{"id":5087,"date":"2025-10-07T11:32:39","date_gmt":"2025-10-07T11:32:39","guid":{"rendered":"https:\/\/medibillmd.com\/blog\/?p=5087"},"modified":"2025-10-07T13:13:56","modified_gmt":"2025-10-07T13:13:56","slug":"cpt-code-73562","status":"publish","type":"post","link":"https:\/\/medibillmd.com\/blog\/cpt-code-73562\/","title":{"rendered":"Ultimate Guide to CPT Code 73562"},"content":{"rendered":"\n<p>Radiology billing is challenging to master. Many experienced billers make mistakes while filing seemingly simple codes. If you have experience working in a radiology lab, you must be aware of the frequency of knee X-rays. Among the most common knee scanning codes is CPT code 73562.&nbsp;<\/p>\n\n\n\n<p>Do you know that CPT 73562 accounts for approximately <a href=\"https:\/\/www.definitivehc.com\/blog\/list-of-radiology-cpt-codes\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">1.3% of all radiology procedures<\/a> performed at imaging centers? That translates to a lot of revenue for practices. So, if the claims for this code get denied, it will result in a significant revenue loss.&nbsp;<\/p>\n\n\n\n<p>To ensure that your practice remains financially sustainable, we have created this detailed guide on CPT code 73562. Take a look.&nbsp;<\/p>\n\n\n\t\t\t\t<div class=\"wp-block-uagb-table-of-contents uagb-toc__align-left uagb-toc__columns-1 uagb-toc__collapse uagb-block-6f675f38      \"\n\t\t\t\t\tdata-scroll= \"1\"\n\t\t\t\t\tdata-offset= \"30\"\n\t\t\t\t\tstyle=\"\"\n\t\t\t\t>\n\t\t\t\t<div class=\"uagb-toc__wrap\">\n\t\t\t\t\t\t<div class=\"uagb-toc__title\">\n\t\t\t\t\t\t\tTable Of Contents\t\t\t\t\t\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 384 512\"><path d=\"M192 384c-8.188 0-16.38-3.125-22.62-9.375l-160-160c-12.5-12.5-12.5-32.75 0-45.25s32.75-12.5 45.25 0L192 306.8l137.4-137.4c12.5-12.5 32.75-12.5 45.25 0s12.5 32.75 0 45.25l-160 160C208.4 380.9 200.2 384 192 384z\"><\/path><\/svg>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"uagb-toc__list-wrap \">\n\t\t\t\t\t\t<ol class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#cpt-code-73562-description\" class=\"uagb-toc-link__trigger\">CPT Code 73562 \u2013 Description<\/a><li class=\"uagb-toc__list\"><a href=\"#scenarios-where-cpt-code-73562-is-applicable\" class=\"uagb-toc-link__trigger\">Scenarios Where CPT Code 73562 is Applicable<\/a><ul class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#sports-injury\" class=\"uagb-toc-link__trigger\">Sports Injury<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#osteoarthritis-evaluation\" class=\"uagb-toc-link__trigger\">Osteoarthritis Evaluation<\/a><\/li><\/ul><\/li><li class=\"uagb-toc__list\"><a href=\"#applicable-modifiers-for-cpt-code-73562\" class=\"uagb-toc-link__trigger\">Applicable Modifiers for CPT Code 73562<\/a><li class=\"uagb-toc__list\"><a href=\"#cpt-code-73562-billing-reimbursement-guidelines\" class=\"uagb-toc-link__trigger\">CPT Code 73562 \u2013 Billing &amp; Reimbursement Guidelines<\/a><ul class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#provide-complete-documentation\" class=\"uagb-toc-link__trigger\">Provide Complete Documentation<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#confirm-the-medicare-reimbursement-rates\" class=\"uagb-toc-link__trigger\">Confirm the Medicare Reimbursement Rates<\/a><\/li><\/ul><\/li><\/ul><\/li><li class=\"uagb-toc__list\"><a href=\"#wrapping-up\" class=\"uagb-toc-link__trigger\">Wrapping Up<\/a><\/ul><\/ul><\/ol>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>CPT Code 73562<\/strong><strong> \u2013 Description<\/strong><\/h2>\n\n\n\n<p>CPT code 73562 is officially defined as:<\/p>\n\n\n\n<blockquote class=\"wp-block-quote has-ast-global-color-4-background-color has-background is-layout-flow wp-block-quote-is-layout-flow\">\n<p><strong><em>&#8220;Radiologic examination, knee; 3 views.&#8221;<\/em><\/strong><\/p>\n<\/blockquote>\n\n\n\n<p>That definition is simple and self-explanatory. However, you should know the details.<\/p>\n\n\n\n<p>Code 73562 falls under the \u2018Diagnostic Imaging&#8217; category of CPT codes. It represents a simple X-ray procedure that involves capturing three distinct X-ray images of a patient&#8217;s knee joint. The scans are usually taken from anteroposterior (front-to-back), lateral (side), and an additional view, such as a sunrise view (image of the kneecap with a bent knee).<\/p>\n\n\n\n<p>The three images provide enough details to avoid any wrong diagnosis. Think of it as the middle ground in knee imaging, more comprehensive than a one- or two-view study (CPT 73560) but less than a comprehensive four-view exam (CPT 73564). Additionally, a radiologist or an orthopedist must supervise the X-ray procedure.&nbsp;<\/p>\n\n\n\n<p>This type of knee X-ray is common in orthopedic practices and labs, so you must learn how to use it correctly. Otherwise, you can lose a lot of revenue.