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See a sample rate comparisonCPT 73090 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Radiologic Examination Forear, Radiologic Examination Forearm Anteroposterior And Lateralviews Radiologic Examination Forearm Anteroposterior And Lateral
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 23 - Emergency Room 11 - Office |
| Common Modifiers | 26 - Professional component None LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 73090 |
| Medicaid Fee Schedule | View Medicaid rates for 73090 |
National average reimbursement for CPT 73090 by major payers:
$40.54
$32.65
$37.06
$40.16
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CPT 73090
5 of 25 sample ratesHigher to lower in this preview
Jonathan Yawman
Emory University
$79.54Published rateGulf Coast Podiatry, PA
Gulf Coast Podiatry, P.A.
$19.79Published rateFranco And Company LLC, Franco & Co
Franco And Company LLC
$11.77Published rateApril Chin
Unity Health Care Inc
$7.67Published rateKristopher Jerry
$5.40Published rate
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See a sample payer proposalCPT 73090 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 73090 code is part of the Radiology Procedures services used for Diagnostic Radiology (Diagnostic Imaging) Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 73090 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 73070-CPT | Low | X-Ray Elbow; Ap & Lateral Views |
| 73080-CPT | Low | X-Ray Elbow,Complete,Minimum Of 3 Views |
| 73085-CPT | Low | X-Rays Of Elbow Joint Movement, A Study Of The Elbow Joint Using A Fluoroscope. Fluoroscopy Is An X-Ray Technique That Shows Movement In Real-Time With The Aid Of Contrast Dye. |
| 73090-CPT | Low | Radiologic Examination Forear, Radiologic Examination Forearm Anteroposterior And Lateralviews Radiologic Examination Forearm Anteroposterior And Lateral |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 73090. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 73090 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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