Radiologic examination of the foot, two views — used to evaluate bone and joint abnormalities including fractures, arthritis, and structural deformities.
Verified May 8, 2026 · 5 sources ↓
- Medicare
- $28.72
- Total RVUs
- 0.86
- Global, days
- Region
- Foot & ankle
Documentation requirements
What must appear in the operative or office note to support the claim.
Source · Editorial brief grounded in 5 cited references ↓
- Number of views obtained — must confirm at least two distinct projections to support 73620 over a single-view study
- Clinical indication documented in the order and report (fracture, arthritis, deformity, pain, etc.)
- Laterality specified — left, right, or bilateral — in both the order and the radiology report
- Radiologist or interpreting provider's signed report with findings and impression
- If billing 26 modifier, the interpretation must be a formal written report, not just a verbal read
- For bilateral exams, documentation must confirm both feet were imaged in the same session
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 ↓
73620 covers a two-view radiologic examination of the foot. It sits in a clear progression: 73620 for two views, 73630 for three or more views. If the clinical picture warrants a complete foot series, step up to 73630 — don't bill 73620 and add supplemental toe or calcaneus codes to compensate.
The NCCI Policy Manual is explicit: because the foot anatomically includes the toes and calcaneus, 73630 already subsumes codes for those structures (73650, 73660). That same logic applies to 73620 — you cannot unbundle a toe x-ray (73660) or calcaneal series (73650) and bill it alongside a same-day same-foot foot x-ray. Payers will deny or recoup the component codes.
For bilateral imaging, modifier 50 is the correct flag. Use modifier 26 when billing the professional read separately from the technical acquisition — common when radiologists interpret films taken in an orthopedic or podiatric office. The TC modifier covers the technical component only. If a repeat study is ordered the same day by the same provider, append modifier 76; by a different provider, use 77.
RVU & reimbursement
Component RVUs and Medicare national rate. Actual payment varies by GPCI locality.
Source · CMS Physician Fee Schedule, RVU26A · January 2026
| Work RVU | 0.16 |
| Practice expense RVU | 0.68 |
| Malpractice RVU | 0.02 |
| Total RVU | 0.86 |
| Medicare national rate | $28.72 |
| 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 | $28.72 |
HOPD (APC 5521) Hospital outpatient department | $88.91 |
Common denial reasons
The recurring reasons claims for CPT 73620 get rejected.
Source · Editorial brief grounded in CMS NCCI edits, AAOS coding appeals, and cited references ↓
- View count mismatch — claim says 73620 but operative note or report documents only one view, triggering a downcode or denial
- Unbundling denial when 73660 or 73650 is billed same-day same-foot alongside 73620 — NCCI edits prohibit this
- Missing laterality modifier when payer requires LT or RT for unilateral imaging
- Lack of a formal written interpretation when billing modifier 26 — verbal reads don't satisfy the professional component requirement
- Duplicate claim flags when modifier 76 or 77 is omitted on a same-day repeat study
Frequently asked questions
Source · Generated from the editorial pipeline, verified against 5 cited references ↓
01What's the difference between 73620 and 73630?
02Can I bill 73660 for toe views on the same day as 73620 for the same foot?
03Do I need a laterality modifier on 73620?
04How do I bill 73620 when the radiologist reads films taken in my office?
05A patient came back the same day for repeat foot films. What modifier applies?
06Is 73620 subject to a global period?
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/2025nccimedicarepolicymanualcompletepdf.pdf
- 03aapc.comhttps://www.aapc.com/codes/cpt-codes/73620
- 04bedrockbilling.comhttps://bedrockbilling.com/static/cci/73620
- 05emedny.orghttps://www.emedny.org/ProviderManuals/Podiatry/PDFS/Podiatry_Procedure_Codes.pdf
Mira AI Scribe
Mira's AI scribe captures the number of views taken, the laterality of the foot imaged, and the clinical indication driving the order — directly from provider dictation. That prevents the most common 73620 denial: a claim for two views when only one view is documented, or a missing LT/RT flag that stalls adjudication. When a repeat study is dictated, the scribe flags the need for modifier 76 or 77 before the claim drops.
See how Mira captures CPT 73620 documentation