Radiologic examination of the hip joint using contrast material, including radiological supervision and interpretation
Verified May 8, 2026 · 5 sources ↓
- Medicare
- $133.27
- Total RVUs
- 3.99
- Global, days
- Region
- Hip
Documentation requirements
What must appear in the operative or office note to support the claim.
Source · Editorial brief grounded in 5 cited references ↓
- Indication for contrast arthrography — why plain films were inadequate or insufficient
- Physician order specifying contrast hip arthrography
- Formal written interpretation report signed by supervising physician
- Documentation of contrast agent used, injection site, and fluoroscopic guidance if applicable
- For IDTF billing: credentials of supervising physician (board-certified radiologist or orthopedic surgeon) on file
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 5 cited references ↓
CPT 73525 covers a contrast-enhanced hip arthrography — fluoroscopically guided injection of contrast into the hip joint followed by radiographic imaging, with supervision and interpretation included in the code. It is used to evaluate joint integrity, labral pathology, loose bodies, or implant positioning when standard plain films are insufficient.
Because 73525 bundles both the technical imaging component and the professional interpretation, modifier 26 applies when the interpreting physician does not own or operate the imaging equipment. At an IDTF, CMS requires the supervising physician to be a board-certified radiologist or orthopedic surgeon; the technical component may be performed by a general radiographer or medical physicist.
The code carries a XXX global period, meaning standard surgical global rules do not apply — each service stands alone. It is billed in outpatient hospital and office settings; no ASC facility payment rate is established. When 73525 is performed as a precursor to an interventional hip procedure in the same session, verify NCCI PTP edits before reporting both codes — radiologic guidance integral to a separately reported procedure cannot be billed again under 73525.
RVU & reimbursement
Component RVUs and Medicare national rate. Actual payment varies by GPCI locality.
Source · CMS Physician Fee Schedule, RVU26A · January 2026
| Work RVU | 0.53 |
| Practice expense RVU | 3.41 |
| Malpractice RVU | 0.05 |
| Total RVU | 3.99 |
| Medicare national rate | $133.27 |
| 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 | $133.27 |
HOPD (APC 5572) Hospital outpatient department | $356.43 |
Common denial reasons
The recurring reasons claims for CPT 73525 get rejected.
Source · Editorial brief grounded in CMS NCCI edits, AAOS coding appeals, and cited references ↓
- Modifier 26 missing when physician interprets but does not own the imaging equipment
- Bundling conflict when 73525 is billed alongside a same-session interventional procedure that already includes radiologic guidance
- Lack of documented medical necessity — no explanation of why contrast arthrography was required over standard hip radiographs
- IDTF credentialing deficiency — supervising physician not documented as board-certified radiologist or orthopedic surgeon
Frequently asked questions
Source · Generated from the editorial pipeline, verified against 5 cited references ↓
01Does 73525 include both the technical and professional components?
02Can 73525 be billed same-day with the hip injection procedure code (e.g., 27093)?
03What modifier is needed when the patient has bilateral hip arthrography?
04Who qualifies to supervise 73525 at an IDTF?
05Is there an ASC facility payment for 73525?
06What is the global period for 73525?
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/medicare-coverage-database/view/article.aspx?articleid=58559&ver=30&=
- 03cms.govhttps://www.cms.gov/files/document/04-chapter4-ncci-medicare-policy-manual-2025finalcleanpdf.pdf
- 04aapc.comhttps://www.aapc.com/codes/cpt-codes/73525
- 05cgsmedicare.comhttps://www.cgsmedicare.com/medicare_dynamic/j15/partb/ptpb/ptp.aspx
Mira AI Scribe
Mira's AI scribe captures the clinical indication for contrast arthrography, the specific hip laterality, the supervising physician's credentials, and the formal interpretation findings from dictation. This prevents the two most common 73525 denials: missing modifier 26 when the physician interprets off-site, and undocumented medical necessity when plain films preceded the study.
See how Mira captures CPT 73525 documentation