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CMS RVU26D · Effective 2026-10-01

73565 Knee X-ray Medicare reimbursement rates in Virginia

Bilateral standing knee radiography captures weight-bearing alignment and joint spaces in both knees, commonly during evaluation of degenerative knee symptoms. Compare 73565 office and facility rates across CMS payment localities in Virginia.

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 73565 in Virginia?

Virginia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.

Office / nonfacility

$41.28–$48.87

2 of 2 localities have a supported rate.

Lowest: Virginia

Highest: Dc + Md/Va Suburbs

A spread of $7.59 per service.

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.

Find 73565 in your payment locality →

Radiology

About 73565: Bilateral standing knee radiograph

Bilateral standing knee radiography captures weight-bearing alignment and joint spaces in both knees, commonly during evaluation of degenerative knee symptoms.

This study obtains a weight-bearing frontal image of both knees, allowing comparison of alignment and joint-space appearance under load. It is commonly ordered when evaluating knee osteoarthritis or other conditions in which standing alignment or joint-space narrowing matters. A radiologic technologist positions the patient for the image; a radiologist or other qualified physician interprets it. The service is performed in imaging departments, hospitals, and outpatient imaging settings.

Report the code for the bilateral standing AP study, rather than selecting a unilateral knee code based only on the number of images. The order and imaging record should support bilateral imaging in the standing position, and the interpretation should document the findings. The code is already priced as bilateral, so modifier 50 does not increase payment. The professional interpretation may be billed with modifier 26, the equipment and staff portion with modifier TC, or the global service without a modifier.

CMS billing rules for 73565

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
The code is already priced as bilateral; modifier 50 does not increase payment.

Where the value comes from

  • Work RVU0.16 · 13%
  • Practice expense (office) RVU1.08 · 86%
  • Malpractice RVU0.02 · 2%

85.6K

Medicare services in 2024 · #609 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.

73565 compared with similar codes

Office rates for Virginia, from the same CMS release.

73560

Knee X-ray

One or two views

$33.72–$39.82

73560 represents a unilateral knee examination with one or two views. Choose 73565 for the bilateral standing AP study.

73562

Knee X-ray

Three views, one knee

$41.62–$49.18

73562 is for a unilateral three-view knee examination. It does not describe the bilateral standing AP study represented by 73565.

73564

Knee X-ray

Four or more views, one knee

$48.53–$57.32

73564 represents a unilateral knee examination with four or more views. Use 73565 for bilateral standing AP imaging, not a unilateral multi-view series.

Compare 73565 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.

2 of 2 payment localities

Office and facility base rates · shared scale starting at $0

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73565 billing questions

When should this code be chosen instead of a unilateral knee X-ray code?

Use this code for the bilateral standing AP knee study. Codes 73560, 73562, and 73564 describe unilateral knee examinations selected by the number of views.

Should modifier 50 be appended for imaging both knees?

The code is already priced as bilateral, and modifier 50 does not increase payment.

How are the professional and technical services billed?

Use modifier 26 for the interpretation and modifier TC for the equipment and staff portion. Billing without either modifier represents the global service.

What documentation supports reporting this code?

The order and imaging record should show that both knees were imaged in the standing position. The interpretation should describe the findings from the bilateral study.

Can this code be reported for a three-view knee examination?

No. This code describes a bilateral standing AP study; a unilateral three-view knee examination is reported with 73562.

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.

RVUs for 73565PPRRVU2026_Oct_nonQPP.csv, line 8,222 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet