73030

ActiveGlobal n/a

X-ray exam of shoulder

2026 Medicare payment

Estimated allowed amounts. Pick a locality or enter a ZIP; toggle modifiers to see how the payment rules change the number.

Locality

or ZIP

Show values as

Component

Modifiers

Line	Qty	Non-facility (office)	Facility (hospital/ASC)
73030X-ray exam of shoulder	1	$35.74	$35.74

Conversion factor: Locality: national average GPCIs

RVU breakdown (national)

Relative value units before geographic adjustment. Payment = (work×GPCI_w + PE×GPCI_pe + MP×GPCI_mp) × CF

Row	Work RVU	PE RVU (office)	PE RVU (facility)	MP RVU	Total (office)
73030	0.18	0.87	0.87	0.02	1.07
73030-26	0.18	0.08	0.08	0.01	0.27
73030-TC	0.00	0.79	0.79	0.01	0.80

Payment policy for 73030

CMS's indicator fields, translated. These control which modifiers are payable and how.

Professional/technical (PC/TC)

pctc=1

Diagnostic test

Has professional (-26) and technical (-TC) components, each priced separately.

Multiple procedures

mult_surg=0

No reduction

No multiple-procedure payment adjustment applies (typical for add-on codes).

Bilateral (modifier 50)

bilt_surg=3

Each side 100%

The usual 150% cap does not apply — each side is paid in full.

Assistant surgeon (80/81/82)

asst_surg=0

Payable with documentation

Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.

Co-surgeons (modifier 62)

co_surg=0

Not permitted

Co-surgeons (mod 62) may not be paid for this procedure.

Team surgery (modifier 66)

team_surg=0

Not permitted

Team surgery (mod 66) may not be paid for this procedure.

Source: pfs.data.cms.gov "Indicators for 2026", retrieved 2026-07-16; conversion factors $33.4009 / $33.5675 (QP) per CMS-1832-F. Estimated amounts — not billing or coding advice.