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CMS RVU26D · Effective 2026-10-01

73562 Knee X-ray Medicare reimbursement rates in Iowa

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. Compare 73562 office and facility rates across CMS payment localities in Iowa.

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 73562 in Iowa?

Iowa 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

$38.98

1 of 1 localities have a supported rate.

Payment area: Iowa

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.

Find 73562 in your payment locality →

Radiology

About 73562: Knee radiograph, three views

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.

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%.

CMS billing rules for 73562

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 RVU0.18 · 14%
  • Practice expense (office) RVU1.07 · 84%
  • Malpractice RVU0.02 · 2%

2.3M

Medicare services in 2024 · #74 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.

73562 compared with similar codes

Office rates for Iowa, from the same CMS release.

73560

Knee X-ray

One or two views

$31.59

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.

73564

Knee X-ray

Four or more views, one knee

$45.48

73564 applies when four or more views are obtained, for example AP, lateral, sunrise, and tunnel. Exactly three documented views stay at 73562.

73565

Knee X-ray

Bilateral standing AP

$38.62

73565 describes a standing AP image of both knees. 73562 describes a three-view series of one knee, reported per side.

73580

Knee arthrography

Radiographic contrast study

$107.53

73580 describes imaging supervision and interpretation for knee arthrography using contrast in the joint; 73562 describes a plain radiographic study.

Compare 73562 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

Office and facility base rates · shared scale starting at $0

  • Iowa →

    Office / nonfacility

    $38.98

    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 73562 in Iowa.

PPRRVU2026_Oct_nonQPP.csv

8,216

Code
73562
Physician work
0.18
Practice expense
1.07
Malpractice
0.02

GPCI2026.csv

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office / nonfacility calculation for 73562 in Iowa
ComponentRVULocality factorAdjusted
Physician work0.18× 1.0000.1800
Practice expense1.07× 0.9150.9791
Malpractice0.02× 0.3970.0079
Total RVUs1.1670
Conversion factor× 33.4009

Office / nonfacility rate, Iowa$38.98

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.181
Practice expense1.070.915
Malpractice0.020.397

(0.18 × 1 + 1.07 × 0.915 + 0.02 × 0.397) × $33.4009 = $38.98

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.

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 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.

RVUs for 73562PPRRVU2026_Oct_nonQPP.csv, line 8,216 (RVU26D)
Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet