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CPT code 73220: Extremity MRI, without and with contrast2026 Medicare rate & RVUs in Delaware

MRI of nonjoint upper-extremity tissues with images acquired before and after contrast is reported when both phases are performed.

CMS RVU26DEffective Oct 1, 2026One payment locality20.3K Medicare services in 2024

In Delaware, Medicare pays $402.66 for 73220 in the office.

$402.66Office (non-facility)
Not available in this settingHospital or facility
−1.0%vs the national office rate ($406.82)

Check a contract rate as a % of Medicare · 73220 nationwide

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

We’ll open 73220 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 73220 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 73220 covers

This study images nonjoint structures of an upper extremity, such as soft tissues in the upper arm or forearm, using MRI sequences before and after contrast administration. It may be used to evaluate a suspected soft-tissue mass, infection, or other abnormality outside a dedicated joint examination. A technologist performs the scan, and a radiologist or other qualified physician interprets the images. The ordering question and scanned anatomy should center on the limb rather than a specific joint.

Report this code when the documented examination includes both unenhanced and contrast-enhanced imaging; use the corresponding single-phase code when only one phase is performed. The order and report should identify the side, anatomy examined, clinical indication, and contrast-enhanced sequences. The global service includes the technical work and interpretation. Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service. CMS applies the diagnostic imaging multiple procedure reduction to both components. When both sides are examined, each side is paid 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.

How Delaware compares for 73220

Across 109 of 109 payment localities, the office rate for 73220 runs from $357.51 in Arkansas to $558.51 in San Benito County, CA. Delaware pays $402.66. The RVUs are the same everywhere; the geographic indexes change the dollars.

73220 in Delaware vs other payment areas
  1. Delaware · this page$402.66
  2. Los Angeles, CA · California$468.54+$65.88
  3. Washington, DC area · District of Columbia$470.19+$67.53
  4. Miami, FL · Florida$428.58+$25.92
  5. Chicago, IL · Illinois$415.89+$13.23
  6. Manhattan, NY · New York$468.12+$65.46
  7. Alaska · Alaska$461.03+$58.37

Other areas in Delaware first, then benchmark localities. Bars start at $0.

Every other payment area

73220 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$363.09—
ArkansasArkansas$357.51—
ArizonaArizona$395.78—
Bakersfield, CACalifornia$437.87—
Chico, CACalifornia$437.34—
El Centro, CACalifornia$437.37—
Fresno, CACalifornia$437.34—
Hanford, CACalifornia$437.34—

73220 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$357.51

$497.92

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

View every state and territory as a table
73220 office rate range by state
State / territoryOffice rate rangeLocalities
AK$461.031
AL$363.091
AR$357.511
AZ$395.781
CA$437.34–$558.5129
CO$427.701
CT$434.861
DC$470.191
DE$402.661
FL$394.93–$428.583
GA$372.06–$413.412
GU$449.971
HI$449.971
IA$375.441
ID$377.501
IL$381.01–$420.394
IN$379.891
KS$372.361
KY$369.591
LA$368.49–$388.002
MA$424.42–$473.392
MD$411.06–$470.193
ME$378.30–$401.872
MI$378.69–$398.892
MN$412.671
MO$360.96–$390.933
MS$359.371
MT$406.811
NC$382.691
ND$403.651
NE$377.991
NH$419.741
NJ$440.63–$464.622
NM$380.401
NV$406.261
NY$388.67–$478.515
OH$378.041
OK$370.181
OR$403.91–$443.362
PA$379.36–$422.702
PR$410.391
RI$418.511
SC$380.841
SD$403.271
TN$374.201
TX$376.62–$425.578
UT$386.401
VA$399.62–$470.192
VI$410.391
VT$400.871
WA$424.02–$484.572
WI$389.211
WV$365.721
WY$405.431

