CPT code 73200: CT scan, upper extremity, no contrast2026 Medicare rate & RVUs

Medicare pays $160.66 for 73200 nationally in the office.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 73200 covers

This service is a computed tomography examination of an upper extremity performed without contrast material. It provides cross-sectional images for evaluation of regional anatomy, including in situations such as assessing a complex fracture, a bone abnormality, or orthopedic hardware. The ordering clinician identifies the clinical question and the imaged region; a radiologist typically interprets the study in a hospital or outpatient imaging setting, or in a practice with CT equipment.

Report 73200 when the examination is CT, covers an upper extremity, and is performed without contrast. The order and imaging report should support the body region, contrast protocol, and clinical reason for the study. Modifier 26 identifies the professional interpretation, modifier TC identifies the technical service, including equipment and staff, and no modifier represents the global service. When multiple diagnostic imaging services are performed, the CMS multiple-procedure reduction applies to both professional and technical components. For bilateral performance, CMS pays each side separately at 100%.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 73200 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

73200 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 73200 rate is calculated

Each of 73200’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 73200

The CMS indicators that decide how 73200 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

73200 compared with similar codes

How to choose

73201Extremity CTWith contrast

73201 applies when the upper-extremity CT uses contrast. Use 73200 when the examination is performed without contrast.

73202Extremity CTWithout and with contrast

73202 describes an upper-extremity CT performed both without and with contrast; 73200 is for the noncontrast examination alone.

73218Extremity MRINon-joint, without contrast

73218 is MRI of an upper extremity without contrast. Select between it and 73200 according to whether the performed study is MRI or CT.

73221Joint MRIUpper extremity, no contrast

73221 is MRI of an upper-extremity joint without contrast. Code 73200 is for CT of an upper extremity without contrast.

Codes related to 73200

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates