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See a sample rate comparisonCPT 73092 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 Exam; Upper Xtremit Infant Minimum Of 2 Views, Radiologic Examination; Upper Extremity Infant Minimum Of 2 Views
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 21 - Inpatient Hospital 23 - Emergency Room |
| Common Modifiers | 26 - Professional component None LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 73092 |
| Medicaid Fee Schedule | View Medicaid rates for 73092 |
National average reimbursement for CPT 73092 by major payers:
$44.62
$33.93
$38.04
$44.83
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CPT 73092
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$78.10Published rateMatthew Halanski
Northern Arizona Healthcare Corporation
$45.59Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$22.65Published rateJillian Peart
Northern Arizona Healthcare Corporation
$13.18Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$5.59Published rate
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See a sample payer proposalCPT 73092 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 73092 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 73092 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. |
| 73092-CPT | Low | Radiologic Exam; Upper Xtremit Infant Minimum Of 2 Views, Radiologic Examination; Upper Extremity Infant Minimum Of 2 Views |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 73092. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 73092 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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