CPT 73650
Global XXX ActiveX-ray exam of heel
CPT 73650 Billing & Documentation Guide
CPT code 73650 (X-ray exam of heel) 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 0.67, and a malpractice RVU of 0.02, a total non-facility RVU of 0.85 and facility RVU of 0.85. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $29.38, though rates vary from $24.91 to $38.56 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 73650, 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 73650 with related codes; this code has 8 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 73650 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 73650
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.16 | 0.16 |
| Practice Expense RVU | 0.67 | 0.67 |
| Malpractice RVU | 0.02 | 0.02 |
| Total RVU | 0.85 | 0.85 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 73650
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 | $32.38 | $32.38 | $30.32 - $38.56 | 29 |
| Florida | $29.1 | $29.1 | $27.74 - $30.33 | 3 |
| Georgia | $27.5 | $27.5 | $26.1 - $28.9 | 2 |
| Illinois | $28.27 | $28.27 | $26.82 - $29.55 | 4 |
| Michigan | $27.3 | $27.3 | $26.53 - $28.07 | 2 |
| North Carolina | $26.65 | $26.65 | $26.65 - $26.65 | 1 |
| New York | $31.47 | $31.47 | $27.07 - $33.53 | 5 |
| Ohio | $26.45 | $26.45 | $26.45 - $26.45 | 1 |
| Pennsylvania | $28.03 | $28.03 | $26.52 - $29.53 | 2 |
| Texas | $28.03 | $28.03 | $26.33 - $29.62 | 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 73650
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 73650 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 |
| 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 |
| 73630 | Column 2 (secondary), bundled into primary | Yes | Misuse of Column Two code with Column One code |
| 76006 | Column 2 (secondary), bundled into primary | Yes | More extensive procedure |
Frequently Asked Questions, CPT 73650
What does CPT code 73650 mean? +
CPT code 73650 represents: X-ray exam of heel. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 73650? +
The 2026 Medicare national average non-facility payment for CPT 73650 is $29.38. Rates range from $24.91 to $38.56 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 73650? +
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 73650? +
This code has 8 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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