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Scenarios Where <\/strong><strong>CPT Code 73562<\/strong><strong> is Applicable<\/strong><\/h2>\n\n\n\n<p>To clear the picture, let\u2019s look at some scenarios in which a physician might order a three-view knee X-ray covered by CPT code 73562.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Sports Injury<\/strong><\/h3>\n\n\n\n<p>Suppose a football player feels sudden knee pain during a match. Soon, the knee swells, and he struggles to maintain stability. He is rushed to the emergency room. The attending physician suspects that a torn anterior cruciate ligament (ACL) is compromising knee stability.<\/p>\n\n\n\n<p>However, to confirm the diagnosis, the physician requests a 3-view knee X-ray to assess bone alignment and joint space. The results indicate a possible avulsion fracture. Hence, in this scenario, the X-ray can be billed via CPT code 73562.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Osteoarthritis Evaluation<\/strong><\/h3>\n\n\n\n<p>Imagine that a patient with chronic knee pain, stiffness, and reduced mobility visits an orthopedic clinic. The patient is between 60 and 70 years of age and has a family history of joint disorders. The attending physician suspects that degenerative changes in the knee joint (osteoarthritis) are eroding cartilage and causing the visible symptoms.<\/p>\n\n\n\n<p>A knee X-ray is ordered for confirmation. The physician requests 3 views to evaluate joint space narrowing and bone spurs. The results show advanced arthritis. So, CPT code 73562 &nbsp;will be applied to bill the X-ray.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Applicable Modifiers for <\/strong><strong>CPT Code 73562<\/strong><\/h2>\n\n\n\n<p>The following are some modifiers that you can use with CPT code 73562 when required.<\/p>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><table><thead><tr><th class=\"has-text-align-center\" data-align=\"center\"><strong>Modifier<\/strong><\/th><th class=\"has-text-align-center\" data-align=\"center\"><strong>Description<\/strong><\/th><th class=\"has-text-align-center\" data-align=\"center\"><strong>When to Use<\/strong><\/th><\/tr><\/thead><tbody><tr><td class=\"has-text-align-center\" data-align=\"center\"><a href=\"https:\/\/medibillmd.com\/blog\/modifier-26\/\" target=\"_blank\" rel=\"noreferrer noopener\">26<\/a><\/td><td class=\"has-text-align-center\" data-align=\"center\">Professional Component<\/td><td class=\"has-text-align-center\" data-align=\"center\">Used when billing only for the physician&#8217;s interpretation and report.<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><a href=\"https:\/\/medibillmd.com\/blog\/modifier-50\/\" target=\"_blank\" rel=\"noreferrer noopener\">50<\/a><\/td><td class=\"has-text-align-center\" data-align=\"center\">Bilateral Procedure<\/td><td class=\"has-text-align-center\" data-align=\"center\">Used when imaging of both knees occurs in the same session.<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><a href=\"https:\/\/medibillmd.com\/blog\/modifier-51-vs-59\/\" target=\"_blank\" rel=\"noreferrer noopener\">59<\/a><\/td><td class=\"has-text-align-center\" data-align=\"center\">Distinct Procedural Service<\/td><td class=\"has-text-align-center\" data-align=\"center\">Applied when the X-ray procedure is separate and distinct from other procedures performed on the same day.&nbsp;<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><a href=\"https:\/\/medibillmd.com\/blog\/modifier-tc\/\" target=\"_blank\" rel=\"noreferrer noopener\">TC<\/a><\/td><td class=\"has-text-align-center\" data-align=\"center\">Technical Component<\/td><td class=\"has-text-align-center\" data-align=\"center\">Applied when billing only for the technical aspects, including equipment, supplies, and the technician\u2019s services.<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><a href=\"https:\/\/medibillmd.com\/blog\/modifiers-rt-and-lt\/\" target=\"_blank\" rel=\"noreferrer noopener\">LT<\/a><\/td><td class=\"has-text-align-center\" data-align=\"center\">Left Laterality<\/td><td class=\"has-text-align-center\" data-align=\"center\">Specifies that the imaging procedure was performed only on the left knee.<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">RT<\/td><td class=\"has-text-align-center\" data-align=\"center\">Right Laterality&nbsp;<\/td><td class=\"has-text-align-center\" data-align=\"center\">Specifies that the imaging procedure was performed only on the right knee.