FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

73219 in Austin

Office / nonfacility

$345.20

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Radiology

About 73219: Upper extremity MRI with contrast

Reports contrast-enhanced MRI of an upper-extremity area outside a joint, such as a soft-tissue or marrow abnormality in the arm, forearm, or hand.

This service is MRI of an upper-limb area outside a joint, performed after contrast administration. Common clinical questions include characterization of a soft-tissue mass, suspected infection, or assessment of an abnormality in the arm, forearm, or hand. A technologist acquires the images, and a radiologist typically interprets them in a hospital or imaging-center setting. A joint-centered examination belongs to the separate MRI joint code family.

Select this code when the study is performed with contrast but does not include both noncontrast and postcontrast imaging; use the without-and-with code when both are performed. The order and report should identify the imaged region, the clinical concern, contrast use, and the radiologist’s findings. Modifier 26 represents interpretation, while modifier TC represents equipment and staff; without either modifier, the claim represents the global service. CMS applies diagnostic imaging multiple procedure reductions to both components. When both sides are imaged, each side is paid separately at 100%.

CMS billing rules for 73219

Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
Multiple procedures
Diagnostic imaging multiple procedure reduction applies to the technical and professional components.
Bilateral procedures
Each side is paid separately at 100% when performed bilaterally.

Where the value comes from

  • Work RVU1.58 · 16%
  • Practice expense (office) RVU8.18 · 83%
  • Malpractice RVU0.11 · 1%

256

Medicare services in 2024 · #4119 by national volume

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.

73219 compared with similar codes

Office rates for Austin, from the same CMS release.

73218

Extremity MRI

Non-joint, without contrast

$317.83

73218 is for an upper-extremity MRI without contrast. Choose 73219 when contrast is used.

73220

Extremity MRI

Without and with contrast

$425.57

73220 represents imaging both before and after contrast; 73219 is for the contrast-enhanced study without that combined acquisition.

73222

Joint MRI

Upper extremity, with contrast

$327.18

73222 is for a contrast-enhanced MRI centered on an upper-extremity joint. Use 73219 for an area outside a joint.

73201

Extremity CT

With contrast

$208.34

73201 is a CT examination with contrast, rather than MRI. The modality documented as performed determines which code family applies.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 73219 is $304.82—$40.38 lower than the $345.20 rate in Austin. Both use the same code, release and participation basis.

73219 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $345.20

  2. Beaumont

    $304.82

    $40.38 lower than Austin

  3. Brazoria

    $326.82

    $18.38 lower than Austin

  4. Dallas

    $328.53

    $16.67 lower than Austin

  5. Fort Worth

    $325.84

    $19.36 lower than Austin

  6. Galveston

    $327.54

    $17.66 lower than Austin

  7. Houston

    $329.56

    $15.64 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 73219 ranges from $289.36 in Arkansas to $454.53 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 73219

    Office

    $315.38

    Facility

    Unavailable

    $29.82 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 73219

    Office

    $380.60

    Facility

    Unavailable

    $35.40 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 73219

    Office

    $381.56

    Facility

    Unavailable

    $36.36 higher than Austin for the office setting.

  • Miami

    Florida · 73219

    Office

    $346.49

    Facility

    Unavailable

    $1.29 higher than Austin for the office setting.

  • Chicago

    Illinois · 73219

    Office

    $336.16

    Facility

    Unavailable

    $9.04 lower than Austin for the office setting.

  • Manhattan

    New York · 73219

    Office

    $379.46

    Facility

    Unavailable

    $34.26 higher than Austin for the office setting.

  • Alaska*

    Alaska · 73219

    Office

    $372.16

    Facility

    Unavailable

    $26.96 higher than Austin for the office setting.

  • Alabama

    Alabama · 73219

    Office

    $293.92

    Facility

    Unavailable

    $51.28 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 73219

    Office

    $289.36

    Facility

    Unavailable

    $55.84 lower than Austin for the office setting.

  • Arizona

    Arizona · 73219

    Office

    $320.67

    Facility

    Unavailable

    $24.53 lower than Austin for the office setting.

  • Bakersfield

    California · 73219

    Office

    $355.46

    Facility

    Unavailable

    $10.26 higher than Austin for the office setting.

  • Chico

    California · 73219

    Office

    $355.09

    Facility

    Unavailable

    $9.89 higher than Austin for the office setting.

