73020 reports a single-view general shoulder radiograph. Choose 73050 for a focused examination of both acromioclavicular joints.
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CMS RVU26D · Effective 2026-10-01
73050 AC joint X-ray Medicare reimbursement rates in Wisconsin
Reports radiographic evaluation of both acromioclavicular joints, including studies with or without weighted views, such as assessment for suspected joint separation. Compare 73050 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 73050 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
$28.94
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 73050: Bilateral acromioclavicular joint radiography
Reports radiographic evaluation of both acromioclavicular joints, including studies with or without weighted views, such as assessment for suspected joint separation.
This examination images the right and left acromioclavicular joints, where the collarbones meet the shoulder blades. It is commonly ordered after shoulder-girdle trauma or when pain, deformity, or suspected separation calls for focused evaluation of these joints. A radiologic technologist obtains the images, and a radiologist or other qualified interpreting practitioner reviews them in an outpatient imaging center, physician office, or hospital department. Weighted views may be obtained when clinically indicated to assess suspected separation.
Report 73050 for the bilateral AC-joint study, rather than a general shoulder examination when the documented imaging target is specifically both AC joints. The order and report should identify the clinical reason, the bilateral anatomy examined, and the imaging findings. CMS treats this as a diagnostic test with separately priced professional and technical components: report modifier 26 for interpretation, TC for equipment and staff, or neither when billing the global service. The code is priced as bilateral, so modifier 50 does not increase payment.
CMS billing rules for 73050
- 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 RVU0.18 · 20%
- Practice expense (office) RVU0.71 · 78%
- Malpractice RVU0.02 · 2%
5.7K
Medicare services in 2024 · #1787 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.
73050 compared with similar codes
Office rates for Wisconsin, from the same CMS release.
73030 reports a multi-view general shoulder radiograph. It is not the focused bilateral AC-joint study represented by 73050.
73000 images the clavicle; 73050 focuses on both acromioclavicular joints. Select based on the documented anatomy examined.
73040 is shoulder arthrography using contrast. 73050 is a radiographic examination of both AC joints without requiring an arthrogram.
Compare 73050 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
$28.94
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 73050 in Wisconsin.
PPRRVU2026_Oct_nonQPP.csv
8,114
- Code
- 73050
- Physician work
- 0.18
- Practice expense
- 0.71
- 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 | 0.18 | × 1.000 | 0.1800 |
| Practice expense | 0.71 | × 0.958 | 0.6802 |
| Malpractice | 0.02 | × 0.308 | 0.0062 |
| Total RVUs | 0.8663 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wisconsin$28.94
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.18 | 1 |
| Practice expense | 0.71 | 0.958 |
| Malpractice | 0.02 | 0.308 |
(0.18 × 1 + 0.71 × 0.958 + 0.02 × 0.308) × $33.4009 = $28.94
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.
73050 billing questions
When should 73050 be chosen over a standard shoulder X-ray?
Use 73050 when the study is focused on both acromioclavicular joints, such as evaluating suspected AC-joint separation. Use a general shoulder radiograph code when the ordered and performed examination is a broader shoulder study.
Does 73050 include both sides?
Yes. The code represents examination of the right and left AC joints and is already priced as bilateral; modifier 50 does not increase payment.
How should the professional and technical services be reported?
Use modifier 26 for the professional interpretation and TC for the technical service, which covers equipment and staff. Billing without either modifier represents the global service.
Can weighted views be part of this examination?
Yes. The examination may be performed with or without weighted views; the ordering indication and imaging documentation should support the study performed.
What documentation supports reporting 73050?
Document the clinical reason for imaging, that both AC joints were examined, and the resulting interpretation. If weighted views are obtained, the report should reflect the views performed.
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.
