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CMS RVU26D · Effective 2026-10-01

73222 in Delaware

Office / nonfacility

$309.45

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 73222: Upper extremity joint MRI with contrast

Reports MRI evaluation of an upper-extremity joint after contrast administration, commonly for focused assessment of structures such as the shoulder labrum or wrist cartilage.

This service captures MRI images of a specific upper-extremity joint after contrast is administered, often as a direct MR arthrogram when contrast is placed into the joint. It can help assess structures such as the shoulder labrum or wrist cartilage when internal derangement is suspected. A radiology team performs image acquisition, and a qualified physician interprets the study in hospital or outpatient imaging settings.

Select this code for a contrast-enhanced, joint-focused examination, not an MRI of the broader arm or hand region or a joint study using both pre- and post-contrast sequences. Documentation should identify the joint and side, clinical indication, contrast-enhanced acquisition, and interpretation. CMS permits global billing or separate professional (26) and technical (TC) components. When multiple diagnostic imaging services are performed, the multiple-procedure reduction applies to both components. For bilateral examinations, each side is paid separately at 100%.

CMS billing rules for 73222

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 · 17%
  • Practice expense (office) RVU7.67 · 82%
  • Malpractice RVU0.11 · 1%

14.7K

Medicare services in 2024 · #1264 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.

73222 compared with similar codes

Office rates for Delaware, from the same CMS release.

73221

Joint MRI

Upper extremity, no contrast

$203.10

73221 is for an upper-extremity joint MRI without contrast; 73222 is for the contrast-enhanced joint study.

73223

Joint MRI

Without and with contrast

$379.26

73223 applies when the joint is imaged both before and after contrast. Choose 73222 when the examination is performed with contrast only.

73219

Extremity MRI

Contrast, non-joint area

$326.28

73219 describes MRI of an upper-extremity region with contrast, not a joint-focused MRI. Use 73222 when the target is a specific joint.

The same code, a different location

How does Delaware compare?

73222 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $309.45

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $360.44

    $50.99 higher than Delaware

  3. Dc + Md/Va Suburbs

    $361.50

    $52.05 higher than Delaware

  4. Miami

    $328.75

    $19.30 higher than Delaware

  5. Chicago

    $319.04

    $9.59 higher than Delaware

  6. Manhattan

    $359.66

    $50.21 higher than Delaware

  7. Alaska*

    $354.02

    $44.57 higher than Delaware

Other payment areas listed in Delaware 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, 73222 ranges from $274.73 in Arkansas to $429.97 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

  • Alabama

    Alabama · 73222

    Office

    $279.01

    Facility

    Unavailable

    $30.44 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 73222

    Office

    $274.73

    Facility

    Unavailable

    $34.72 lower than Delaware for the office setting.

  • Arizona

    Arizona · 73222

    Office

    $304.16

    Facility

    Unavailable

    $5.29 lower than Delaware for the office setting.

  • Bakersfield

    California · 73222

    Office

    $336.79

    Facility

    Unavailable

    $27.34 higher than Delaware for the office setting.

  • Chico

    California · 73222

    Office

    $336.42

    Facility

    Unavailable

    $26.97 higher than Delaware for the office setting.

  • El Centro

    California · 73222

    Office

    $336.44

    Facility

    Unavailable

    $26.99 higher than Delaware for the office setting.

  • Fresno

    California · 73222

    Office

    $336.42

    Facility

    Unavailable

    $26.97 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 73222

    Office

    $336.42

    Facility

    Unavailable

    $26.97 higher than Delaware for the office setting.

  • Madera

    California · 73222

    Office

    $336.42

    Facility

    Unavailable

    $26.97 higher than Delaware for the office setting.

  • Merced

    California · 73222

    Office

    $336.42

    Facility

    Unavailable

    $26.97 higher than Delaware for the office setting.

  • Modesto

    California · 73222

    Office

    $336.42

    Facility

    Unavailable

    $26.97 higher than Delaware for the office setting.

  • Napa

    California · 73222

    Office

    $395.62

    Facility

    Unavailable

    $86.17 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 73222

    Office

    $359.35

    Facility

    Unavailable

    $49.90 higher than Delaware for the office setting.

