This code is for two foot views; 73630 is for three or more views. Base selection on the views actually obtained and documented.
On this page
CMS RVU26D · Effective 2026-10-01
73620 Foot X-ray Medicare reimbursement rates in New Jersey
Reports a two-view X-ray examination of the foot for concerns such as pain, injury, or suspected fracture, with interpretation and imaging components billed together or separately. Compare 73620 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 73620 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
$31.09–$32.74
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 73620: Foot radiograph, two views
Reports a two-view X-ray examination of the foot for concerns such as pain, injury, or suspected fracture, with interpretation and imaging components billed together or separately.
This service covers radiographic imaging of the foot using two views to evaluate problems such as pain after an injury, suspected fracture, or a bony abnormality. A radiologic technologist typically obtains the images in an office, imaging center, or hospital department; a physician, often a radiologist, interprets them. The examination is directed at the foot rather than an ankle-only or toe-only study.
Select this code when the documented examination consists of two views; use the higher-view foot code when three or more views are obtained. The report should identify the side examined, clinical reason, views obtained, and findings. The global service includes the technical work and professional interpretation. Modifier 26 identifies the interpretation, while modifier TC identifies the equipment and staff portion. When both feet are examined, each side is paid separately at 100% under the CMS bilateral rule.
CMS billing rules for 73620
- 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 · 19%
- Practice expense (office) RVU0.68 · 79%
- Malpractice RVU0.02 · 2%
378.7K
Medicare services in 2024 · #269 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.
73620 compared with similar codes
Office rates for New Jersey, from the same CMS release.
Use 73660 for imaging specifically focused on the toe or toes. This code represents a broader two-view examination of the foot.
Use 73610 when the study examines the ankle rather than the foot. The imaged anatomy and clinical focus determine the appropriate code.
Compare 73620 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
Northern Nj →
Office / nonfacility
$32.74
Facility
Unavailable
Rest Of New Jersey →
Office / nonfacility
$31.09
Facility
Unavailable
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73620 billing questions
How does this differ from the three-or-more-view foot study?
Use this code for two views. Report 73630 when three or more views of the foot are obtained.
Can the interpretation and imaging be billed separately?
Yes. Modifier 26 reports the professional interpretation, and modifier TC reports the technical portion. Without either modifier, the claim represents the global service.
How is a bilateral examination paid?
CMS pays each side separately at 100% when both feet are examined. Document the side for each examination and follow the applicable claim reporting convention.
Should a focused toe or heel study use this code?
Use a toe or heel examination code when imaging is specifically directed to those structures. This code represents a two-view examination of the foot.
What documentation supports the two-view code?
Document the clinical indication, laterality, number of views obtained, and the interpretation or imaging service furnished. The recorded view count distinguishes this code from the three-or-more-view foot study.
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.
