CPT code 73223: Joint MRI, without and with contrast2026 Medicare rate & RVUs in Utah
Reports MRI evaluation of an upper extremity joint using images acquired before and after contrast, such as for suspected joint infection or tumor.
In Utah, Medicare pays $364.12 for 73223 in the office.
Check a contract rate as a % of Medicare · 73223 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 73223 covers
This service covers MRI of an upper extremity joint, such as the shoulder, elbow, wrist, or hand joint, with images obtained before and after contrast administration. A technologist performs the scan, and a radiologist interprets the images. It may be ordered when the clinical question requires assessment of a joint and surrounding structures with both unenhanced and contrast-enhanced imaging, including evaluation for infection, inflammatory disease, or a suspected mass.
Select this code when the study is of a joint and includes both precontrast and postcontrast imaging; a study using only one contrast protocol belongs to a different code. The order and report should identify the joint and side, the clinical indication, and the contrast phases performed. Report one service per side rather than separate units for the precontrast and postcontrast portions. The global service includes the technical and professional work; modifier 26 identifies interpretation only, and modifier TC identifies the technical portion. When multiple diagnostic imaging services are performed, the multiple procedure reduction applies to both components. For bilateral studies, 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 Utah compares for 73223
Across 109 of 109 payment localities, the office rate for 73223 runs from $337.26 in Arkansas to $524.62 in San Benito County, CA. Utah pays $364.12. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$364.12
- Los Angeles, CA · California$440.66+$76.54
- Washington, DC area · District of Columbia$442.28+$78.16
- Miami, FL · Florida$403.40+$39.28
- Chicago, IL · Illinois$391.63+$27.51
- Manhattan, NY · New York$440.42+$76.30
- Alaska · Alaska$435.95+$71.83
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $342.44 | — |
| ArkansasArkansas | $337.26 | — |
| ArizonaArizona | $372.84 | — |
| Bakersfield, CACalifornia | $412.05 | — |
| Chico, CACalifornia | $411.54 | — |
| El Centro, CACalifornia | $411.56 | — |
| Fresno, CACalifornia | $411.54 | — |
| Hanford, CACalifornia | $411.54 | — |
| Madera, CACalifornia | $411.54 | — |
| Merced, CACalifornia | $411.54 | — |
| Modesto, CACalifornia | $411.54 | — |
| Napa, CACalifornia | $482.99 | — |
| Oxnard, CACalifornia | $439.23 | — |
| Redding, CACalifornia | $411.54 | — |
| Rest of CaliforniaCalifornia | $411.54 | — |
| Riverside, CACalifornia | $413.20 | — |
| Sacramento, CACalifornia | $433.51 | — |
| Salinas, CACalifornia | $431.92 | — |
| San Diego, CACalifornia | $443.28 | — |
| Marin County, CACalifornia | $513.32 | — |
| San Francisco, CACalifornia | $513.15 | — |
| San Benito County, CACalifornia | $524.62 | — |
| Santa Clara County, CACalifornia | $523.92 | — |
| San Luis Obispo, CACalifornia | $424.78 | — |
| Santa Cruz, CACalifornia | $448.47 | — |
| Santa Maria, CACalifornia | $433.87 | — |
| Santa Rosa, CACalifornia | $453.10 | — |
| Stockton, CACalifornia | $411.54 | — |
| Vallejo, CACalifornia | $482.75 | — |
| Visalia, CACalifornia | $411.54 | — |
| Yuba City, CACalifornia | $411.54 | — |
| ColoradoColorado | $402.56 | — |
| ConnecticutConnecticut | $409.28 | — |
| DelawareDelaware | $379.26 | — |
| Fort Lauderdale, FLFlorida | $391.16 | — |
| Rest of FloridaFlorida | $372.08 | — |
| Atlanta, GAGeorgia | $389.25 | — |
| Rest of GeorgiaGeorgia | $350.81 | — |
| Hawaii, Guam, HIHawaii | $423.19 | — |
| IowaIowa | $353.91 | — |
| IdahoIdaho | $355.83 | — |
| East St. Louis, ILIllinois | $363.55 | — |
| Rest of IllinoisIllinois | $359.14 | — |
| Suburban Chicago, ILIllinois | $395.78 | — |
| IndianaIndiana | $358.05 | — |
| KansasKansas | $351.06 | — |
| KentuckyKentucky | $348.50 | — |
| New Orleans, LALouisiana | $365.62 | — |
| Rest of LouisianaLouisiana | $347.48 | — |
| Metropolitan Boston, MAMassachusetts | $445.18 | — |
| Rest of MassachusettsMassachusetts | $399.54 | — |
| Baltimore area, MDMaryland | $407.90 | — |
| Rest of MarylandMaryland | $387.09 | — |
| Rest of MaineMaine | $356.58 | — |