  • Redding

    California · 73222

    Office

    $336.42

    Facility

    Unavailable

    $26.97 higher than Delaware for the office setting.

  • Rest Of California

    California · 73222

    Office

    $336.42

    Facility

    Unavailable

    $26.97 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 73222

    Office

    $337.64

    Facility

    Unavailable

    $28.19 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 73222

    Office

    $354.59

    Facility

    Unavailable

    $45.14 higher than Delaware for the office setting.

  • Salinas

    California · 73222

    Office

    $353.30

    Facility

    Unavailable

    $43.85 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 73222

    Office

    $362.75

    Facility

    Unavailable

    $53.30 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 73222

    Office

    $420.69

    Facility

    Unavailable

    $111.24 higher than Delaware for the office setting.

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

    California · 73222

    Office

    $420.57

    Facility

    Unavailable

    $111.12 higher than Delaware for the office setting.

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

    California · 73222

    Office

    $429.97

    Facility

    Unavailable

    $120.52 higher than Delaware for the office setting.

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

    California · 73222

    Office

    $429.46

    Facility

    Unavailable

    $120.01 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 73222

    Office

    $347.43

    Facility

    Unavailable

    $37.98 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 73222

    Office

    $367.12

    Facility

    Unavailable

    $57.67 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 73222

    Office

    $354.93

    Facility

    Unavailable

    $45.48 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 73222

    Office

    $370.92

    Facility

    Unavailable

    $61.47 higher than Delaware for the office setting.

  • Stockton

    California · 73222

    Office

    $336.42

    Facility

    Unavailable

    $26.97 higher than Delaware for the office setting.

  • Vallejo

    California · 73222

    Office

    $395.44

    Facility

    Unavailable

    $85.99 higher than Delaware for the office setting.

  • Visalia

    California · 73222

    Office

    $336.42

    Facility

    Unavailable

    $26.97 higher than Delaware for the office setting.

  • Yuba City

    California · 73222

    Office

    $336.42

    Facility

    Unavailable

    $26.97 higher than Delaware for the office setting.

  • Colorado

    Colorado · 73222

    Office

    $328.86

    Facility

    Unavailable

    $19.41 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 73222

    Office

    $334.19

    Facility

    Unavailable

    $24.74 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 73222

    Office

    $318.93

    Facility

    Unavailable

    $9.48 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 73222

    Office

    $303.21

    Facility

    Unavailable

    $6.24 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 73222

    Office

    $317.63

    Facility

    Unavailable

    $8.18 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 73222

    Office

    $285.67

    Facility

    Unavailable

    $23.78 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 73222

    Office

    $346.18

    Facility

    Unavailable

    $36.73 higher than Delaware for the office setting.

  • Iowa

    Iowa · 73222

    Office

    $288.64

    Facility

    Unavailable

    $20.81 lower than Delaware for the office setting.

  • Idaho

    Idaho · 73222

    Office

    $290.20

    Facility

    Unavailable

    $19.25 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 73222

    Office

    $295.86

    Facility

    Unavailable

    $13.59 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 73222

    Office

    $292.41

    Facility

    Unavailable

    $17.04 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 73222

    Office

    $322.76

    Facility

    Unavailable

    $13.31 higher than Delaware for the office setting.

  • Indiana

    Indiana · 73222

    Office

    $292.04

    Facility

    Unavailable

    $17.41 lower than Delaware for the office setting.

  • Kansas

    Kansas · 73222

    Office

    $286.22

    Facility

    Unavailable

    $23.23 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 73222

    Office

    $283.88

    Facility

    Unavailable

    $25.57 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 73222

    Office

    $298.02

    Facility

    Unavailable

    $11.43 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 73222

    Office

    $283.02

    Facility

    Unavailable

    $26.43 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 73222

    Office

    $364.09

    Facility

    Unavailable

    $54.64 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 73222

    Office

    $326.31

    Facility

    Unavailable

    $16.86 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 73222

    Office

    $333.05

    Facility

    Unavailable

    $23.60 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 73222

    Office

    $315.93

    Facility

    Unavailable

    $6.48 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 73222

    Office

    $290.75

    Facility

    Unavailable

    $18.70 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 73222

    Office

    $308.97

    Facility

    Unavailable

    $0.48 lower than Delaware for the office setting.

