Billing code 73100: Wrist X-rayMedicare rate & RVUs in Utah

Reports a two-view plain-film examination of the wrist for concerns such as pain, injury, or suspected fracture.

CMS RVU26DEffective Oct 1, 20261 payment locality208.4K Medicare services in 2024

Medicare pays $32.63 for 73100 in the office in Utah (Utah). Which amount applies depends on the service address.

$32.63Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 73100 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Utah
  2. What 73100 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 73100 covers

This code represents a plain-film examination of one wrist using two views. It is commonly ordered for wrist pain after a fall, suspected fracture, or evaluation of wrist alignment. A radiologic technologist obtains the images in an emergency department, urgent care clinic, orthopedic office, or imaging department; a physician, often a radiologist, interprets them. The code covers the wrist, not a separate hand or finger examination.

Select this service when the documented wrist study consists of two views; a study with three or more views is reported with the corresponding higher-view wrist code. The record should identify the wrist examined, the views obtained, and the clinical reason for imaging. Bill the global service without a component modifier, or report the interpretation with modifier 26 and the equipment-and-staff portion with modifier TC. For bilateral examinations, CMS pays each side separately at 100%; identify each side on the claim.

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.

73100 in Utah

73100 office and facility rates by payment locality
Payment localityOfficeFacility
Utah$32.63Unavailable

How the 73100 rate is calculated

Each of 73100’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 · 73100

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 0.16Practice expense 0.85Malpractice 0.02

1.0300 adjusted RVUs×$33.4009 conversion factor=$34.40

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 73100

The CMS indicators that decide how 73100 is paid alongside other services.

CMS payment indicators · 73100

Wrist X-ray

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)3Each side paid at 100% (no 150% cap).
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

73100 without 26 · national office

$34.40

Wrist X-ray

73100-26 · Professional component

$8.35

Pays only the interpretation and report.

When to use modifier 26

73100 compared with similar codes

Compare codes

73100 vs 73110 vs 73115 vs 73120: national Medicare rates

Swap in your local Medicare rate.

  • 73100
    Wrist X-ray · 0.16 wRVU
    $34.40
  • 73110
    Wrist X-ray · 0.17 wRVU
    $42.75+$8.35
  • 73115
    Contrast wrist study · 0.53 wRVU
    $133.27+$98.87
  • 73120
    Hand X-ray · 0.16 wRVU
    $31.40−$3.00

How to choose

73110Wrist X-ray
Choose 73100 for two wrist views; choose 73110 when the wrist examination includes three or more views.
73115Contrast wrist study
73115 describes wrist arthrography imaging with contrast. This code is for routine plain-film wrist views.
73120Hand X-ray
73120 is for hand radiography, while 73100 covers the wrist. Report a separate hand study only when hand imaging is performed and documented.

73100 billing questions

How does this differ from 73110?

73100 is for a two-view wrist study. Use 73110 when three or more wrist views are obtained.

When should modifier 26 or TC be used?

Use modifier 26 for the physician's interpretation alone and TC for the technical portion, including equipment and staff. Without either modifier, the claim represents the global service.

How is a bilateral wrist examination reported?

CMS pays each side separately at 100% when both wrists are examined. Identify the right and left sides on the claim.

Can this code be used for a hand or finger study?

No. It represents wrist imaging; a separately performed hand or finger examination has its own code.

What documentation supports reporting this code?

Document the wrist examined, the two views obtained, and the clinical indication, such as post-fall pain or suspected fracture.

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
RVUs for 73100PPRRVU2026_Oct_nonQPP.csv, line 8,135 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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