CPT 73220
Global XXX ActiveMri uppr extremity w/o&w/dye
CPT 73220 Billing & Documentation Guide
CPT code 73220 (Mri uppr extremity w/o&w/dye) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.1, a non-facility practice expense RVU of 9.92, and a malpractice RVU of 0.16, a total non-facility RVU of 12.18 and facility RVU of 12.18. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $421.94, though rates vary from $357.51 to $558.51 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 73220, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 73220 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 2 units of 73220 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 73220
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.1 | 2.1 |
| Practice Expense RVU | 9.92 | 9.92 |
| Malpractice RVU | 0.16 | 0.16 |
| Total RVU | 12.18 | 12.18 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 73220
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $467.61 | $467.61 | $437.34 - $558.51 | 29 |
| Florida | $412.99 | $412.99 | $394.93 - $428.58 | 3 |
| Georgia | $392.74 | $392.74 | $372.06 - $413.41 | 2 |
| Illinois | $400.76 | $400.76 | $381.01 - $420.39 | 4 |
| Michigan | $388.79 | $388.79 | $378.69 - $398.89 | 2 |
| North Carolina | $382.69 | $382.69 | $382.69 - $382.69 | 1 |
| New York | $450.37 | $450.37 | $388.67 - $478.51 | 5 |
| Ohio | $378.04 | $378.04 | $378.04 - $378.04 | 1 |
| Pennsylvania | $401.03 | $401.03 | $379.36 - $422.7 | 2 |
| Texas | $401.69 | $401.69 | $376.62 - $425.57 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 73220
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 73220 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01922 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36000 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36005 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 36011 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36406 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36410 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 73220
What does CPT code 73220 mean? +
CPT code 73220 represents: Mri uppr extremity w/o&w/dye. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 73220? +
The 2026 Medicare national average non-facility payment for CPT 73220 is $421.94. Rates range from $357.51 to $558.51 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 73220? +
Radiology codes rely heavily on the professional/technical split: modifier 26 (professional component only) and TC (technical component only). Also common: 50 (bilateral imaging), 76 (repeat by same physician), 77 (repeat by different physician), and LT/RT for laterality.
What bundling edits apply to CPT 73220? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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