Both codes describe bilateral hip radiographs, but 73521 is for two views; 73523 requires five or more.
On this page
CMS RVU26D · Effective 2026-10-01
73523 Hip X-ray Medicare reimbursement rates in Maine
Reports plain-film imaging of both hips with five or more views when a broader bilateral examination is needed to assess hip or pelvic findings. Compare 73523 office and facility rates across CMS payment localities in Maine.
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 73523 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$57.04–$60.63
2 of 2 localities have a supported rate.
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 73523: Bilateral hip radiographs, five or more views
Reports plain-film imaging of both hips with five or more views when a broader bilateral examination is needed to assess hip or pelvic findings.
This service covers plain-film imaging of both hips using at least five views for the bilateral examination. A radiologic technologist typically obtains the images in an imaging department, hospital, or orthopedic practice, and a radiologist or other qualified physician interprets them. Clinicians may request this broader series to evaluate bilateral hip pain, degenerative changes, suspected injury, or the position of hip prostheses.
Select the code from the documented bilateral study and total view count: both hips must be examined, with five or more views obtained. The imaging report and order should support the body sites, laterality, views, and clinical reason for the study. CMS recognizes professional and technical components: report modifier 26 for the interpretation, modifier TC for the equipment and staff, or no component modifier when billing the global service. The professional and technical components are separately priced when billed with their respective modifiers.
CMS billing rules for 73523
- 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 RVU0.30 · 16%
- Practice expense (office) RVU1.51 · 82%
- Malpractice RVU0.03 · 2%
108.1K
Medicare services in 2024 · #534 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.
73523 compared with similar codes
Office rates for Maine, from the same CMS release.
Choose 73522 for three or four bilateral views. Choose 73523 when the bilateral examination includes at least five.
73503 is for four or more views of one hip. 73523 is for a bilateral examination with five or more views.
73525 describes contrast imaging of the hip, rather than the plain-film bilateral examination reported with 73523.
Compare 73523 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
$57.04
Facility
Unavailable
Southern Maine →
Office / nonfacility
$60.63
Facility
Unavailable
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73523 billing questions
When should 73523 be selected instead of 73521 or 73522?
Use 73523 for a bilateral hip examination with five or more views. Codes 73521 and 73522 describe bilateral examinations with fewer views.
Does the five-view minimum apply to each hip?
The code is selected for the bilateral examination's total view count. Documentation should establish that both hips were imaged and that five or more views were obtained.
How are the professional and technical services billed?
Use modifier 26 for the physician's interpretation and report, or modifier TC for the equipment and staff. Billing without either modifier represents the global service.
What documentation supports reporting 73523?
Keep the imaging order and report showing bilateral hip imaging, at least five views, and the clinical reason for the study.
Can 73523 be reported for imaging only one hip?
No. For a unilateral study, select the code that matches the imaged hip and documented view count, such as 73503 for four or more 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.
