2025 CPT code 73030
(Active) Effective Date: N/A Revision Date: N/A Radiology - Diagnostic Radiology (Diagnostic Imaging) Procedures of the Upper Extremities Radiology Feed
Radiologic examination of the shoulder; complete, minimum of two views.
Modifiers 26 (professional component), TC (technical component), and others may be applicable depending on the circumstances and payer requirements.
The medical necessity for a 73030 is established by the presence of clinical symptoms or findings that warrant radiographic imaging of the shoulder.Examples include trauma, pain, limited range of motion, or abnormal findings on physical examination.
The radiologic technician performs the technical component (taking the X-rays), while the radiologist performs the professional component (interpreting the images).
In simple words: This is an X-ray of your shoulder.The technician will take at least two X-ray pictures from different angles to get a complete view of your shoulder joint. This helps the doctor check for problems like injuries, broken bones, or arthritis.
This procedure involves a comprehensive radiologic examination of the shoulder joint using X-rays.A minimum of two views are obtained from different angles (e.g., anteroposterior, lateral) to provide a thorough assessment.The examination may be indicated to evaluate for injuries, fractures, arthritis, bone spurs, tumors, or congenital abnormalities. Additional views may be taken as clinically necessary. The radiologic technician positions the patient's extremity and takes the X-rays. The radiologist interprets the images.
Example 1: A patient presents to the emergency room after a fall, complaining of shoulder pain.A 73030 is performed to assess for fracture., A patient with chronic shoulder pain undergoes a 73030 as part of a workup to evaluate for arthritis., A patient with a known shoulder mass has a 73030 performed to monitor for changes in size.
* Physician's order specifying the reason for the examination.* Radiologic images (at least two views).* Radiologist's report interpreting the images, including specific findings and diagnosis.
** The minimum two views requirement can be satisfied by various combinations of views. The selection of specific views will depend on the clinical question being asked.Always ensure proper documentation to support medical necessity.
- Revenue Code: I1B (STANDARD IMAGING - MUSCULOSKELETAL)
- RVU: Information not available in provided sources.Consult the AMA CPT manual or a relevant fee schedule for RVU values.
- Global Days: Information not available in provided sources.The global period may vary depending on payer policy and the specific circumstances.
- Payment Status: Active
- Modifier TC rule: Modifier TC is often used when reporting only the technical component of the service; however, payer policies may vary, especially for hospital settings.
- Fee Schedule: Information not available in provided sources. Consult the AMA CPT manual or a relevant fee schedule for historical fee data.
- Specialties:Radiology, Orthopedic Surgery, Emergency Medicine
- Place of Service:Office, Hospital (Inpatient and Outpatient), Urgent Care Facility, Emergency Room