| Southern Maine, MEMaine | $378.49 | — |
| Detroit, MIMichigan | $375.77 | — |
| Rest of MichiganMichigan | $356.96 | — |
| MinnesotaMinnesota | $388.51 | — |
| Metropolitan Kansas City, MOMissouri | $364.21 | — |
| Metropolitan St. Louis, MOMissouri | $368.34 | — |
| Rest of MissouriMissouri | $340.48 | — |
| MississippiMississippi | $338.99 | — |
| MontanaMontana | $383.10 | — |
| North CarolinaNorth Carolina | $360.67 | — |
| North DakotaNorth Dakota | $380.13 | — |
| NebraskaNebraska | $356.28 | — |
| New HampshireNew Hampshire | $395.11 | — |
| Northern New JerseyNew Jersey | $437.14 | — |
| Rest of New JerseyNew Jersey | $414.73 | — |
| New MexicoNew Mexico | $358.55 | — |
| NevadaNevada | $382.58 | — |
| NYC suburbs and Long Island, NYNew York | $450.09 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $416.57 | — |
| Queens, NYNew York | $445.86 | — |
| Rest of New YorkNew York | $366.22 | — |
| OhioOhio | $356.36 | — |
| OklahomaOklahoma | $349.04 | — |
| Portland, OROregon | $417.13 | — |
| Rest of OregonOregon | $380.39 | — |
| Metropolitan Philadelphia, PAPennsylvania | $397.96 | — |
| Rest of PennsylvaniaPennsylvania | $357.58 | — |
| Puerto RicoPuerto Rico | $386.42 | — |
| Rhode IslandRhode Island | $394.06 | — |
| South CarolinaSouth Carolina | $358.95 | — |
| South DakotaSouth Dakota | $379.78 | — |
| TennesseeTennessee | $352.76 | — |
| Austin, TXTexas | $400.54 | — |
| Beaumont, TXTexas | $355.04 | — |
| Brazoria, TXTexas | $379.80 | — |
| Dallas, TXTexas | $381.80 | — |
| Fort Worth, TXTexas | $378.78 | — |
| Galveston, TXTexas | $380.65 | — |
| Houston, TXTexas | $383.40 | — |
| Rest of TexasTexas | $366.92 | — |
| VirginiaVirginia | $376.40 | — |
| Virgin Islands, VIUnited States Virgin Islands | $386.42 | — |
| VermontVermont | $377.55 | — |
| Rest of WashingtonWashington | $399.14 | — |
| King County, WAWashington | $455.60 | — |
| WisconsinWisconsin | $366.71 | — |
| West VirginiaWest Virginia | $344.93 | — |
| WyomingWyoming | $381.81 | — |
73223 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.
$337.26
$468.08
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $435.95 | 1 |
| AL | $342.44 | 1 |
| AR | $337.26 | 1 |
| AZ | $372.84 | 1 |
| CA | $411.54–$524.62 | 29 |
| CO | $402.56 | 1 |
| CT | $409.28 | 1 |
| DC | $442.28 | 1 |
| DE | $379.26 | 1 |
| FL | $372.08–$403.40 | 3 |
| GA | $350.81–$389.25 | 2 |
| GU | $423.19 | 1 |
| HI | $423.19 | 1 |
| IA | $353.91 | 1 |
| ID | $355.83 | 1 |
| IL | $359.14–$395.78 | 4 |
| IN | $358.05 | 1 |
| KS | $351.06 | 1 |
| KY | $348.50 | 1 |
| LA | $347.48–$365.62 | 2 |
| MA | $399.54–$445.18 | 2 |
| MD | $387.09–$442.28 | 3 |
| ME | $356.58–$378.49 | 2 |
| MI | $356.96–$375.77 | 2 |
| MN | $388.51 | 1 |
| MO | $340.48–$368.34 | 3 |
| MS | $338.99 | 1 |
| MT | $383.10 | 1 |
| NC | $360.67 | 1 |
| ND | $380.13 | 1 |
| NE | $356.28 | 1 |
| NH | $395.11 | 1 |
| NJ | $414.73–$437.14 | 2 |
| NM | $358.55 | 1 |
| NV | $382.58 | 1 |
| NY | $366.22–$450.09 | 5 |
| OH | $356.36 | 1 |
| OK | $349.04 | 1 |
| OR | $380.39–$417.13 | 2 |
| PA | $357.58–$397.96 | 2 |
| PR | $386.42 | 1 |
| RI | $394.06 | 1 |
| SC | $358.95 | 1 |
| SD | $379.78 | 1 |
| TN | $352.76 | 1 |
| TX | $355.04–$400.54 | 8 |
| UT | $364.12 | 1 |
| VA | $376.40–$442.28 | 2 |
| VI | $386.42 | 1 |
| VT | $377.55 | 1 |
| WA | $399.14–$455.60 | 2 |
| WI | $366.71 | 1 |
| WV | $344.93 | 1 |
| WY | $381.81 | 1 |
How the 73223 rate is calculated
Each of 73223’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 · 73223
RVUs × geographic indexes × conversion factor
Work2.10
2.10 RVUs× 1.000 GPCI
Practice expense9.22
9.22 RVUs× 1.000 GPCI
Malpractice0.15
0.15 RVUs× 1.000 GPCI
Adjusted RVUs
11.4700
Conversion factor
$33.4009
Medicare rate
$383.11
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Utah inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
8,180
- Code
- 73223
- Physician work
- 2.10
- Practice expense
- 9.22
- Malpractice
- 0.15
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.10 | × 1.000 | 2.1000 |
| Practice expense | 9.22 | × 0.940 | 8.6668 |
| Malpractice | 0.15 | × 0.898 | 0.1347 |
| Total RVUs | 10.9015 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Utah$364.12
Office: (2.1 × 1 + 9.22 × 0.94 + 0.15 × 0.898) × $33.4009 = $364.12
Payment rules and modifiers for 73223
The CMS indicators that decide how 73223 is paid alongside other services.