  • El Centro

    California · 73219

    Office

    $355.11

    Facility

    Unavailable

    $9.91 higher than Austin for the office setting.

  • Fresno

    California · 73219

    Office

    $355.09

    Facility

    Unavailable

    $9.89 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 73219

    Office

    $355.09

    Facility

    Unavailable

    $9.89 higher than Austin for the office setting.

  • Madera

    California · 73219

    Office

    $355.09

    Facility

    Unavailable

    $9.89 higher than Austin for the office setting.

  • Merced

    California · 73219

    Office

    $355.09

    Facility

    Unavailable

    $9.89 higher than Austin for the office setting.

  • Modesto

    California · 73219

    Office

    $355.09

    Facility

    Unavailable

    $9.89 higher than Austin for the office setting.

  • Napa

    California · 73219

    Office

    $418.07

    Facility

    Unavailable

    $72.87 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 73219

    Office

    $379.49

    Facility

    Unavailable

    $34.29 higher than Austin for the office setting.

  • Redding

    California · 73219

    Office

    $355.09

    Facility

    Unavailable

    $9.89 higher than Austin for the office setting.

  • Rest Of California

    California · 73219

    Office

    $355.09

    Facility

    Unavailable

    $9.89 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 73219

    Office

    $356.31

    Facility

    Unavailable

    $11.11 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 73219

    Office

    $374.40

    Facility

    Unavailable

    $29.20 higher than Austin for the office setting.

  • Salinas

    California · 73219

    Office

    $373.04

    Facility

    Unavailable

    $27.84 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 73219

    Office

    $383.12

    Facility

    Unavailable

    $37.92 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 73219

    Office

    $444.71

    Facility

    Unavailable

    $99.51 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 73219

    Office

    $444.59

    Facility

    Unavailable

    $99.39 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 73219

    Office

    $454.53

    Facility

    Unavailable

    $109.33 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 73219

    Office

    $454.02

    Facility

    Unavailable

    $108.82 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 73219

    Office

    $366.84

    Facility

    Unavailable

    $21.64 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 73219

    Office

    $387.81

    Facility

    Unavailable

    $42.61 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 73219

    Office

    $374.79

    Facility

    Unavailable

    $29.59 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 73219

    Office

    $391.84

    Facility

    Unavailable

    $46.64 higher than Austin for the office setting.

  • Stockton

    California · 73219

    Office

    $355.09

    Facility

    Unavailable

    $9.89 higher than Austin for the office setting.

  • Vallejo

    California · 73219

    Office

    $417.89

    Facility

    Unavailable

    $72.69 higher than Austin for the office setting.

  • Visalia

    California · 73219

    Office

    $355.09

    Facility

    Unavailable

    $9.89 higher than Austin for the office setting.

  • Yuba City

    California · 73219

    Office

    $355.09

    Facility

    Unavailable

    $9.89 higher than Austin for the office setting.

  • Colorado

    Colorado · 73219

    Office

    $346.98

    Facility

    Unavailable

    $1.78 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 73219

    Office

    $352.53

    Facility

    Unavailable

    $7.33 higher than Austin for the office setting.

  • Delaware

    Delaware · 73219

    Office

    $326.28

    Facility

    Unavailable

    $18.92 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 73219

    Office

    $336.19

    Facility

    Unavailable

    $9.01 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 73219

    Office

    $319.49

    Facility

    Unavailable

    $25.71 lower than Austin for the office setting.

  • Atlanta

    Georgia · 73219

    Office

    $334.94

    Facility

    Unavailable

    $10.26 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 73219

    Office

    $300.86

    Facility

    Unavailable

    $44.34 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 73219

    Office

    $365.55

    Facility

    Unavailable

    $20.35 higher than Austin for the office setting.

  • Iowa

    Iowa · 73219

    Office

    $304.23

    Facility

    Unavailable

    $40.97 lower than Austin for the office setting.

  • Idaho

    Idaho · 73219

    Office

    $305.87

    Facility

    Unavailable

    $39.33 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 73219

    Office

    $311.53

    Facility

    Unavailable

    $33.67 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 73219

    Office

    $307.97

    Facility

    Unavailable

    $37.23 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 73219

    Office

    $340.25

    Facility

    Unavailable

    $4.95 lower than Austin for the office setting.

  • Indiana

    Indiana · 73219

    Office

    $307.83

    Facility

    Unavailable

    $37.37 lower than Austin for the office setting.

