73030 Shoulder X-ray Medicare reimbursement rates in Kansas

This study images the glenohumeral joint, proximal humerus, and surrounding structures using two or more projections. Typical series include AP views in internal and external rotation, an axillary view, a scapular Y view, or a Grashey true AP view. A radiologic technologist acquires the images, and a radiologist, orthopedic surgeon, or other treating physician interprets them. It is performed in orthopedic and primary care offices, urgent care centers, emergency departments, and hospital outpatient imaging departments. Common indications include fall injuries, suspected fracture or dislocation, rotator cuff arthropathy, calcific tendinitis, and post-reduction or post-arthroplasty checks.

Select this code when at least two views are obtained; a single shoulder view goes to 73020. The report should state the views taken, findings, and an impression. Modifier 26 identifies the professional interpretation, and modifier TC identifies the equipment and staff portion. Billing without either modifier claims the global service when the billing entity furnishes both components. When both shoulders are imaged, CMS pays each side separately at 100%; report the right and left studies on separate lines with RT and LT.