$26.75
This code is for calcaneus-focused imaging; 73620 is for radiographs of the foot. Select according to the anatomic examination performed.
On this page
CMS RVU26D · Effective 2026-10-01
73650 Heel X-ray Medicare reimbursement rates in Ohio
Reports radiographic imaging of the heel bone, generally for localized heel pain, suspected calcaneal fracture, or another condition centered on the calcaneus. Compare 73650 office and facility rates across CMS payment localities in Ohio.
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 73650 in Ohio?
Ohio has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$26.45
1 of 1 localities have a supported rate.
Payment area: Ohio
One mapped payment locality.
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 73650: Calcaneus radiographic examination
Reports radiographic imaging of the heel bone, generally for localized heel pain, suspected calcaneal fracture, or another condition centered on the calcaneus.
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%.
CMS billing rules for 73650
- 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) RVU0.67 · 79%
- Malpractice RVU0.02 · 2%
63.3K
Medicare services in 2024 · #699 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.
73650 compared with similar codes
Office rates for Ohio, from the same CMS release.
$31.66
Use this code for a heel-focused study. Code 73630 describes a complete foot examination, not an isolated calcaneus study.
$30.11
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.
Compare 73650 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.
1 of 1 payment localities
Ohio →
Office / nonfacility
$26.45
Facility
Unavailable
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 73650 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
8,249
- Code
- 73650
- Physician work
- 0.16
- Practice expense
- 0.67
- Malpractice
- 0.02
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.16 | × 1.000 | 0.1600 |
| Practice expense | 0.67 | × 0.913 | 0.6117 |
| Malpractice | 0.02 | × 1.008 | 0.0202 |
| Total RVUs | 0.7919 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Ohio$26.45
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.16 | 1 |
| Practice expense | 0.67 | 0.913 |
| Malpractice | 0.02 | 1.008 |
(0.16 × 1 + 0.67 × 0.913 + 0.02 × 1.008) × $33.4009 = $26.45
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
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 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.
8,24673630,,X-ray exam of foot,A,,0.17,0.83,,0.83,NA,0.02,1.02,1.02,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,2.69,2.69,0.04
8,24773630,26,X-ray exam of foot,A,,0.17,0.06,,0.06,,0.01,0.24,0.24,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,24873630,TC,X-ray exam of foot,A,,0.00,0.77,,0.77,NA,0.01,0.78,0.78,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,01,0,99,2.63,2.63,0.03
8,24973650,,X-ray exam of heel,A,,0.16,0.67,,0.67,NA,0.02,0.85,0.85,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,2.68,2.68,0.05
8,25073650,26,X-ray exam of heel,A,,0.16,0.06,,0.06,,0.01,0.23,0.23,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,25173650,TC,X-ray exam of heel,A,,0.00,0.61,,0.61,NA,0.01,0.62,0.62,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,01,0,99,2.62,2.62,0.04
8,25273660,,X-ray exam of toe(s),A,,0.13,0.71,,0.71,NA,0.02,0.86,0.86,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,2.67,2.67,0.05
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703