See 73220 in every payment locality

How the 73220 rate is calculated

Each of 73220’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 · 73220

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.10

2.10 RVUs× 1.000 GPCI

Practice expense9.92

9.92 RVUs× 1.000 GPCI

Malpractice0.16

0.16 RVUs× 1.000 GPCI

Adjusted RVUs

12.1800

Conversion factor

$33.4009

Medicare rate

$406.82

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

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,171

Code
73220
Physician work
2.10
Practice expense
9.92
Malpractice
0.16

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 73220 in Delaware
ComponentRVULocality factorAdjusted
Physician work2.10× 1.0052.1105
Practice expense9.92× 0.9889.8010
Malpractice0.16× 0.8990.1438
Total RVUs12.0553
Conversion factor× 33.4009

Office rate, Delaware$402.66

Office: (2.1 × 1.005 + 9.92 × 0.988 + 0.16 × 0.899) × $33.4009 = $402.66

Open 73220 in the RVU calculator

Payment rules and modifiers for 73220

The CMS indicators that decide how 73220 is paid alongside other services.

CMS payment indicators · 73220

Extremity MRI, without and with 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

73220 without 26 · national office

$406.82

Extremity MRI, without and with contrast

73220-26 · Professional component

$99.53

Pays only the interpretation and report.

When to use modifier 26

Codes related to 73220

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

Codes related to 73220
CodeHow it relatesOffice range, Delaware
Same family
73218Extremity MRI, non-joint, without contrastSibling code for a nonjoint upper-extremity MRI performed without contrast.$300.09
73219Extremity MRI, contrast, non-joint areaSibling code for a nonjoint upper-extremity MRI performed with contrast only.$326.28
Used instead
73223Joint MRI, without and with contrastUse for an upper-extremity joint MRI performed both before and after contrast.$379.26
73202Extremity CT, without and with contrastCT alternative for an upper-extremity examination performed without and with contrast.No office rate

How 73220 has changed in Delaware

73220 · Office / nonfacility

$402.66

Effective 2026-10-01

The base rate is $2.85 higher than on 2025-10-01, moving from $399.81 to $402.66 (0.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $399.81changed to$402.66

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.15 changed to 2.10
    • Practice expense RVU 10.12 changed to 9.92
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $418.73changed to$399.81

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 10.36 changed to 10.12
    • Malpractice RVU 0.14 changed to 0.16

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $411.90changed to$418.73

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $439.51changed to$411.90

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 10.59 changed to 10.36
    • Malpractice RVU 0.15 changed to 0.14
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $460.17changed to$439.51

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 10.77 changed to 10.59
    • Malpractice RVU 0.14 changed to 0.15
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $487.53changed to$460.17

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 11.43 changed to 10.77

    Held through RVU22B, RVU22C, RVU22D.

  7. October 1, 2021

    RVU21D

    No ratechanged to$487.53

  8. July 1, 2021

    RVU21C

    $487.53changed toNo rate

  9. January 1, 2021

    RVU21A

    $495.55changed to$487.53

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 11.21 changed to 11.43
    • Malpractice RVU 0.12 changed to 0.14
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B.

  10. January 1, 2020

    RVU20A

    $504.53changed to$495.55

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 11.46 changed to 11.21
    • Malpractice RVU 0.14 changed to 0.12
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  11. January 1, 2019

    RVU19A

    $519.01changed to$504.53

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 11.87 changed to 11.46

    Held through RVU19B, RVU19C, RVU19D.

  12. January 1, 2018

    RVU18AR1

    $518.27changed to$519.01

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 11.82 changed to 11.87
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  13. January 1, 2017

    RVU17A

    $517.44changed to$518.27

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 11.76 changed to 11.82
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  14. January 1, 2016

    RVU16A

    $517.46changed to$517.44

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 11.71 changed to 11.76

    Held through RVU16B, RVU16C, RVU16D.

  15. July 1, 2015

    RVU15C

    $514.88changed to$517.46

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  16. January 1, 2015

    RVU15A

    $534.62changed to$514.88

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 12.18 changed to 11.71
    • Malpractice RVU 0.12 changed to 0.14
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  17. January 1, 2014

    RVU14A

    $603.05changed to$534.62

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 14.81 changed to 12.18
    • Malpractice RVU 0.13 changed to 0.12
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  18. January 1, 2013

