Billing code 73060: Humerus X-rayMedicare rate & RVUs in Ohio
Reports radiographic imaging of the upper-arm bone with at least two views, such as for suspected humeral fracture or follow-up imaging.
Medicare pays $29.80 for 73060 in the office in Ohio (Ohio). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 73060 covers
This service covers X-ray imaging of the humerus, the bone between the shoulder and elbow, using at least two views. It is commonly ordered for upper-arm pain, trauma, suspected fracture, or assessment of a known humeral injury. Radiologic technologists obtain the images in a hospital, imaging center, or office; a qualified practitioner interprets them and reports the findings.
Choose this code when the study is directed at the humerus, rather than only the shoulder, elbow, or forearm. The order and imaging documentation should identify the anatomic target and support the views obtained. The physician’s interpretation may be billed with modifier 26, the equipment and staff portion with modifier TC, or the complete service without either modifier. CMS separately prices the professional and technical components when those modifiers are used.
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.
73060 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | $29.80 | Unavailable |
How the 73060 rate is calculated
Each of 73060’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 · 73060
RVUs × geographic indexes × conversion factor
Work0.16
0.16 RVUs× 1.000 GPCI
Practice expense0.78
0.78 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
0.9600
Conversion factor
$33.4009
Medicare rate
$32.06
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 73060
The CMS indicators that decide how 73060 is paid alongside other services.
CMS payment indicators · 73060
Humerus X-ray
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
73060 without 26 · national office
$32.06
Humerus X-ray
73060-26 · Professional component
$8.02
Pays only the interpretation and report.
73060 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 73030Shoulder X-ray
- This code covers the humerus; 73030 is for a shoulder examination. Select based on the anatomy imaged, not simply the symptom location.
- 73070Elbow X-ray
- This code is for the humerus, while 73070 is for a two-view elbow examination. Use the elbow code when the elbow is the study target.
- 73090Forearm X-ray
- This code covers the upper-arm bone; 73090 covers the forearm. The imaged region distinguishes the services.
73060 billing questions
When should this be used instead of a shoulder or elbow X-ray code?
Use this code when the humerus itself is the imaging target. Use a shoulder or elbow code when the examination is directed at that joint rather than the upper-arm bone.
What do modifiers 26 and TC represent?
Modifier 26 identifies the professional interpretation, while TC identifies the technical portion, including equipment and staff. Billing without either modifier represents the global service.
What documentation supports reporting this service?
The order and imaging record should identify the humerus as the target and document the views obtained. The interpretation should address the findings relevant to the clinical question.
Can the humerus study be reported with shoulder or elbow imaging?
Separate imaging may be reported when the record supports distinct examinations of the humerus and an adjacent joint. The code selection should follow the anatomy actually imaged, not just the location of the patient’s symptoms.
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
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