$25.70
This code evaluates the clavicle; 73010 is directed at the scapula. Select based on which bone the images cover.
On this page
CMS RVU26D · Effective 2026-10-01
73000 Clavicle X-ray Medicare reimbursement rates in Rhode Island
Reports radiographic imaging of the clavicle, commonly ordered to assess suspected fracture, focal pain, deformity, or injury involving the collarbone. Compare 73000 office and facility rates across CMS payment localities in Rhode Island.
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 73000 in Rhode Island?
Rhode Island 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
$34.33
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 73000: Clavicle radiographic examination
Reports radiographic imaging of the clavicle, commonly ordered to assess suspected fracture, focal pain, deformity, or injury involving the collarbone.
This service covers radiographs directed at the clavicle, with at least two views used to evaluate the bone’s alignment and integrity. It is commonly ordered after a fall or direct blow when a clavicle fracture is suspected, or for focal collarbone pain or deformity. A radiologic technologist obtains the images; a radiologist or other qualified physician interprets them. Imaging may occur in a hospital department, clinic, or freestanding imaging center.
Report the clavicle study when the images are centered on that bone, rather than on the shoulder joint, scapula, or humerus. The order and imaging report should identify the clinical concern and the side examined. CMS pays the professional interpretation with modifier 26 and the technical service with modifier TC; billing without either modifier represents the global service. For bilateral examinations, each side is paid separately at 100%, so the record should clearly support imaging of both clavicles.
CMS billing rules for 73000
- 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 · 16%
- Practice expense (office) RVU0.82 · 82%
- Malpractice RVU0.02 · 2%
99.1K
Medicare services in 2024 · #562 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.
73000 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$22.26
This code is for clavicle imaging. 73020 describes a one-view shoulder examination, directed at the shoulder rather than the collarbone.
$36.74
Use this code for the clavicle. 73030 is for a multiview shoulder examination when the shoulder joint is the imaging target.
$31.22
This code examines the clavicle; 73050 is for bilateral acromioclavicular-joint imaging, often selected when both AC joints are being assessed.
Compare 73000 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
Rhode Island →
Office / nonfacility
$34.33
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 73000 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
8,099
- Code
- 73000
- Physician work
- 0.16
- Practice expense
- 0.82
- Malpractice
- 0.02
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.16 | × 1.019 | 0.1630 |
| Practice expense | 0.82 | × 1.033 | 0.8471 |
| Malpractice | 0.02 | × 0.892 | 0.0178 |
| Total RVUs | 1.0279 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$34.33
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.16 | 1.019 |
| Practice expense | 0.82 | 1.033 |
| Malpractice | 0.02 | 0.892 |
(0.16 × 1.019 + 0.82 × 1.033 + 0.02 × 0.892) × $33.4009 = $34.33
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.
73000 billing questions
When should this code be chosen instead of a shoulder X-ray?
Use this code when the examination is directed at the clavicle, such as for suspected collarbone fracture. Choose a shoulder radiograph when the study is directed at the shoulder joint.
How are the interpretation and image acquisition reported?
Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Without either modifier, the claim represents the global service.
How is bilateral clavicle imaging paid?
CMS pays each side separately at 100% when both clavicles are examined. The documentation should identify the right and left sides.
What documentation supports reporting this study?
The order and report should establish the clavicle as the imaging target and identify the side examined. Include the clinical concern, such as trauma, focal pain, or suspected fracture.
Can a shoulder-joint examination replace this code?
Not when the requested and performed study is centered on the clavicle. A shoulder-joint study addresses a different anatomic target and should be selected according to the images obtained and interpreted.
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.
8,09672295,,X-ray of lower spine disk,A,,0.81,2.80,,2.80,NA,0.05,3.66,3.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,59.84,59.84,0.29
8,09772295,26,X-ray of lower spine disk,A,,0.81,0.36,,0.36,,0.04,1.21,1.21,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,09872295,TC,X-ray of lower spine disk,A,,0.00,2.44,,2.44,NA,0.01,2.45,2.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,59.48,59.48,0.25
8,09973000,,X-ray exam of collar bone,A,,0.16,0.82,,0.82,NA,0.02,1.00,1.00,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,2.70,2.70,0.05
8,10073000,26,X-ray exam of collar bone,A,,0.16,0.07,,0.07,,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
8,10173000,TC,X-ray exam of collar bone,A,,0.00,0.75,,0.75,NA,0.01,0.76,0.76,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,01,0,99,2.63,2.63,0.04
8,10273010,,X-ray exam of shoulder blade,A,,0.17,0.56,,0.56,NA,0.02,0.75,0.75,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,3.22,3.22,0.08
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537