CPT code 73200: CT scan, upper extremity, no contrast2026 Medicare rate & RVUs in Texas
Reports CT imaging of an upper extremity without contrast when cross-sectional detail is needed to assess bones or other regional anatomy.
CMS doesn’t publish an office rate for 73200 in Texas.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | Unavailable |
| Beaumont, TX | Unavailable | Unavailable |
| Brazoria, TX | Unavailable | Unavailable |
| Dallas, TX | Unavailable | Unavailable |
| Fort Worth, TX | Unavailable | Unavailable |
| Galveston, TX | Unavailable | Unavailable |
| Houston, TX | Unavailable | Unavailable |
| Rest of Texas | Unavailable | Unavailable |
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.
How the rate is built · 73200
RVUs × geographic indexes × conversion factor
Work0.98
0.98 RVUs× 1.000 GPCI
Practice expense3.75
3.75 RVUs× 1.000 GPCI
Malpractice0.08
0.08 RVUs× 1.000 GPCI
Adjusted RVUs
4.8100
Conversion factor
$33.4009
Medicare rate
$160.66
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 73200
The CMS indicators that decide how 73200 is paid alongside other services.
CMS payment indicators · 73200
CT scan, upper extremity, no contrast
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 4 | Diagnostic imaging reduction applies to the technical component (and professional component) of additional services. |
| Bilateral (modifier 50) | 3 | Each side paid at 100% (no 150% cap). |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
73200 without 26 · national office
$160.66
CT scan, upper extremity, no contrast
73200-26 · Professional component
$46.43
Pays only the interpretation and report.
73200 compared with similar codes
Compare codes · National
5 codes, side by side
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.
73200 billing questions
When should 73200 be selected instead of 73201 or 73202?
Use 73200 for an upper-extremity CT performed without contrast. Choose 73201 for CT with contrast or 73202 when the examination is performed both without and with contrast.
Can the professional interpretation and the scan itself be billed separately?
Yes. Modifier 26 reports the professional interpretation, and modifier TC reports the technical service, including equipment and staff. Billing without either modifier represents the global service.
How does CMS handle 73200 when other diagnostic imaging is performed?
The diagnostic imaging multiple-procedure reduction applies to both the professional and technical components when it is triggered by multiple imaging services.
How should bilateral upper-extremity CT be handled?
CMS pays each side separately at 100% when both sides are imaged. The documentation should identify the side examined.
How is 73200 different from an MRI of an upper-extremity joint?
73200 is for CT of an upper extremity without contrast. Codes such as 73221 describe MRI of an upper-extremity joint without contrast, so the modality and examination scope differ.
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
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