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CMS RVU26D · Effective 2026-10-01

73092 Arm X-ray Medicare reimbursement rates in New Jersey

Radiographs of an infant’s arm are reported when imaging evaluates the upper extremity as a whole rather than one localized bone or joint. Compare 73092 office and facility rates across CMS payment localities in New Jersey.

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 73092 in New Jersey?

New Jersey 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

$33.28–$35.07

2 of 2 localities have a supported rate.

Lowest: Rest Of New Jersey

Highest: Northern Nj

A spread of $1.79 per service.

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.

Find 73092 in your payment locality →

Radiology

About 73092: Infant upper-extremity radiograph

Radiographs of an infant’s arm are reported when imaging evaluates the upper extremity as a whole rather than one localized bone or joint.

This code is for an X-ray examination of an infant’s upper extremity, such as imaging ordered to evaluate a suspected injury or a congenital or developmental concern. A radiologic technologist obtains the images, and a radiologist or other qualified physician interprets them. It is distinct from an examination focused on one named region, such as the humerus, forearm, or elbow.

Select the code when the order and images support an infant arm examination; document the clinical indication, side, anatomy examined, views obtained, and interpretation. A claim without a component modifier represents the global service, including image acquisition and interpretation. Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service, including equipment and staff. When both arms are examined, CMS pays each side separately at 100%.

CMS billing rules for 73092

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.
Bilateral procedures
Each side is paid separately at 100% when performed bilaterally.

Where the value comes from

  • Work RVU0.16 · 17%
  • Practice expense (office) RVU0.74 · 80%
  • Malpractice RVU0.02 · 2%

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.

73092 compared with similar codes

Office rates for New Jersey, from the same CMS release.

73060

Humerus X-ray

Minimum two views

$34.74–$36.62

This code applies to an infant arm examination. Use 73060 when the study is focused on the humerus.

73090

Forearm X-ray

Forearm, two views

$31.46–$33.13

This code evaluates the infant’s arm as a whole; 73090 is for a forearm-focused examination.

73070

Elbow X-ray

Two views

$31.82–$33.52

Use 73070 for imaging limited to the elbow, rather than an examination of the infant’s arm as a whole.

73080

Elbow X-ray

Three or more views

$35.82–$37.75

Use 73080 for a focused elbow examination with a different imaging extent, not a whole-arm infant study.

Compare 73092 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

Office and facility base rates · shared scale starting at $0

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73092 billing questions

When should this code be used instead of a humerus or forearm X-ray code?

Use this code when the examination evaluates the infant’s arm as a whole. Use a focused regional code when the imaging is limited to a specific bone or joint, such as the humerus or forearm.

How are the interpretation and image acquisition billed?

Bill without a component modifier for the global service. Modifier 26 represents the professional interpretation, and modifier TC represents the technical service.

How is bilateral imaging handled?

CMS pays each side separately at 100% when both arms are examined. Document the side or sides imaged.

What documentation supports reporting this code?

Keep the order or clinical indication, the infant’s side and anatomy examined, the views obtained, and the physician’s interpretation. The record should support an arm examination rather than imaging limited to a single region.

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.

RVUs for 73092PPRRVU2026_Oct_nonQPP.csv, line 8,132 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet