal derangement or contrast leakage related to a rotator cuff abnormality. The injection itself is represented separately when performed.
Report 73040 for the contrast imaging and its interpretation, supported by the imaging report and documentation identifying the shoulder examined and the clinical indication. CPT 23350 may be reported for the shoulder contrast injection when that service is performed. CMS recognizes professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and an unmodified claim represents the global service. When both shoulders are examined, CMS pays each side separately at 100%; the record should identify each side.
CMS billing rules for 73040
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Bilateral procedures
- Each side is paid separately at 100% when performed bilaterally.
Where the value comes from
- Work RVU0.53 · 13%
- Practice expense (office) RVU3.46 · 86%
- Malpractice RVU0.04 · 1%
5.2K
Medicare services in 2024 · #1846 by national volume
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.
73040 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$39.44
73030 describes multiple plain shoulder X-ray views. It does not represent contrast arthrography.
$172.33
23350 represents injection of contrast into the shoulder joint for arthrography or enhanced imaging; 73040 represents the X-ray imaging and interpretation.
Compare 73040 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Hawaii, Guam →
Office / nonfacility
$149.88
Facility
Unavailable
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 73040 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
8,111
- Code
- 73040
- Physician work
- 0.53
- Practice expense
- 3.46
- Malpractice
- 0.04
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.53 | × 1.000 | 0.5300 |
| Practice expense | 3.46 | × 1.137 | 3.9340 |
| Malpractice | 0.04 | × 0.579 | 0.0232 |
| Total RVUs | 4.4872 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$149.88
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.53 | 1 |
| Practice expense | 3.46 | 1.137 |
| Malpractice | 0.04 | 0.579 |
(0.53 × 1 + 3.46 × 1.137 + 0.04 × 0.579) × $33.4009 = $149.88
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
73040 billing questions
How is this different from a routine shoulder X-ray?
This code is for shoulder imaging after contrast is placed inside the joint. Use routine shoulder radiography codes when the study consists of plain X-ray views without joint contrast.
Is the contrast injection included in 73040?
The imaging and interpretation are represented by 73040. When the shoulder joint injection for arthrography is performed, report CPT 23350 for that service.
When should modifier 26 or TC be used?
Use modifier 26 for the professional interpretation and modifier TC for the technical service, which includes equipment and staff. Reporting 73040 without either modifier represents the global service.
How should bilateral shoulder arthrography be reported?
Document which shoulder was examined on each side. CMS pays each side separately at 100% when both shoulders are performed.
What documentation supports reporting this code?
The record should support the clinical reason for the contrast study and identify the shoulder examined. The imaging report should document the acquired study and the physician's interpretation.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
8,10873030,,X-ray exam of shoulder,A,,0.18,0.87,,0.87,NA,0.02,1.07,1.07,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,2.71,2.71,0.04
8,10973030,26,X-ray exam of shoulder,A,,0.18,0.08,,0.08,,0.01,0.27,0.27,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,11073030,TC,X-ray exam of shoulder,A,,0.00,0.79,,0.79,NA,0.01,0.80,0.80,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,01,0,99,2.63,2.63,0.03
8,11173040,,Contrast x-ray of shoulder,A,,0.53,3.46,,3.46,NA,0.04,4.03,4.03,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,10.88,10.88,0.06
8,11273040,26,Contrast x-ray of shoulder,A,,0.53,0.24,,0.24,,0.03,0.80,0.80,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,11373040,TC,Contrast x-ray of shoulder,A,,0.00,3.22,,3.22,NA,0.01,3.23,3.23,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,03,0,99,10.64,10.64,0.03
8,11473050,,X-ray exam of shoulders,A,,0.18,0.71,,0.71,NA,0.02,0.91,0.91,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,2.71,2.71,0.05
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014