Billing code 73522: Hip X-rayMedicare rate & RVUs in Nebraska

Reports diagnostic radiographs of both hips, with the pelvis included when obtained, when the documented examination comprises three or four views.

CMS RVU26DEffective Oct 1, 20261 payment locality192K Medicare services in 2024

Medicare pays $50.43 for 73522 in the office in Nebraska (Nebraska). Which amount applies depends on the service address.

$50.43Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 73522 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Nebraska
  2. What 73522 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 73522 covers

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.

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 in Nebraska

73522 office and facility rates by payment locality
Payment localityOfficeFacility
Nebraska$50.43Unavailable

How the 73522 rate is calculated

Each of 73522’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 73522

RVUs × geographic indexes × conversion factor

Work0.28

0.28 RVUs× 1.000 GPCI

Practice expense1.32

1.32 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

1.6300

Conversion factor

$33.4009

Medicare rate

$54.44

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 73522

The CMS indicators that decide how 73522 is paid alongside other services.

CMS payment indicators · 73522

Hip X-ray

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

73522 without 26 · national office

$54.44

Hip X-ray

73522-26 · Professional component

$14.03

Pays only the interpretation and report.

When to use modifier 26

73522 compared with similar codes

Compare codes · National

4 codes, side by side

  • 73522

    Hip X-ray0.28 wRVU

    $54.44

  • 73521

    Hip X-ray0.21 wRVU

    $41.75−$12.69

  • 73523

    Hip X-ray0.3 wRVU

    $61.46+$7.02

  • 73502

    Hip X-ray0.21 wRVU

    $48.77−$5.67

How to choose

73521Hip X-ray
Both codes cover bilateral hip imaging; choose 73521 for two views and this code for three or four views.
73523Hip X-ray
Both codes cover bilateral hip imaging; 73523 is for five or more views, while this code is for three or four.
73502Hip X-ray
73502 covers a unilateral hip examination with two or three views. This code requires bilateral imaging and three or four views.

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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 73522PPRRVU2026_Oct_nonQPP.csv, line 8,198 (RVU26D)
Geographic factors for NebraskaGPCI2026.csv, line 72 (RVU26D)

Open CMS sourceHow we calculate rates

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