  • Kansas

    Kansas · 73219

    Office

    $301.62

    Facility

    Unavailable

    $43.58 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 73219

    Office

    $299.03

    Facility

    Unavailable

    $46.17 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 73219

    Office

    $314.05

    Facility

    Unavailable

    $31.15 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 73219

    Office

    $298.09

    Facility

    Unavailable

    $47.11 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 73219

    Office

    $384.43

    Facility

    Unavailable

    $39.23 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 73219

    Office

    $344.25

    Facility

    Unavailable

    $0.95 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 73219

    Office

    $351.33

    Facility

    Unavailable

    $6.13 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 73219

    Office

    $333.17

    Facility

    Unavailable

    $12.03 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 73219

    Office

    $306.42

    Facility

    Unavailable

    $38.78 lower than Austin for the office setting.

  • Southern Maine

    Maine · 73219

    Office

    $325.85

    Facility

    Unavailable

    $19.35 lower than Austin for the office setting.

  • Detroit

    Michigan · 73219

    Office

    $322.62

    Facility

    Unavailable

    $22.58 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 73219

    Office

    $306.37

    Facility

    Unavailable

    $38.83 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 73219

    Office

    $335.00

    Facility

    Unavailable

    $10.20 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 73219

    Office

    $312.92

    Facility

    Unavailable

    $32.28 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 73219

    Office

    $316.56

    Facility

    Unavailable

    $28.64 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 73219

    Office

    $291.87

    Facility

    Unavailable

    $53.33 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 73219

    Office

    $290.73

    Facility

    Unavailable

    $54.47 lower than Austin for the office setting.

  • Montana**

    Montana · 73219

    Office

    $329.66

    Facility

    Unavailable

    $15.54 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 73219

    Office

    $310.03

    Facility

    Unavailable

    $35.17 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 73219

    Office

    $327.48

    Facility

    Unavailable

    $17.72 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 73219

    Office

    $306.34

    Facility

    Unavailable

    $38.86 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 73219

    Office

    $340.41

    Facility

    Unavailable

    $4.79 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 73219

    Office

    $376.96

    Facility

    Unavailable

    $31.76 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 73219

    Office

    $357.27

    Facility

    Unavailable

    $12.07 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 73219

    Office

    $307.73

    Facility

    Unavailable

    $37.47 lower than Austin for the office setting.

  • Nevada**

    Nevada · 73219

    Office

    $329.33

    Facility

    Unavailable

    $15.87 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 73219

    Office

    $387.83

    Facility

    Unavailable

    $42.63 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 73219

    Office

    $358.77

    Facility

    Unavailable

    $13.57 higher than Austin for the office setting.

  • Queens

    New York · 73219

    Office

    $384.39

    Facility

    Unavailable

    $39.19 higher than Austin for the office setting.

  • Rest Of New York

    New York · 73219

    Office

    $314.91

    Facility

    Unavailable

    $30.29 lower than Austin for the office setting.

  • Ohio

    Ohio · 73219

    Office

    $305.93

    Facility

    Unavailable

    $39.27 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 73219

    Office

    $299.61

    Facility

    Unavailable

    $45.59 lower than Austin for the office setting.

  • Portland

    Oregon · 73219

    Office

    $359.90

    Facility

    Unavailable

    $14.70 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 73219

    Office

    $327.48

    Facility

    Unavailable

    $17.72 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 73219

    Office

    $342.53

    Facility

    Unavailable

    $2.67 lower than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 73219

    Office

    $307.06

    Facility

    Unavailable

    $38.14 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 73219

    Office

    $332.62

    Facility

    Unavailable

    $12.58 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 73219

    Office

    $339.29

    Facility

    Unavailable

    $5.91 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 73219

    Office

    $308.35

    Facility

    Unavailable

    $36.85 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 73219

    Office

    $327.23

    Facility

    Unavailable

    $17.97 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 73219

    Office

    $303.10

    Facility

    Unavailable

    $42.10 lower than Austin for the office setting.

  • Utah

    Utah · 73219

    Office

    $312.90

    Facility

    Unavailable

    $32.30 lower than Austin for the office setting.

  • Virginia

    Virginia · 73219

    Office

    $323.94

    Facility

    Unavailable

    $21.26 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 73219

    Office

    $332.62

    Facility

    Unavailable

    $12.58 lower than Austin for the office setting.

