$28.23
This code is for a two-view tibia and fibula examination; 73592 is the lower-leg radiography code designated for an infant.
On this page
CMS RVU26D · Effective 2026-10-01
73590 Lower-leg X-ray Medicare reimbursement rates in Iowa
Reports a two-view X-ray examination of the tibia and fibula, commonly obtained to evaluate lower-leg pain, injury, or suspected fracture. Compare 73590 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 73590 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
$28.84
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.
Radiology
About 73590: Tibia and fibula radiograph, two views
Reports a two-view X-ray examination of the tibia and fibula, commonly obtained to evaluate lower-leg pain, injury, or suspected fracture.
This code represents a two-view radiographic examination of the tibia and fibula in the lower leg. It is commonly ordered for pain or trauma, including suspected fractures, deformity, or assessment of bone healing. A radiologic technologist obtains the images in settings such as an imaging center, physician office, or hospital; a radiologist or other qualified physician interprets them.
Select the code when the study images the tibia and fibula and includes two views. The order and report should support the body part, side examined, and imaging performed. The global service includes image acquisition and interpretation. When those portions are billed separately, modifier 26 identifies the professional interpretation and modifier TC identifies the technical service, including equipment and staff. For bilateral examinations, each side is paid separately at 100%; report the sides separately using the applicable laterality conventions.
CMS billing rules for 73590
- 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 RVU0.16 · 17%
- Practice expense (office) RVU0.76 · 81%
- Malpractice RVU0.02 · 2%
464.4K
Medicare services in 2024 · #237 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.
73590 compared with similar codes
Office rates for Iowa, from the same CMS release.
Compare 73590 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
Iowa →
Office / nonfacility
$28.84
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 73590 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
8,228
- Code
- 73590
- Physician work
- 0.16
- Practice expense
- 0.76
- Malpractice
- 0.02
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.16 | × 1.000 | 0.1600 |
| Practice expense | 0.76 | × 0.915 | 0.6954 |
| Malpractice | 0.02 | × 0.397 | 0.0079 |
| Total RVUs | 0.8633 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$28.84
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.16 | 1 |
| Practice expense | 0.76 | 0.915 |
| Malpractice | 0.02 | 0.397 |
(0.16 × 1 + 0.76 × 0.915 + 0.02 × 0.397) × $33.4009 = $28.84
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.
73590 billing questions
How many views are represented by this code?
This code represents a two-view examination of the tibia and fibula. Use the code matching the actual study and its documented views.
When should a femur X-ray be reported instead?
Use a femur radiography code when the imaged anatomy is the femur rather than the tibia and fibula. Codes 73551 and 73552 distinguish femur studies by view count.
Can the interpretation and image acquisition 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 examination reported?
Each side is paid separately at 100% when both legs are examined. Report each side separately using the applicable laterality conventions.
Does a knee X-ray replace this lower-leg study?
No. Use a knee radiography code when the examination is of the knee, selecting the code that matches its views. This code describes imaging of the tibia and fibula.
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.
8,22573580,,Contrast x-ray of knee joint,A,,0.58,2.85,,2.85,NA,0.08,3.51,3.51,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,10.93,10.93,0.11
8,22673580,26,Contrast x-ray of knee joint,A,,0.58,0.30,,0.30,,0.07,0.95,0.95,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,22773580,TC,Contrast x-ray of knee joint,A,,0.00,2.55,,2.55,NA,0.01,2.56,2.56,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,03,0,99,10.63,10.63,0.04
8,22873590,,X-ray exam of lower leg,A,,0.16,0.76,,0.76,NA,0.02,0.94,0.94,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,2.68,2.68,0.05
8,22973590,26,X-ray exam of lower leg,A,,0.16,0.06,,0.06,,0.01,0.23,0.23,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,23073590,TC,X-ray exam of lower leg,A,,0.00,0.70,,0.70,NA,0.01,0.71,0.71,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,01,0,99,2.62,2.62,0.04
8,23173592,,X-ray exam of leg infant,A,,0.16,0.74,,0.74,NA,0.02,0.92,0.92,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,2.68,2.68,0.05
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136