CPT code 73225: MR angiography, upper extremity, with and without contrast2026 Medicare rate & RVUs in California

MR angiography of upper-extremity vessels before and after contrast is reported when vascular mapping, narrowing, or occlusion is being evaluated.

CMS RVU26DEffective Oct 1, 202629 payment localities103 Medicare services in 2024

Medicare pays $347.46–$443.43 for 73225 in the office in California, from Chico, CA to San Benito County, CA. Which amount applies depends on the service address.

$347.46–$443.43Office (non-facility)
—Hospital or facility

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 9 sections
  1. Rate in California
  2. What 73225 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 73225 covers

This study uses magnetic resonance imaging to depict upper-extremity blood vessels, generally arteries, with sequences acquired before and after contrast administration. It may be ordered to assess suspected arterial narrowing, blockage, aneurysm, or other abnormal vessel anatomy. A radiology technologist performs the scan in a hospital imaging department or outpatient imaging center, and a radiologist interprets the images.

Report the code when the examination includes both noncontrast and contrast-enhanced MR angiographic imaging of the upper extremity. The order and imaging report should identify the vascular question and document the performed protocol and findings. CMS lists coverage as restricted to specific circumstances, so the claim must meet the applicable coverage conditions. Bill without a modifier for the global service, or use modifier 26 for interpretation or TC for equipment and staff when billing the component separately. The diagnostic imaging multiple procedure reduction applies to both 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 73225 pays more and less in California

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

29 payment localities

$347.46 to $443.43

$347.46$395.44$443.43
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

29 of 29 payment localities

73225 office and facility rates by payment locality
Payment localityOfficeFacility
Bakersfield, CA$347.94Unavailable
Chico, CA$347.46Unavailable
El Centro, CA$347.49Unavailable
Fresno, CA$347.46Unavailable
Hanford, CA$347.46Unavailable
Los Angeles, CA$372.27Unavailable
Madera, CA$347.46Unavailable
Marin County, CA$433.81Unavailable
Merced, CA$347.46Unavailable
Modesto, CA$347.46Unavailable

How the 73225 rate is calculated

Each of 73225’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 · 73225

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.69

1.69 RVUs× 1.000 GPCI

Practice expense7.85

7.85 RVUs× 1.000 GPCI

Malpractice0.15

0.15 RVUs× 1.000 GPCI

Adjusted RVUs

9.6900

Conversion factor

$33.4009

Medicare rate

$323.65

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

Payment rules and modifiers for 73225

The CMS indicators that decide how 73225 is paid alongside other services.

CMS payment indicators · 73225

MR angiography, upper extremity, with and 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)0The 150% bilateral adjustment doesn’t apply.
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

73225 without 26 · national office

$323.65

MR angiography, upper extremity, with and without contrast

73225-26 · Professional component

$78.16

Pays only the interpretation and report.

When to use modifier 26

73225 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 73225

    MR angiography, upper extremity, with and without contrast1.69 wRVU

    $323.65

  • 73206

    CT angiography, upper extremity, with and without contrast1.76 wRVU

    $295.60−$28.05

  • 73220

    Extremity MRI, without and with contrast2.1 wRVU

    $406.82+$83.17

  • 73223

    Joint MRI, without and with contrast2.1 wRVU

    $383.11+$59.46

How to choose

73206CT angiographyUpper extremity, with and without contrast
Choose 73225 for MR angiography and 73206 for CT angiography when the clinical question concerns upper-extremity vessels.
73220Extremity MRIWithout and with contrast
73220 is routine upper-extremity MRI with and without contrast; 73225 is for angiographic assessment of vessels.
73223Joint MRIWithout and with contrast
73223 evaluates an upper-extremity joint with MRI and contrast; 73225 evaluates upper-extremity vasculature.

73225 billing questions

When is this code preferable to a routine upper-extremity MRI?

Use it for MR angiographic imaging of upper-extremity vessels, such as when evaluating suspected arterial narrowing or blockage. Routine MRI codes address nonvascular anatomy rather than this angiographic service.

Does the code include imaging before and after contrast?

Yes. It represents upper-extremity MR angiography performed with both noncontrast and contrast-enhanced imaging.

Can the professional and technical services be billed separately?

Yes. Modifier 26 identifies the interpretation, and modifier TC identifies the equipment and staff. Without either modifier, the claim represents the global service.

What documentation supports reporting this code?

Document the vascular indication, the upper-extremity territory examined, and the noncontrast and contrast-enhanced MR angiographic protocol and findings. CMS coverage is restricted to specific circumstances.

How does the multiple procedure reduction affect this service?

The diagnostic imaging multiple procedure reduction applies 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 73225PPRRVU2026_Oct_nonQPP.csv, line 8,183 (RVU26D)

Open CMS sourceHow we calculate rates

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