CPT 73523
Global XXX ActiveX-ray exam hips bi 5/> views
CPT 73523 Billing & Documentation Guide
CPT code 73523 (X-ray exam hips bi 5/> views) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.3, a non-facility practice expense RVU of 1.51, and a malpractice RVU of 0.03, a total non-facility RVU of 1.84 and facility RVU of 1.84. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $63.72, though rates vary from $53.86 to $84.39 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 73523, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 73523 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 2 units of 73523 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 73523
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.3 | 0.3 |
| Practice Expense RVU | 1.51 | 1.51 |
| Malpractice RVU | 0.03 | 0.03 |
| Total RVU | 1.84 | 1.84 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 73523
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $70.6 | $70.6 | $66 - $84.39 | 29 |
| Florida | $62.57 | $62.57 | $59.74 - $65.06 | 3 |
| Georgia | $59.35 | $59.35 | $56.2 - $62.5 | 2 |
| Illinois | $60.7 | $60.7 | $57.63 - $63.66 | 4 |
| Michigan | $58.79 | $58.79 | $57.2 - $60.38 | 2 |
| North Carolina | $57.72 | $57.72 | $57.72 - $57.72 | 1 |
| New York | $68.12 | $68.12 | $58.64 - $72.49 | 5 |
| Ohio | $57.08 | $57.08 | $57.08 - $57.08 | 1 |
| Pennsylvania | $60.59 | $60.59 | $57.27 - $63.9 | 2 |
| Texas | $60.66 | $60.66 | $56.85 - $64.29 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 73523
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 73523 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 72170 | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 72190 | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 73501 | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 73502 | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 73503 | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 73521 | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 73522 | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 73523
What does CPT code 73523 mean? +
CPT code 73523 represents: X-ray exam hips bi 5/> views. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 73523? +
The 2026 Medicare national average non-facility payment for CPT 73523 is $63.72. Rates range from $53.86 to $84.39 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 73523? +
Radiology codes rely heavily on the professional/technical split: modifier 26 (professional component only) and TC (technical component only). Also common: 50 (bilateral imaging), 76 (repeat by same physician), 77 (repeat by different physician), and LT/RT for laterality.
What bundling edits apply to CPT 73523? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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