CPT 73600
Global XXX ActiveX-ray exam of ankle
CPT 73600 Billing & Documentation Guide
CPT code 73600 (X-ray exam of ankle) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.16, a non-facility practice expense RVU of 0.79, and a malpractice RVU of 0.02, a total non-facility RVU of 0.97 and facility RVU of 0.97. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $33.56, though rates vary from $28.35 to $44.34 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 73600, 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 73600 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 73600 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 73600
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.16 | 0.16 |
| Practice Expense RVU | 0.79 | 0.79 |
| Malpractice RVU | 0.02 | 0.02 |
| Total RVU | 0.97 | 0.97 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 73600
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 | $37.12 | $37.12 | $34.71 - $44.34 | 29 |
| Florida | $33.12 | $33.12 | $31.57 - $34.5 | 3 |
| Georgia | $31.33 | $31.33 | $29.68 - $32.97 | 2 |
| Illinois | $32.14 | $32.14 | $30.48 - $33.66 | 4 |
| Michigan | $31.06 | $31.06 | $30.19 - $31.93 | 2 |
| North Carolina | $30.39 | $30.39 | $30.39 - $30.39 | 1 |
| New York | $35.94 | $35.94 | $30.88 - $38.3 | 5 |
| Ohio | $30.11 | $30.11 | $30.11 - $30.11 | 1 |
| Pennsylvania | $31.96 | $31.96 | $30.2 - $33.71 | 2 |
| Texas | $31.97 | $31.97 | $29.98 - $33.86 | 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 73600
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 73600 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 |
| 73592 | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0350T | Column 2 (secondary), bundled into primary | Yes | Misuse of Column Two code with Column One code |
| 20696 | Column 2 (secondary), bundled into primary | Yes | HCPCS/CPT procedure code definition |
| 20697 | Column 2 (secondary), bundled into primary | Yes | HCPCS/CPT procedure code definition |
| 73610 | Column 2 (secondary), bundled into primary | Yes | HCPCS/CPT procedure code definition |
| 73615 | Column 2 (secondary), bundled into primary | Yes | Standards of medical/surgical practice |
| 76006 | Column 2 (secondary), bundled into primary | 9 | More extensive procedure |
Frequently Asked Questions, CPT 73600
What does CPT code 73600 mean? +
CPT code 73600 represents: X-ray exam of ankle. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 73600? +
The 2026 Medicare national average non-facility payment for CPT 73600 is $33.56. Rates range from $28.35 to $44.34 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 73600? +
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 73600? +
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 May 31, 2026.
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