CPT code 73218: Extremity MRI, non-joint, without contrast2026 Medicare rate & RVUs

Reports MRI of an upper-extremity region outside a joint, without contrast, to evaluate soft-tissue or bone abnormalities when MRI findings are needed.

CMS RVU26DEffective Oct 1, 2026109 payment localities40K Medicare services in 2024

Medicare pays $303.28 for 73218 nationally in the office. Local office rates run $265.59–$419.67.

Medicare rate · 73218

Extremity MRI, non-joint, without contrast

Office or facility?

Work RVUs
1.32
Total RVUs
9.08
Global days
XXX

National rate · 2026

$303.28

Office setting, before claim adjustments.

See every locality for 73218 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 73218 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 73218 covers

This service is an MRI examination of an upper-extremity area that is not being imaged as a joint study, acquired without injected contrast. It can address concerns such as a soft-tissue mass, infection, or injury involving the arm, forearm, or non-joint-focused hand tissues. A radiologic technologist obtains images in a hospital or freestanding imaging center; a radiologist interprets them for the ordering clinician.

Choose this code when the documented target is an upper-extremity region rather than a joint-centered examination. The order and report should identify the body region, laterality, clinical indication, and noncontrast protocol. Report a separate service for each side examined; under CMS, each side is paid separately at 100% when performed bilaterally. The study may be billed globally, or the interpretation may be billed with modifier 26 and the equipment and staff portion with modifier TC; CMS separately prices those components. When multiple diagnostic imaging procedures are billed, the multiple-procedure reduction applies to both the professional and technical components.

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 73218 pays more and less

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

109 payment localities

$265.59 to $419.67

$265.59$342.63$419.67
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

73218 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$269.85Unavailable
Alaska$340.46Unavailable
Arizona$294.87Unavailable
Arkansas$265.59Unavailable
Atlanta, GA$308.18Unavailable
Austin, TX$317.83Unavailable
Bakersfield, CA$327.37Unavailable
Baltimore area, MD$323.45Unavailable
Beaumont, TX$280.02Unavailable
Brazoria, TX$300.60Unavailable

73218 rates by state

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

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$265.59

$373.36

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
73218 office rate range by state
State / territoryOffice rate rangeLocalities
AK$340.461
AL$269.851
AR$265.591
AZ$294.871
CA$327.04–$419.6729
CO$319.451
CT$324.561
DC$351.581
DE$300.091
FL$293.70–$318.883
GA$276.29–$308.182
GU$336.931
HI$336.931
IA$279.521
ID$281.051
IL$282.90–$313.084
IN$282.891
KS$277.061
KY$274.601
LA$273.72–$288.642
MA$316.87–$354.362
MD$306.52–$351.583
ME$281.55–$299.752
MI$281.45–$296.622
MN$308.351
MO$267.89–$291.013
MS$266.851
MT$303.271
NC$284.931
ND$301.301
NE$281.501
NH$313.351
NJ$328.91–$347.222
NM$282.721
NV$302.981
NY$289.50–$357.325
OH$281.051
OK$275.161
OR$301.26–$331.532
PA$282.12–$315.212
PR$306.041
RI$312.201
SC$283.331
SD$301.061
TN$278.451
TX$280.02–$317.838
UT$287.591
VA$297.95–$351.582
VI$306.041
VT$299.071
WA$316.62–$362.952
WI$290.221
WV$271.201
WY$302.411

How the 73218 rate is calculated

Each of 73218’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 · 73218

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.32

1.32 RVUs× 1.000 GPCI

Practice expense7.66

7.66 RVUs× 1.000 GPCI

Malpractice0.10

0.10 RVUs× 1.000 GPCI

Adjusted RVUs

9.0800

Conversion factor

$33.4009

Medicare rate

$303.28

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 73218

The CMS indicators that decide how 73218 is paid alongside other services.

CMS payment indicators · 73218

Extremity MRI, non-joint, without contrast

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures4Diagnostic imaging reduction applies to the technical component (and professional component) of additional services.
Bilateral (modifier 50)3Each side paid at 100% (no 150% cap).
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

73218 without 26 · national office

$303.28

Extremity MRI, non-joint, without contrast

73218-26 · Professional component

$62.79

Pays only the interpretation and report.

When to use modifier 26

73218 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 73218

    Extremity MRI, non-joint, without contrast1.32 wRVU

    $303.28

  • 73221

    Joint MRI, upper extremity, no contrast1.32 wRVU

    $205.08−$98.20

  • 73219

    Extremity MRI, contrast, non-joint area1.58 wRVU

    $329.67+$26.39

  • 73220

    Extremity MRI, without and with contrast2.1 wRVU

    $406.82+$103.54

  • 73200

    CT scan, upper extremity, no contrast0.98 wRVU

    $160.66−$142.62

How to choose

73221Joint MRIUpper extremity, no contrast
This code is for a non-joint-focused upper-extremity MRI. Choose 73221 when the study is centered on an upper-extremity joint.
73219Extremity MRIContrast, non-joint area
Both codes cover non-joint-focused upper-extremity MRI; 73219 is for a study performed with contrast.
73220Extremity MRIWithout and with contrast
Both codes cover non-joint-focused upper-extremity MRI; 73220 is for imaging performed before and after contrast.
73200CT scanUpper extremity, no contrast
73200 reports a CT examination of the upper extremity without contrast, while this code reports MRI without contrast.

73218 billing questions

When should this code be chosen instead of a joint MRI code?

Use this code when the imaged target is an upper-extremity region outside a joint. A joint-centered examination, such as an MRI focused on the wrist or elbow joint, belongs to the joint MRI code family.

How does this differ from the contrast MRI codes in this family?

This code represents a noncontrast study. Use the corresponding family code when the examination uses contrast or includes both precontrast and postcontrast imaging.

Can the interpretation and image acquisition be billed separately?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service; billing without either modifier represents the global service.

How is a bilateral examination handled under the CMS payment rule?

CMS pays each side separately at 100% when both sides are examined. The documentation should support the examination of each side.

What documentation supports reporting this code?

Document the upper-extremity region and side examined, the clinical reason for imaging, and that the study was performed without contrast. The report should identify the findings for the imaged region.

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

Show the CMS file lines behind this rate
RVUs for 73218PPRRVU2026_Oct_nonQPP.csv, line 8,165 (RVU26D)

Open CMS sourceHow we calculate rates

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