X-ray exam of hand
CPT code 73130 covers a basic X-ray examination of the hand, typically involving 2-3 views to evaluate bones, joints, and soft tissues for injury, arthritis, or other abnormalities.
This calculator gives a typical-case estimate using standard Medicare modifier rules. Actual payment depends on payer policies, documentation, code-specific CMS status indicators, and locality. Verify before billing.
RVU breakdown
Conversion factor: 32.3465 · Source: CMS MPFS RVU25A · Confidence: High
NCCI bundling edits
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Billing tips
Always append RT or LT modifier to specify laterality, as missing anatomical modifiers are a common cause of claim denials
Impact: Prevents automatic denials and reduces processing delays by 15-20%
When billing bilateral hand X-rays, use modifier 50 or bill two line items (one with RT, one with LT) depending on payer preference
Impact: Ensures proper reimbursement of approximately $54.35 for bilateral procedures versus $36.23 for unilateral
Split professional and technical components (26 and TC modifiers) only when services are actually performed at different locations
Impact: Incorrect component billing can trigger audits and result in overpayment recovery demands
Document the number of views obtained in the radiologist's report, as some payers differentiate reimbursement based on minimum view requirements
Impact: Ensures medical necessity support if audited; minimum 2 views typically required
Link to specific ICD-10 diagnosis codes that support medical necessity (trauma codes, arthritis, suspected fracture) rather than generic pain codes
Impact: Reduces denial rate by 10-15% and strengthens appeal position
Verify that 73130 is billed on the same date as the interpretation report, not the order date or preliminary read date
Impact: Ensures compliance with CMS timely filing rules and accurate claims processing
Applicable modifiers
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