CMS payment indicators · 73223
Joint MRI, without and with 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
73223 without 26 · national office
$383.11
Joint MRI, without and with contrast
73223-26 · Professional component
$99.53
Pays only the interpretation and report.
How 73223 has changed in Utah
73223 · Office / nonfacility
$364.12
Effective 2026-10-01
The base rate is $6.38 higher than on 2025-10-01, moving from $357.74 to $364.12 (1.8%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$357.74changed to$364.12
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.15 changed to 2.10
- Practice expense RVU 9.40 changed to 9.22
- Practice expense GPCI 0.933 changed to 0.940
- Malpractice GPCI 0.930 changed to 0.898
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$375.92changed to$357.74
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 9.66 changed to 9.40
- Malpractice RVU 0.14 changed to 0.15
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$369.78changed to$375.92
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$386.97changed to$369.78
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 9.87 changed to 9.66
- Malpractice RVU 0.15 changed to 0.14
- Practice expense GPCI 0.926 changed to 0.933
- Malpractice GPCI 0.865 changed to 0.930
January 1, 2023
RVU23A
$397.90changed to$386.97
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 10.05 changed to 9.87
- Malpractice RVU 0.14 changed to 0.15
- Practice expense GPCI 0.919 changed to 0.926
- Malpractice GPCI 0.799 changed to 0.865
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$420.52changed to$397.90
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 10.67 changed to 10.05
- Malpractice RVU 0.12 changed to 0.14
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$429.92changed to$420.52
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 10.46 changed to 10.67
- Malpractice RVU 0.11 changed to 0.12
- Practice expense GPCI 0.923 changed to 0.919
- Malpractice GPCI 0.982 changed to 0.799
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$440.83changed to$429.92
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 10.70 changed to 10.46
- Malpractice RVU 0.14 changed to 0.11
- Practice expense GPCI 0.927 changed to 0.923
- Malpractice GPCI 1.165 changed to 0.982
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$451.69changed to$440.83
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 11.04 changed to 10.70
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$447.53changed to$451.69
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 10.98 changed to 11.04
- Practice expense GPCI 0.925 changed to 0.927
- Malpractice GPCI 1.167 changed to 1.165
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$442.33changed to$447.53
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 10.89 changed to 10.98
- Practice expense GPCI 0.922 changed to 0.925
- Malpractice GPCI 1.169 changed to 1.167
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$442.94changed to$442.33
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 10.86 changed to 10.89
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$440.73changed to$442.94
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$455.89changed to$440.73
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 11.36 changed to 10.86
- Malpractice RVU 0.12 changed to 0.14
- Practice expense GPCI 0.919 changed to 0.922
- Malpractice GPCI 1.136 changed to 1.169
Held through RVU15B.
