Both codes cover bilateral hip imaging; choose 73521 for two views and this code for three or four views.
On this page
CMS RVU26D · Effective 2026-10-01
73522 Hip X-ray Medicare reimbursement rates in Kentucky
Reports diagnostic radiographs of both hips, with the pelvis included when obtained, when the documented examination comprises three or four views. Compare 73522 office and facility rates across CMS payment localities in Kentucky.
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 73522 in Kentucky?
Kentucky 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
$49.46
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 73522: Bilateral hip radiograph, three to four views
Reports diagnostic radiographs of both hips, with the pelvis included when obtained, when the documented examination comprises three or four views.
This service covers diagnostic X-ray imaging of both hip joints, with pelvic imaging included when performed as part of the examination. It is commonly ordered for bilateral hip pain, suspected fracture, osteoarthritis, or assessment of hip alignment. A radiologic technologist typically acquires the images in a hospital or imaging center, while a physician, often a radiologist, interprets them.
Select the code from the documented laterality and total number of views for the bilateral examination: three or four views support this level. The order and report should identify both hips and document the images obtained. Report the interpretation with modifier 26 and the equipment-and-staff service with modifier TC when billing those components separately; billing without a modifier represents the global service.
CMS billing rules for 73522
- 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.
Where the value comes from
- Work RVU0.28 · 17%
- Practice expense (office) RVU1.32 · 81%
- Malpractice RVU0.03 · 2%
192K
Medicare services in 2024 · #396 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.
73522 compared with similar codes
Office rates for Kentucky, from the same CMS release.
Both codes cover bilateral hip imaging; 73523 is for five or more views, while this code is for three or four.
73502 covers a unilateral hip examination with two or three views. This code requires bilateral imaging and three or four views.
Compare 73522 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
Kentucky →
Office / nonfacility
$49.46
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 73522 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
8,198
- Code
- 73522
- Physician work
- 0.28
- Practice expense
- 1.32
- Malpractice
- 0.03
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.28 | × 1.000 | 0.2800 |
| Practice expense | 1.32 | × 0.889 | 1.1735 |
| Malpractice | 0.03 | × 0.915 | 0.0274 |
| Total RVUs | 1.4809 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$49.46
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.28 | 1 |
| Practice expense | 1.32 | 0.889 |
| Malpractice | 0.03 | 0.915 |
(0.28 × 1 + 1.32 × 0.889 + 0.03 × 0.915) × $33.4009 = $49.46
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.
73522 billing questions
When should I report this instead of 73521?
Use this code when the bilateral hip examination includes three or four views. Code 73521 describes a bilateral examination with two views.
How does this differ from 73523?
73523 is for a bilateral hip examination with five or more views. Count the views documented for the examination to select the appropriate code.
Can the interpretation and imaging service be billed separately?
Yes. Report the professional interpretation with modifier 26 and the technical service with modifier TC. Billing without a modifier represents the global service.
What documentation supports this code?
The record should support imaging of both hips and document three or four views. The imaging report should identify the examination and include the physician's interpretation when that service is billed.
Can I use this code for an X-ray of only one hip?
No. For a unilateral hip examination, select the code that matches the number of views obtained for that hip, such as 73502 for two or three 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.
