CPT 73225
Global XXXMr angio upr extr w/o&w/dye
CPT 73225 Billing & Documentation Guide
CPT code 73225 (Mr angio upr extr 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 1.69, a non-facility practice expense RVU of 7.85, and a malpractice RVU of 0.15, a total non-facility RVU of 9.69 and facility RVU of 9.69. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $335.53, though rates vary from $284.26 to $443.43 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 73225, 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 73225 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Restricted coverage (special situations)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 2 units of 73225 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 73225
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.69 | 1.69 |
| Practice Expense RVU | 7.85 | 7.85 |
| Malpractice RVU | 0.15 | 0.15 |
| Total RVU | 9.69 | 9.69 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 73225
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 | $371.44 | $371.44 | $347.46 - $443.43 | 29 |
| Florida | $329.27 | $329.27 | $314.64 - $342.07 | 3 |
| Georgia | $312.66 | $312.66 | $296.3 - $329.03 | 2 |
| Illinois | $319.57 | $319.57 | $303.66 - $335 | 4 |
| Michigan | $309.7 | $309.7 | $301.49 - $317.91 | 2 |
| North Carolina | $304.28 | $304.28 | $304.28 - $304.28 | 1 |
| New York | $358.44 | $358.44 | $309.06 - $381.12 | 5 |
| Ohio | $300.88 | $300.88 | $300.88 - $300.88 | 1 |
| Pennsylvania | $319.14 | $319.14 | $301.88 - $336.39 | 2 |
| Texas | $319.54 | $319.54 | $299.7 - $338.4 | 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 73225
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 73225 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01916 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0694T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 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 |
| 36000 | Column 1 (primary), can be billed with modifier | 9 | 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 | 9 | Standards of medical/surgical practice |
| 36406 | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
| 36410 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 73225
What does CPT code 73225 mean? +
CPT code 73225 represents: Mr angio upr extr w/o&w/dye. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 73225? +
The 2026 Medicare national average non-facility payment for CPT 73225 is $335.53. Rates range from $284.26 to $443.43 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 73225? +
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 73225? +
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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