Billing code 73650: Heel X-rayMedicare rate & RVUs in Nevada

Reports radiographic imaging of the heel bone, generally for localized heel pain, suspected calcaneal fracture, or another condition centered on the calcaneus.

CMS RVU26DEffective Oct 1, 20261 payment locality63.3K Medicare services in 2024

Medicare pays $28.30 for 73650 in the office in Nevada (Nevada**). Which amount applies depends on the service address.

$28.30Office (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 73650 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Nevada
  2. What 73650 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 73650 covers

This study images the calcaneus, the heel bone, with at least two radiographic views. It is commonly ordered for focal heel pain, trauma with concern for a calcaneal fracture, or evaluation of a heel abnormality such as a spur. A radiologic technologist typically obtains the images in an office, imaging center, or hospital; a physician interprets them and documents the findings.

Choose this code when the imaging is specifically of the calcaneus, rather than a broader foot or ankle examination. The order and report should identify the heel examined and support the clinical reason for imaging. When one billing entity provides both image acquisition and interpretation, report the global service; use modifier 26 for the interpretation alone or TC for the technical service alone when those components are billed separately. For bilateral studies, CMS pays each side separately at 100%.

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.

73650 in Nevada**

73650 office and facility rates by payment locality
Payment localityOfficeFacility
Nevada**$28.30Unavailable

How the 73650 rate is calculated

Each of 73650’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 · 73650

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 0.16Practice expense 0.67Malpractice 0.02

0.8500 adjusted RVUs×$33.4009 conversion factor=$28.39

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 73650

The CMS indicators that decide how 73650 is paid alongside other services.

CMS payment indicators · 73650

Heel X-ray

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)3Each side paid at 100% (no 150% cap).
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

73650 without 26 · national office

$28.39

Heel X-ray

73650-26 · Professional component

$7.68

Pays only the interpretation and report.

When to use modifier 26

73650 compared with similar codes

Compare codes

73650 vs 73620 vs 73630 vs 73600: national Medicare rates

Swap in your local Medicare rate.

  • 73650
    Heel X-ray · 0.16 wRVU
    $28.39
  • 73620
    Foot X-ray · 0.16 wRVU
    $28.72+$0.33
  • 73630
    Foot X-ray · 0.17 wRVU
    $34.07+$5.68
  • 73600
    Ankle X-ray · 0.16 wRVU
    $32.40+$4.01

How to choose

73620Foot X-ray
This code is for calcaneus-focused imaging; 73620 is for radiographs of the foot. Select according to the anatomic examination performed.
73630Foot X-ray
Use this code for a heel-focused study. Code 73630 describes a complete foot examination, not an isolated calcaneus study.
73600Ankle X-ray
This code images the calcaneus, while 73600 is for an ankle examination. A heel complaint alone does not make the study an ankle X-ray.

73650 billing questions

When should this code be chosen instead of a foot X-ray?

Use it for imaging centered on the calcaneus. A broader examination of the foot, rather than a heel-focused study, points to a foot radiography code.

How many views are required?

The study requires at least two radiographic views of the calcaneus. The order and imaging documentation should support the heel examination performed.

Can the interpretation and image acquisition be billed separately?

Yes. Modifier 26 identifies the professional interpretation, and TC identifies the technical service; without a component modifier, the claim represents the global service.

How is a bilateral heel study reported for Medicare payment?

CMS pays each side separately at 100% when both heels are examined. The documentation should identify the side or sides imaged.

What documentation supports this code?

Document the clinical indication, that the calcaneus was imaged, the side examined, and the views obtained. The interpreting physician's report should address the heel findings.

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 73650PPRRVU2026_Oct_nonQPP.csv, line 8,249 (RVU26D)
Geographic factors for Nevada**GPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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