January 1, 2014
RVU14A
$509.04changed to$455.89
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 13.83 changed to 11.36
- Malpractice RVU 0.13 changed to 0.12
- Practice expense GPCI 0.916 changed to 0.919
- Malpractice GPCI 1.102 changed to 1.136
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $509.04
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $364.12 | Not available in this setting | RVU26D |
| 2026-07-01 | $364.12 | Not available in this setting | RVU26C |
| 2026-04-01 | $364.12 | Not available in this setting | RVU26B |
| 2026-01-01 | $364.12 | Not available in this setting | RVU26A |
| 2025-10-01 | $357.74 | Not available in this setting | RVU25D |
| 2025-07-01 | $357.74 | Not available in this setting | RVU25C |
| 2025-04-01 | $357.74 | Not available in this setting | RVU25B |
| 2025-01-01 | $357.74 | Not available in this setting | RVU25A |
| 2024-10-01 | $375.92 | Not available in this setting | RVU24D |
| 2024-07-01 | $375.92 | Not available in this setting | RVU24C |
| 2024-04-01 | $375.92 | Not available in this setting | RVU24B |
| 2024-03-09 | $375.92 | Not available in this setting | RVU24AR |
| 2024-01-01 | $369.78 | Not available in this setting | RVU24A |
| 2023-10-01 | $386.97 | Not available in this setting | RVU23D |
| 2023-07-01 | $386.97 | Not available in this setting | RVU23C |
| 2023-04-01 | $386.97 | Not available in this setting | RVU23B |
| 2023-01-01 | $386.97 | Not available in this setting | RVU23A |
| 2022-10-01 | $397.90 | Not available in this setting | RVU22D |
| 2022-07-01 | $397.90 | Not available in this setting | RVU22C |
| 2022-04-01 | $397.90 | Not available in this setting | RVU22B |
| 2022-01-01 | $397.90 | Not available in this setting | RVU22A |
| 2021-10-01 | $420.52 | Not available in this setting | RVU21D |
| 2021-07-01 | $420.52 | Not available in this setting | RVU21C |
| 2021-04-01 | $420.52 | Not available in this setting | RVU21B |
| 2021-01-01 | $420.52 | Not available in this setting | RVU21A |
| 2020-10-01 | $429.92 | Not available in this setting | RVU20D |
| 2020-07-01 | $429.92 | Not available in this setting | RVU20C |
| 2020-04-01 | $429.92 | Not available in this setting | RVU20B |
| 2020-01-01 | $429.92 | Not available in this setting | RVU20A |
| 2019-10-01 | $440.83 | Not available in this setting | RVU19D |
| 2019-07-01 | $440.83 | Not available in this setting | RVU19C |
| 2019-04-01 | $440.83 | Not available in this setting | RVU19B |
| 2019-01-01 | $440.83 | Not available in this setting | RVU19A |
| 2018-10-01 | $451.69 | Not available in this setting | RVU18D |
| 2018-07-01 | $451.69 | Not available in this setting | RVU18C |
| 2018-04-01 | $451.69 | Not available in this setting | RVU18B |
| 2018-01-01 | $451.69 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $447.53 | Not available in this setting | RVU17D |
| 2017-07-01 | $447.53 | Not available in this setting | RVU17C |
| 2017-04-01 | $447.53 | Not available in this setting | RVU17B |
| 2017-01-01 | $447.53 | Not available in this setting | RVU17A |
| 2016-10-01 | $442.33 | Not available in this setting | RVU16D |
| 2016-07-01 | $442.33 | Not available in this setting | RVU16C |
| 2016-04-01 | $442.33 | Not available in this setting | RVU16B |
| 2016-01-01 | $442.33 | Not available in this setting | RVU16A |
| 2015-10-01 | $442.94 | Not available in this setting | RVU15D |
| 2015-07-01 | $442.94 | Not available in this setting | RVU15C |
| 2015-04-01 | $440.73 | Not available in this setting | RVU15B |
| 2015-01-01 | $440.73 | Not available in this setting | RVU15A |
| 2014-10-01 | $455.89 | Not available in this setting | RVU14D |
| 2014-07-01 | $455.89 | Not available in this setting | RVU14C |
| 2014-04-01 | $455.89 | Not available in this setting | RVU14B |
| 2014-01-01 | $455.89 | Not available in this setting | RVU14A |
| 2013-10-01 | $509.04 | Not available in this setting | RVU13D |
| 2013-07-01 | $509.04 | Not available in this setting | RVU13C |
| 2013-04-01 | $509.04 | Not available in this setting | RVU13B |
| 2013-01-01 | $509.04 | Not available in this setting | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
73223 billing questions
How does this differ from 73221 or 73222?
Use 73223 when the joint MRI includes images both before and after contrast. 73221 is for a joint study without contrast, while 73222 is for one with contrast only.
Should the precontrast and postcontrast portions be billed as separate units?
No. The combined protocol is reported as one service per side, not as separate units for each contrast phase.
When should modifier 26 or TC be used?
Use modifier 26 for the professional interpretation alone and TC for the technical service alone. Report without either modifier when billing the global service.
How is a bilateral study reported?
Report each side separately and document the joint and laterality. CMS pays each side separately at 100% when performed bilaterally.
What documentation supports this code?
The order and imaging report should support the clinical need, identify the upper extremity joint and side, and show that imaging was performed both before and after contrast.
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
Fee sheets · Coming soon
Put 73223 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist