73115
Contrast x-ray of wrist
Code typePrimary
Payment statusActive (A)
Global periodNone
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary73115Contrast x-ray of wrist
1
$133.27
$133.27
RVU Breakdown
Component
Office
Facility
Work
0.53
0.53
Practice expense
3.41
3.41
Malpractice
0.05
0.05
Total RVU
3.99
3.99
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50100% each
The usual 150% cap does not apply — each side is paid in full.
Assistant surgeon -80/81/8216% · documented
Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.
Prof / tech split -26 / -TCSplit
Has professional (-26) and technical (-TC) components, each priced separately.
Not applicable to this code
Multiple procedure Co-surgeon -62Team surgeon -66