    RVU13AR

    Earliest loaded release: $603.05

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$402.66Not available in this settingRVU26D
2026-07-01$402.66Not available in this settingRVU26C
2026-04-01$402.66Not available in this settingRVU26B
2026-01-01$402.66Not available in this settingRVU26A
2025-10-01$399.81Not available in this settingRVU25D
2025-07-01$399.81Not available in this settingRVU25C
2025-04-01$399.81Not available in this settingRVU25B
2025-01-01$399.81Not available in this settingRVU25A
2024-10-01$418.73Not available in this settingRVU24D
2024-07-01$418.73Not available in this settingRVU24C
2024-04-01$418.73Not available in this settingRVU24B
2024-03-09$418.73Not available in this settingRVU24AR
2024-01-01$411.90Not available in this settingRVU24A
2023-10-01$439.51Not available in this settingRVU23D
2023-07-01$439.51Not available in this settingRVU23C
2023-04-01$439.51Not available in this settingRVU23B
2023-01-01$439.51Not available in this settingRVU23A
2022-10-01$460.17Not available in this settingRVU22D
2022-07-01$460.17Not available in this settingRVU22C
2022-04-01$460.17Not available in this settingRVU22B
2022-01-01$460.17Not available in this settingRVU22A
2021-10-01$487.53Not available in this settingRVU21D
2021-07-01Additional calculation requiredNot available in this settingRVU21C
2021-04-01$487.53Not available in this settingRVU21B
2021-01-01$487.53Not available in this settingRVU21A
2020-10-01$495.55Not available in this settingRVU20D
2020-07-01$495.55Not available in this settingRVU20C
2020-04-01$495.55Not available in this settingRVU20B
2020-01-01$495.55Not available in this settingRVU20A
2019-10-01$504.53Not available in this settingRVU19D
2019-07-01$504.53Not available in this settingRVU19C
2019-04-01$504.53Not available in this settingRVU19B
2019-01-01$504.53Not available in this settingRVU19A
2018-10-01$519.01Not available in this settingRVU18D
2018-07-01$519.01Not available in this settingRVU18C
2018-04-01$519.01Not available in this settingRVU18B
2018-01-01$519.01Not available in this settingRVU18AR1
2017-10-01$518.27Not available in this settingRVU17D
2017-07-01$518.27Not available in this settingRVU17C
2017-04-01$518.27Not available in this settingRVU17B
2017-01-01$518.27Not available in this settingRVU17A
2016-10-01$517.44Not available in this settingRVU16D
2016-07-01$517.44Not available in this settingRVU16C
2016-04-01$517.44Not available in this settingRVU16B
2016-01-01$517.44Not available in this settingRVU16A
2015-10-01$517.46Not available in this settingRVU15D
2015-07-01$517.46Not available in this settingRVU15C
2015-04-01$514.88Not available in this settingRVU15B
2015-01-01$514.88Not available in this settingRVU15A
2014-10-01$534.62Not available in this settingRVU14D
2014-07-01$534.62Not available in this settingRVU14C
2014-04-01$534.62Not available in this settingRVU14B
2014-01-01$534.62Not available in this settingRVU14A
2013-10-01$603.05Not available in this settingRVU13D
2013-07-01$603.05Not available in this settingRVU13C
2013-04-01$603.05Not available in this settingRVU13B
2013-01-01$603.05Not available in this settingRVU13AR

Price 73220 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

73220 billing questions

When should this code be used instead of 73218 or 73219?

Use this code when the upper-extremity MRI includes imaging both before and after contrast. Code 73218 represents the unenhanced study, and 73219 represents imaging with contrast only.

How does this differ from 73223?

This code is for an examination of nonjoint upper-extremity structures. Use 73223 when the MRI is centered on an upper-extremity joint and includes both pre- and post-contrast imaging.

Can the professional and technical services be billed separately?

Yes. Modifier 26 reports the professional interpretation, and modifier TC reports the technical service. Without either modifier, the claim represents the global service.

How is bilateral imaging handled?

When both upper extremities are examined, CMS pays each side separately at 100%. Identify the right and left sides separately under applicable claim conventions.

Does the multiple procedure reduction affect both components?

Yes. CMS applies the diagnostic imaging multiple procedure reduction to both the technical and professional components.

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 73220PPRRVU2026_Oct_nonQPP.csv, line 8,171 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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