  • Vermont

    Vermont · 73219

    Office

    $325.12

    Facility

    Unavailable

    $20.08 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 73219

    Office

    $343.96

    Facility

    Unavailable

    $1.24 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 73219

    Office

    $393.65

    Facility

    Unavailable

    $48.45 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 73219

    Office

    $315.65

    Facility

    Unavailable

    $29.55 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 73219

    Office

    $295.46

    Facility

    Unavailable

    $49.74 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 73219

    Office

    $328.71

    Facility

    Unavailable

    $16.49 lower than Austin for the office setting.

See how rates vary across the country

73219 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$289.36

$404.81

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$372.161
AL$293.921
AR$289.361
AZ$320.671
CA$355.09–$454.5329
CO$346.981
CT$352.531
DC$381.561
DE$326.281
FL$319.49–$346.493
GA$300.86–$334.942
GU$365.551
HI$365.551
IA$304.231
ID$305.871
IL$307.97–$340.254
IN$307.831
KS$301.621
KY$299.031
LA$298.09–$314.052
MA$344.25–$384.432
MD$333.17–$381.563
ME$306.42–$325.852
MI$306.37–$322.622
MN$335.001
MO$291.87–$316.563
MS$290.731
MT$329.661
NC$310.031
ND$327.481
NE$306.341
NH$340.411
NJ$357.27–$376.962
NM$307.731
NV$329.331
NY$314.91–$387.835
OH$305.931
OK$299.611
OR$327.48–$359.902
PA$307.06–$342.532
PR$332.621
RI$339.291
SC$308.351
SD$327.231
TN$303.101
TX$304.82–$345.208
UT$312.901
VA$323.94–$381.562
VI$332.621
VT$325.121
WA$343.96–$393.652
WI$315.651
WV$295.461
WY$328.711

Explore 73219 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 73219 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$379.72

$345.20 × 110% = $379.72

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 73219 in Austin.

PPRRVU2026_Oct_nonQPP.csv

8,168

Code
73219
Physician work
1.58
Practice expense
8.18
Malpractice
0.11

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 73219 in Austin
ComponentRVULocality factorAdjusted
Physician work1.58× 1.0021.5832
Practice expense8.18× 1.0588.6544
Malpractice0.11× 0.8860.0975
Total RVUs10.3351
Conversion factor× 33.4009

Office / nonfacility rate, Austin$345.20

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 73219 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.581.002
Practice expense8.181.058
Malpractice0.110.886

(1.58 × 1.002 + 8.18 × 1.058 + 0.11 × 0.886) × $33.4009 = $345.20

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

73219 · Office / nonfacility

$345.20

Effective 2026-10-01

The base rate is $8.68 higher than on 2025-10-01, moving from $336.52 to $345.20 (2.6%).

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

    $336.52changed to$345.20

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.62 changed to 1.58
    • Practice expense RVU 8.31 changed to 8.18
    • Malpractice RVU 0.10 changed to 0.11
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $336.52

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$345.20Not available in this settingRVU26D
2026-07-01$345.20Not available in this settingRVU26C
2026-04-01$345.20Not available in this settingRVU26B
2026-01-01$345.20Not available in this settingRVU26A
2025-10-01$336.52Not available in this settingRVU25D
2025-07-01$336.52Not available in this settingRVU25C
2025-04-01$336.52Not available in this settingRVU25B
2025-01-01$336.52Not available in this settingRVU25A

73219 billing questions

How does this differ from 73218?

Use 73219 when contrast is used for the MRI. Code 73218 represents an upper-extremity MRI performed without contrast.

When is 73220 a better fit?

Use 73220 when the examination includes both noncontrast and postcontrast imaging. This code is for the contrast-enhanced study without that combined acquisition.

Can the interpretation and image acquisition be billed separately?

Yes. Report modifier 26 for the professional interpretation or modifier TC for the technical service; an unmodified claim represents the global service.

Does a joint MRI use this code?

No. When the examination is centered on an upper-extremity joint, choose the applicable joint MRI code, such as 73221, 73222, or 73223, based on contrast use.

How is bilateral imaging treated?

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

Can another diagnostic imaging service be reduced when billed with this one?

CMS diagnostic imaging multiple procedure reduction applies to the technical and professional components when applicable. The reduction can affect both components of this MRI service.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 73219PPRRVU2026_Oct_nonQPP.csv, line 8,168 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet