$20.57
73020 is a limited shoulder-joint study. Choose 73010 when the examination is specifically directed at the scapula.
On this page
CMS RVU26D · Effective 2026-10-01
73010 Scapula X-ray Medicare reimbursement rates in Wisconsin
Reports a dedicated radiographic examination of the scapula when evaluation focuses on the shoulder blade, such as after trauma or with localized pain. Compare 73010 office and facility rates across CMS payment localities in Wisconsin.
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 73010 in Wisconsin?
Wisconsin 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
$23.80
1 of 1 localities have a supported rate.
Payment area: Wisconsin
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 73010: Complete scapula radiographic study
Reports a dedicated radiographic examination of the scapula when evaluation focuses on the shoulder blade, such as after trauma or with localized pain.
This code represents a dedicated X-ray study centered on the scapula, the shoulder blade. It is commonly ordered after trauma or for pain or suspected injury localized to the scapula, including evaluation for a fracture. A radiologic technologist obtains the images, and a radiologist or other qualified interpreting practitioner reviews them. The study may be performed in an imaging department, hospital, emergency department, or office setting.
Choose this service when the clinical question concerns the scapula itself, rather than a general evaluation of the shoulder joint or another nearby bone. The order and report should identify the scapular concern and support the dedicated examination performed. CMS allows the professional interpretation to be billed with modifier 26 and the equipment and staff portion with modifier TC; billing without either modifier represents the global service. When both scapulae are examined, CMS pays each side separately at 100%.
CMS billing rules for 73010
- 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 RVU0.17 · 23%
- Practice expense (office) RVU0.56 · 75%
- Malpractice RVU0.02 · 3%
44.5K
Medicare services in 2024 · #825 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.
73010 compared with similar codes
Office rates for Wisconsin, from the same CMS release.
$34.06
73030 covers a broader shoulder examination, while 73010 targets the scapula. Select according to the anatomy and clinical question documented.
$31.79
73000 evaluates the clavicle; 73010 evaluates the shoulder blade. The documented target bone distinguishes the services.
Compare 73010 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
Wisconsin →
Office / nonfacility
$23.80
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 73010 in Wisconsin.
PPRRVU2026_Oct_nonQPP.csv
8,102
- Code
- 73010
- Physician work
- 0.17
- Practice expense
- 0.56
- Malpractice
- 0.02
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.17 | × 1.000 | 0.1700 |
| Practice expense | 0.56 | × 0.958 | 0.5365 |
| Malpractice | 0.02 | × 0.308 | 0.0062 |
| Total RVUs | 0.7126 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wisconsin$23.80
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.17 | 1 |
| Practice expense | 0.56 | 0.958 |
| Malpractice | 0.02 | 0.308 |
(0.17 × 1 + 0.56 × 0.958 + 0.02 × 0.308) × $33.4009 = $23.80
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.
73010 billing questions
When should 73010 be chosen instead of a shoulder X-ray code?
Use 73010 when the examination is directed at the scapula. A shoulder study is appropriate when the clinical question centers on the shoulder joint rather than the shoulder blade.
Can the interpretation and imaging service be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Without either modifier, the claim represents the global service.
How is 73010 reported when both scapulae are examined?
CMS pays each side separately at 100%. Identify the right and left sides as required by the claim format.
Does 73010 include the radiologist's interpretation when billed globally?
Yes. A global service includes both the image acquisition and the professional interpretation; modifier 26 or TC identifies a separately billed component.
What documentation supports reporting 73010?
The order and report should establish that the scapula was the target of the examination and document the clinical concern, such as localized scapular pain or suspected injury.
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.
8,09973000,,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
8,10373010,26,X-ray exam of shoulder blade,A,,0.17,0.09,,0.09,,0.01,0.27,0.27,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,10473010,TC,X-ray exam of shoulder blade,A,,0.00,0.47,,0.47,NA,0.01,0.48,0.48,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,01,0,99,3.13,3.13,0.07
8,10573020,,X-ray exam of shoulder,A,,0.15,0.48,,0.48,NA,0.02,0.65,0.65,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,2.66,2.66,0.07
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,