$33.27
73020 is for one shoulder view. Choose 73030 when two or more views are obtained.
On this page
CMS RVU26D · Effective 2026-10-01
73020 Shoulder X-ray Medicare reimbursement rates in Indiana
Reports a one-view shoulder radiograph when a limited projection is obtained to assess a shoulder complaint, injury, or follow-up finding. Compare 73020 office and facility rates across CMS payment localities in Indiana.
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 73020 in Indiana?
Indiana 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
$20.20
1 of 1 localities have a supported rate.
Payment area: Indiana
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 73020: Single-view shoulder radiograph
Reports a one-view shoulder radiograph when a limited projection is obtained to assess a shoulder complaint, injury, or follow-up finding.
CPT 73020 reports a radiographic examination of one shoulder using a single projection. It may be obtained in settings such as an emergency department, hospital, or outpatient imaging department when a limited view is clinically appropriate, including situations where positioning is restricted. A technologist performs the imaging; a radiologist or other qualified physician interprets the study and documents the findings.
Select this code based on the number of views actually obtained, not the number requested: use 73020 for one view and compare with 73030 when two or more views are performed. The record should identify the shoulder and side, the number of views, the clinical indication, and the interpretation. Medicare recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff, and no modifier represents the global service. When both shoulders are examined, CMS pays each side separately at 100%.
CMS billing rules for 73020
- 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 RVU0.15 · 23%
- Practice expense (office) RVU0.48 · 74%
- Malpractice RVU0.02 · 3%
100.8K
Medicare services in 2024 · #555 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.
73020 compared with similar codes
Office rates for Indiana, from the same CMS release.
$28.32
73050 reports a complete examination of both shoulders. 73020 reports a single view of a shoulder, with each side separately paid when both are examined.
$125.48
73040 is for shoulder imaging performed with contrast as part of an arthrographic examination; 73020 is a noncontrast single-view shoulder radiograph.
$23.34
73010 is a dedicated scapula examination. Use 73020 when the study is of the shoulder rather than specifically of the scapula.
Compare 73020 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
Indiana →
Office / nonfacility
$20.20
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 73020 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
8,105
- Code
- 73020
- Physician work
- 0.15
- Practice expense
- 0.48
- Malpractice
- 0.02
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.15 | × 1.000 | 0.1500 |
| Practice expense | 0.48 | × 0.927 | 0.4450 |
| Malpractice | 0.02 | × 0.486 | 0.0097 |
| Total RVUs | 0.6047 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Indiana$20.20
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.15 | 1 |
| Practice expense | 0.48 | 0.927 |
| Malpractice | 0.02 | 0.486 |
(0.15 × 1 + 0.48 × 0.927 + 0.02 × 0.486) × $33.4009 = $20.20
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.
73020 billing questions
When should 73020 be used instead of 73030?
Use 73020 when one radiographic view of the shoulder is obtained. Use 73030 when the examination includes two or more views.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Billing without either modifier represents the global service.
How is a bilateral shoulder examination reported?
Identify each shoulder and report the services for both sides. CMS pays each side separately at 100% when the examination is bilateral.
What documentation supports 73020?
Document the clinical reason for imaging, the side examined, that one view was obtained, and the physician's interpretation.
Is a clavicle or scapula study reported as 73020?
No. Use the code for the structure examined: 73000 for a clavicle study or 73010 for a scapula study. A shoulder examination is reported with 73020 or the applicable shoulder code based on views.
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.
8,10273010,,X-ray exam of shoulder blade,A,,0.17,0.56,,0.56,NA,0.02,0.75,0.75,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,3.22,3.22,0.08
8,10373010,26,X-ray exam of shoulder blade,A,,0.17,0.09,,0.09,,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
8,10473010,TC,X-ray exam of shoulder blade,A,,0.00,0.47,,0.47,NA,0.01,0.48,0.48,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,01,0,99,3.13,3.13,0.07
8,10573020,,X-ray exam of shoulder,A,,0.15,0.48,,0.48,NA,0.02,0.65,0.65,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,2.66,2.66,0.07
8,10673020,26,X-ray exam of shoulder,A,,0.15,0.06,,0.06,,0.01,0.22,0.22,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,10773020,TC,X-ray exam of shoulder,A,,0.00,0.42,,0.42,NA,0.01,0.43,0.43,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,01,0,99,2.60,2.60,0.06
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
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915