2025 CPT code 73060
Effective Date: N/A Revision Date: N/A Radiology Procedures > Diagnostic Radiology (Diagnostic Imaging) Procedures Feed
Radiologic examination, humerus, minimum of 2 views.
Modifiers such as 26 (professional component), 52 (reduced services), TC (technical component), RT (right side) or LT (left side), and others may be applicable depending on the circumstances of the service.
Medical necessity must be established by documenting the patient's symptoms or clinical findings that justify the need for the X-ray. This might include pain, swelling, deformity, limited range of motion, or suspicion of a fracture, tumor, infection, or other bone abnormality.
The radiologic technologist positions the patient's arm and operates the X-ray equipment. A radiologist interprets the images.
In simple words: This is an X-ray of your upper arm bone, taken from at least two different angles to get a clear picture and help the doctor diagnose problems like fractures or other bone diseases.
This code represents a radiologic examination of the humerus, the bone of the upper arm, using a minimum of two views. These views are typically anteroposterior (AP) and lateral, but other views may be included as clinically necessary. This exam uses X-ray technology to create images of the humerus to assess it for conditions such as fractures, dislocations, tumors, infections, and other bone abnormalities.
Example 1: A patient presents to the emergency department after a fall, complaining of pain and swelling in their upper arm. A humerus X-ray (73060) is ordered to evaluate for a possible fracture., A patient with a history of bone cancer experiences increasing pain in their upper arm. Code 73060 is used to assess for possible metastasis to the humerus., A child presents with limited range of motion and pain in their shoulder after a sports injury. An X-ray of the humerus (73060) is performed to evaluate for a possible fracture or other bone abnormality.
Documentation should include the reason for the examination, the patient's symptoms, the views taken, and the radiologist's interpretation of the images, including any findings.
- Modifier TC rule: Modifier TC is applicable when only the technical component of the procedure is being billed, for instance, by a portable X-ray supplier.
- Specialties:Radiology, Orthopedic Surgery, Emergency Medicine, Pediatrics
- Place of Service: "Office", "Home", "Hospital - Inpatient", "Hospital - Outpatient", "Independent Clinic", "Emergency Room - Hospital", "Urgent Care Facility"