Single-view X-ray of one hip, including the pelvis when clinically indicated — the minimum imaging study in the hip radiograph family.
Verified May 8, 2026 · 6 sources ↓
- Medicare
- $33.73
- Total RVUs
- 1.01
- Global, days
- Region
- Hip
Documentation requirements
What must appear in the operative or office note to support the claim.
Source · Editorial brief grounded in 6 cited references ↓
- Specify laterality (left or right hip) in the order and the report
- Clinical indication linking the imaging to a diagnosis or symptom (e.g., hip pain, suspected fracture, dislocation evaluation)
- Number of views obtained — one view must be documented to support 73501 vs. a higher-view code
- Whether the pelvis was included in the series and why if captured
- Physician interpretation documented separately from the technologist's acquisition note when billing modifier 26
- Ordering provider information required for facility claims in hospital outpatient settings
Applicable modifiers
Modifiers commonly billed with this code.
Source · AMA CPT modifier descriptors · CMS NCCI Policy Manual
What this code covers
Source · Editorial summary grounded in 6 cited references ↓
73501 covers a unilateral hip radiograph limited to one view, with the pelvis imaged when the clinical situation calls for it. It is the entry point in the hip X-ray code family, which scales by view count (73502 for 2–3 views, 73503 for 4+ views) and laterality (73521–73523 for bilateral). Use the code that most accurately reflects the number of views actually obtained — NCCI policy explicitly prohibits unbundling a multi-view series into multiple single-view codes to inflate payment.
The code carries a global period of XXX, meaning no surgical global applies and the service is billable without global-period restrictions. Facility billing splits into professional component (modifier 26, radiologist interpretation) and technical component (modifier TC, facility equipment and staff). Orthopedic surgeons billing from an office where they own the equipment bill the full code without either modifier. In hospital outpatient settings, the facility bills the technical component separately from the physician's professional component.
The hip X-ray code family was restructured effective January 1, 2016, when legacy code 73500 was deleted and replaced by 73501. References to 73500 in older documentation, payer contracts, or fee schedules should be mapped to 73501. For bilateral studies, 73521–73523 are the correct codes — billing 73501 twice with LT/RT modifiers is not the preferred approach and payer acceptance varies; check individual payer policy before doing so.
RVU & reimbursement
Component RVUs and Medicare national rate. Actual payment varies by GPCI locality.
Source · CMS Physician Fee Schedule, RVU26A · January 2026
| Work RVU | 0.18 |
| Practice expense RVU | 0.81 |
| Malpractice RVU | 0.02 |
| Total RVU | 1.01 |
| Medicare national rate | $33.73 |
| Global period | days |
Payment by site of service
Medicare pays different rates by setting. HOPD typically pays substantially more than ASC for the same procedure.
Source · CMS OPPS Addendum B·ASC HCPCS payment rates·2026
| Setting | Medicare rate (national) |
|---|---|
Office (PFS non-facility) Procedure performed in physician's office | $33.73 |
HOPD (APC 5521) Hospital outpatient department | $88.91 |
Common denial reasons
The recurring reasons claims for CPT 73501 get rejected.
Source · Editorial brief grounded in CMS NCCI edits, AAOS coding appeals, and cited references ↓
- Wrong code family — billing 73501 twice with LT/RT instead of the bilateral codes 73521–73523 when both hips are imaged in the same session
- Unbundling — billing 73501 multiple times to account for additional views instead of stepping up to 73502 or 73503
- Missing or mismatched diagnosis code — payer edits require an ICD-10 code consistent with a need for limited hip imaging
- Component billing error — billing the global code in a hospital outpatient setting where only the professional or technical component is appropriate
- Duplicate claim — repeat imaging on the same date without modifier 76 or 77 to indicate the repeat was medically necessary
Frequently asked questions
Source · Generated from the editorial pipeline, verified against 6 cited references ↓
01When should I bill 73501 vs. 73502 or 73503?
02Can I bill 73501 twice with LT and RT for a bilateral hip study?
03What modifier do I use when the radiologist interprets but doesn't own the equipment?
04Is 73501 subject to any NCCI bundles I should watch for?
05The order says 'hip X-ray' without specifying how many views. What do I bill?
06Was there a predecessor code to 73501?
Sources & references
Editorial content was developed using the following public sources. Last verified May 8, 2026.
- 01CMS Physician Fee Schedule 2026
- 02cms.govhttps://www.cms.gov/files/document/09-chapter9-ncci-medicare-policy-manual-2025finalcleanpdf.pdf
- 03aapc.comhttps://www.aapc.com/codes/cpt-codes/73501
- 04aapc.comhttps://www.aapc.com/discuss/threads/bilater-hip-x-ray-question.162482/post-444644
- 05payerprice.comhttps://payerprice.com/rates/73501-CPT-fee-schedule
- 06cms.govhttps://www.cms.gov/medicare/regulations-guidance/physician-self-referral/list-cpt-hcpcs-codes
Mira AI Scribe
Mira's AI scribe captures the laterality, clinical indication, and view count directly from the ordering physician's dictation or the radiologist's interpretation note. This prevents the most common 73501 denial — a claim submitted without explicit laterality or with a view count that contradicts the code billed. When the scribe logs one view of the right hip for right hip pain post-fall, the coder has everything needed to defend 73501-RT without a rework cycle.
See how Mira captures CPT 73501 documentation