CPT code 73503: Hip X-ray2026 Medicare rate & RVUs in Vermont

Reports a unilateral hip radiographic examination with at least four views, often used to assess pain, suspected fracture, degenerative change, or prosthetic concerns.

CMS RVU26DEffective Oct 1, 20261 payment locality51.6K Medicare services in 2024

Medicare pays $61.77 for 73503 in the office in Vermont (Vermont). Which amount applies depends on the service address.

$61.77Office (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 73503 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Vermont
  2. What 73503 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 73503 covers

This code represents a radiographic study of one hip acquired with four or more views. Clinicians commonly order it for hip pain, suspected fracture, osteoarthritis, or assessment of a hip prosthesis. The examination may include views of the pelvis when obtained as part of the study. Radiologic technologists acquire the images in an office imaging department or a hospital setting, and a physician interprets the study and documents the findings.

Select the code based on the number of views performed for the unilateral hip examination, rather than the number of images or the reason for the study. The report should support the examined side, views obtained, clinical indication, and interpretation. The service may be billed globally, or its professional interpretation may be billed with modifier 26 and its equipment and staff portion with modifier TC. CMS separately prices those modifiers.

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.

73503 in Vermont

73503 office and facility rates by payment locality
Payment localityOfficeFacility
Vermont$61.77Unavailable

How the 73503 rate is calculated

Each of 73503’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 · 73503

RVUs × geographic indexes × conversion factor

Work0.26

0.26 RVUs× 1.000 GPCI

Practice expense1.59

1.59 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

1.8800

Conversion factor

$33.4009

Medicare rate

$62.79

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 73503

The CMS indicators that decide how 73503 is paid alongside other services.

CMS payment indicators · 73503

Hip X-ray

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
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

73503 without 26 · national office

$62.79

Hip X-ray

73503-26 · Professional component

$13.36

Pays only the interpretation and report.

When to use modifier 26

73503 compared with similar codes

Compare codes · National

4 codes, side by side

  • 73503

    Hip X-ray0.26 wRVU

    $62.79

  • 73501

    Hip X-ray0.18 wRVU

    $33.73−$29.06

  • 73502

    Hip X-ray0.21 wRVU

    $48.77−$14.02

  • 73522

    Hip X-ray0.28 wRVU

    $54.44−$8.35

How to choose

73501Hip X-ray
73501 is for a unilateral hip study with one view; 73503 requires at least four views.
73502Hip X-ray
Both describe unilateral hip imaging, but 73502 covers two or three views and 73503 covers four or more.
73522Hip X-ray
73522 describes a bilateral hip examination with three or four views; 73503 is for one hip with four or more views.

73503 billing questions

When should 73503 be selected instead of 73502?

Use 73503 when the unilateral hip examination includes four or more views. Use 73502 for a unilateral examination with two or three views.

Does this code cover imaging of both hips?

No. It describes a unilateral study. For imaging of both hips, select the bilateral hip code that matches the views performed.

How are the professional and technical portions billed?

Bill the interpretation with modifier 26 and the equipment and staff portion with modifier TC. Without either modifier, the claim represents the global service.

What documentation supports 73503?

Document the side examined, the views acquired, the clinical reason for imaging, and the physician’s interpretation. The record should support that at least four views were performed.

Can 73503 be reported for a single view of the hip?

No. A unilateral single-view examination is reported with 73501; 73503 requires four or more views.

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 73503PPRRVU2026_Oct_nonQPP.csv, line 8,192 (RVU26D)
Geographic factors for VermontGPCI2026.csv, line 105 (RVU26D)

Open CMS sourceHow we calculate rates

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