$32.31
Choose 73070 for conventional elbow radiographs with two views. Use 73085 when the study is an elbow arthrogram with intra-articular contrast.
On this page
CMS RVU26D · Effective 2026-10-01
73085 Contrast X-ray Medicare reimbursement rates in Hawaii
Report elbow arthrography imaging when contrast is used to evaluate the joint and a physician provides radiographic supervision and interpretation. Compare 73085 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 73085 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
$106.20
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 73085: Elbow arthrography imaging interpretation
Report elbow arthrography imaging when contrast is used to evaluate the joint and a physician provides radiographic supervision and interpretation.
Elbow arthrography uses contrast placed within the joint to outline its structures during radiographic imaging. Code 73085 represents the radiographic supervision and interpretation, commonly performed and documented by a radiologist; the contrast injection is a separate procedural service when performed. It may be ordered to assess suspected joint or capsular abnormalities when conventional elbow films do not provide the needed information.
Report the code for the elbow side examined and retain the imaging report, documented interpretation, and details identifying the side and arthrographic study. A claim without a component modifier represents the global service. Modifier 26 reports the professional interpretation, while modifier TC reports the technical work, equipment, and staff. For bilateral studies, each side is paid separately at 100%.
CMS billing rules for 73085
- 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 · 18%
- Practice expense (office) RVU2.31 · 80%
- Malpractice RVU0.04 · 1%
68
Medicare services in 2024 · #5166 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.
73085 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$36.45
73080 covers conventional elbow radiographs with three or more views. It is not the contrast arthrography service represented by 73085.
$203.63
24220 represents the elbow arthrography injection procedure. Code 73085 represents the radiographic supervision and interpretation.
Compare 73085 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
$106.20
Facility
Unavailable
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 73085 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
8,126
- Code
- 73085
- Physician work
- 0.53
- Practice expense
- 2.31
- 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 | 2.31 | × 1.137 | 2.6265 |
| Malpractice | 0.04 | × 0.579 | 0.0232 |
| Total RVUs | 3.1796 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$106.20
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.53 | 1 |
| Practice expense | 2.31 | 1.137 |
| Malpractice | 0.04 | 0.579 |
(0.53 × 1 + 2.31 × 1.137 + 0.04 × 0.579) × $33.4009 = $106.20
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.
73085 billing questions
How does 73085 differ from 73070 or 73080?
73085 is for elbow arthrography using intra-articular contrast. Codes 73070 and 73080 are for conventional elbow radiographs, selected by the number of views.
Is the contrast injection included in 73085?
73085 represents the radiographic supervision and interpretation. The elbow arthrography injection may be reported separately with 24220 when that service is performed and documented.
When should modifier 26 or TC be used?
Use modifier 26 for the professional interpretation and modifier TC for the technical service. Billing without either modifier represents the global service.
How is bilateral elbow arthrography handled?
Each side is paid separately at 100% when both elbows are examined. Document the side for each study and follow the applicable claim-line reporting instructions.
What documentation supports 73085?
Keep the order or clinical indication, documentation identifying the elbow side and contrast study, and the radiologist's interpretation. The report should support that arthrographic imaging was performed rather than routine elbow films.
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.
8,12373080,,X-ray exam of elbow,A,,0.17,0.80,,0.80,NA,0.02,0.99,0.99,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,2.70,2.70,0.05
8,12473080,26,X-ray exam of elbow,A,,0.17,0.07,,0.07,,0.01,0.25,0.25,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,12573080,TC,X-ray exam of elbow,A,,0.00,0.73,,0.73,NA,0.01,0.74,0.74,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,01,0,99,2.63,2.63,0.04
8,12673085,,Contrast x-ray of elbow,A,,0.53,2.31,,2.31,NA,0.04,2.88,2.88,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,10.81,10.81,0.08
8,12773085,26,Contrast x-ray of elbow,A,,0.53,0.19,,0.19,,0.03,0.75,0.75,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,12873085,TC,Contrast x-ray of elbow,A,,0.00,2.12,,2.12,NA,0.01,2.13,2.13,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,03,0,99,10.62,10.62,0.05
8,12973090,,X-ray exam of forearm,A,,0.16,0.69,,0.69,NA,0.02,0.87,0.87,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,2.68,2.68,0.05
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