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>CPT Code 73562<\/strong><strong> \u2013 Billing &amp; Reimbursement Guidelines<\/strong><\/h2>\n\n\n\n<p>Want to prevent denials and payment reductions? Follow these key billing and reimbursement guidelines for CPT code 73562:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Provide Complete Documentation<\/strong><\/h3>\n\n\n\n<p>You must justify the medical necessity of the procedure. Document everything that led to the ordering of a 3-view X-ray. Including:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The patient\u2019s medical history<\/li>\n\n\n\n<li>The patient&#8217;s current condition and symptoms<\/li>\n\n\n\n<li>Signed order of the physician for the scan<\/li>\n\n\n\n<li>X-ray results&nbsp;<\/li>\n\n\n\n<li>Any prescribed medications<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Confirm the Medicare Reimbursement Rates<\/strong><\/h3>\n\n\n\n<p>The reimbursement amount for CPT code 73562 varies for each MAC locality. The national average reimbursement amount for 73562 is $39.46 in non-facility settings.&nbsp;<\/p>\n\n\n\n<p>The following is a more detailed breakdown of the cost structure:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Professional component:<\/strong><\/li>\n<\/ol>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Facility price:<\/strong> $8.73<\/li>\n\n\n\n<li><strong>Non-facility price: <\/strong>$8.73<\/li>\n<\/ol>\n\n\n\n<ol start=\"2\" class=\"wp-block-list\">\n<li><strong>Technical component:<\/strong><\/li>\n<\/ol>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Facility price:<\/strong> Not applicable&nbsp;<\/li>\n\n\n\n<li><strong>Non-facility price:<\/strong> $30.73<\/li>\n<\/ol>\n\n\n\n<p>You can check the exact reimbursement rate for your MAC locality via the <a href=\"https:\/\/www.cms.gov\/medicare\/physician-fee-schedule\/search?Y=0&amp;T=4&amp;HT=0&amp;CT=3&amp;H1=73562&amp;M=5\" rel=\"nofollow noopener\" target=\"_blank\">PFS Lookup Tool<\/a>.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Wrapping Up<\/strong><\/h2>\n\n\n\n<p>Here we come to the end of the detailed guide! Let\u2019s summarize everything we have discussed so far.<\/p>\n\n\n\n<p>CPT code 73562 represents a simple X-ray of the knee with 3 views. You must append comprehensive documentation and appropriate modifiers like LT, RT, 26, TC, and others to your claims for proper reimbursement.&nbsp;<br>Hopefully, this guide will become your go-to resource for billing knee X-rays. However, if you still find it challenging to achieve a high, clean claims rate, you can always connect with our billing experts for specialized <a href=\"https:\/\/medibillmd.com\/specialties\/radiology-billing-services\"><strong>radiology billing services<\/strong><\/a>.<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Radiology billing is challenging to master. Many experienced billers make mistakes while filing seemingly simple codes. If you have experience [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":5091,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","content-type":"","_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[10],"tags":[],"class_list":["post-5087","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cpt-codes"],"uagb_featured_image_src":{"full":["https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2025\/10\/CPT-Code-73562.webp",1200,720,false],"thumbnail":["https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2025\/10\/CPT-Code-73562-150x150.webp",150,150,true],"medium":["https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2025\/10\/CPT-Code-73562-300x180.webp",300,180,true],"medium_large":["https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2025\/10\/CPT-Code-73562-768x461.webp",768,461,true],"large":["https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2025\/10\/CPT-Code-73562-1024x614.webp",1024,614,true],"1536x1536":["https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2025\/10\/CPT-Code-73562.webp",1200,720,false],"2048x2048":["https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2025\/10\/CPT-Code-73562.webp",1200,720,false]},"uagb_author_info":{"display_name":"Fred Allen","author_link":"https:\/\/medibillmd.com\/blog\/author\/fred-allen\/"},"uagb_comment_info":0,"uagb_excerpt":"Radiology billing is challenging to master. Many experienced billers make mistakes while filing seemingly simple codes. If you have experience [&hellip;]","_links":{"self":[{"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/posts\/5087","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/comments?post=5087"}],"version-history":[{"count":0,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/posts\/5087\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/media\/5091"}],"wp:attachment":[{"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/media?parent=5087"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/categories?post=5087"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/tags?post=5087"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}