CPT 73720
Global XXX ActiveMri lwr extremity w/o&w/dye
CPT 73720 Billing & Documentation Guide
CPT code 73720 (Mri lwr 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 7.78, and a malpractice RVU of 0.15, a total non-facility RVU of 10.03 and facility RVU of 10.03. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $347.06, though rates vary from $295.94 to $455.26 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 73720, 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 73720 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 73720 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 73720
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.1 | 2.1 |
| Practice Expense RVU | 7.78 | 7.78 |
| Malpractice RVU | 0.15 | 0.15 |
| Total RVU | 10.03 | 10.03 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 73720
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 | $382.86 | $382.86 | $358.83 - $455.26 | 29 |
| Florida | $340.62 | $340.62 | $326.1 - $353.33 | 3 |
| Georgia | $324.15 | $324.15 | $307.91 - $340.39 | 2 |
| Illinois | $331.05 | $331.05 | $315.22 - $346.39 | 4 |
| Michigan | $321.2 | $321.2 | $313.05 - $329.35 | 2 |
| North Carolina | $315.79 | $315.79 | $315.79 - $315.79 | 1 |
| New York | $370.18 | $370.18 | $320.53 - $392.91 | 5 |
| Ohio | $312.44 | $312.44 | $312.44 - $312.44 | 1 |
| Pennsylvania | $330.66 | $330.66 | $313.43 - $347.89 | 2 |
| Texas | $331.01 | $331.01 | $311.27 - $349.65 | 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 73720
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 73720 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 73720
What does CPT code 73720 mean? +
CPT code 73720 represents: Mri lwr extremity w/o&w/dye. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 73720? +
The 2026 Medicare national average non-facility payment for CPT 73720 is $347.06. Rates range from $295.94 to $455.26 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 73720? +
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 73720? +
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 April 17, 2026.
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