  • Detroit

    Michigan · 73222

    Office

    $306.19

    Facility

    Unavailable

    $3.26 lower than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 73222

    Office

    $290.82

    Facility

    Unavailable

    $18.63 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 73222

    Office

    $317.48

    Facility

    Unavailable

    $8.03 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 73222

    Office

    $296.92

    Facility

    Unavailable

    $12.53 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 73222

    Office

    $300.34

    Facility

    Unavailable

    $9.11 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 73222

    Office

    $277.18

    Facility

    Unavailable

    $32.27 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 73222

    Office

    $276.06

    Facility

    Unavailable

    $33.39 lower than Delaware for the office setting.

  • Montana**

    Montana · 73222

    Office

    $312.63

    Facility

    Unavailable

    $3.18 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 73222

    Office

    $294.14

    Facility

    Unavailable

    $15.31 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 73222

    Office

    $310.45

    Facility

    Unavailable

    $1.00 higher than Delaware for the office setting.

  • Nebraska

    Nebraska · 73222

    Office

    $290.62

    Facility

    Unavailable

    $18.83 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 73222

    Office

    $322.68

    Facility

    Unavailable

    $13.23 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 73222

    Office

    $357.20

    Facility

    Unavailable

    $47.75 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 73222

    Office

    $338.67

    Facility

    Unavailable

    $29.22 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 73222

    Office

    $292.11

    Facility

    Unavailable

    $17.34 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 73222

    Office

    $312.28

    Facility

    Unavailable

    $2.83 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 73222

    Office

    $367.58

    Facility

    Unavailable

    $58.13 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 73222

    Office

    $340.12

    Facility

    Unavailable

    $30.67 higher than Delaware for the office setting.

  • Queens

    New York · 73222

    Office

    $364.26

    Facility

    Unavailable

    $54.81 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 73222

    Office

    $298.73

    Facility

    Unavailable

    $10.72 lower than Delaware for the office setting.

  • Ohio

    Ohio · 73222

    Office

    $290.37

    Facility

    Unavailable

    $19.08 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 73222

    Office

    $284.40

    Facility

    Unavailable

    $25.05 lower than Delaware for the office setting.

  • Portland

    Oregon · 73222

    Office

    $340.97

    Facility

    Unavailable

    $31.52 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 73222

    Office

    $310.52

    Facility

    Unavailable

    $1.07 higher than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 73222

    Office

    $324.80

    Facility

    Unavailable

    $15.35 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 73222

    Office

    $291.42

    Facility

    Unavailable

    $18.03 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 73222

    Office

    $315.40

    Facility

    Unavailable

    $5.95 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 73222

    Office

    $321.69

    Facility

    Unavailable

    $12.24 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 73222

    Office

    $292.61

    Facility

    Unavailable

    $16.84 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 73222

    Office

    $310.19

    Facility

    Unavailable

    $0.74 higher than Delaware for the office setting.

  • Tennessee

    Tennessee · 73222

    Office

    $287.62

    Facility

    Unavailable

    $21.83 lower than Delaware for the office setting.

  • Austin

    Texas · 73222

    Office

    $327.18

    Facility

    Unavailable

    $17.73 higher than Delaware for the office setting.

  • Beaumont

    Texas · 73222

    Office

    $289.31

    Facility

    Unavailable

    $20.14 lower than Delaware for the office setting.

  • Brazoria

    Texas · 73222

    Office

    $309.94

    Facility

    Unavailable

    $0.49 higher than Delaware for the office setting.

  • Dallas

    Texas · 73222

    Office

    $311.56

    Facility

    Unavailable

    $2.11 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 73222

    Office

    $309.05

    Facility

    Unavailable

    $0.40 lower than Delaware for the office setting.

  • Galveston

    Texas · 73222

    Office

    $310.63

    Facility

    Unavailable

    $1.18 higher than Delaware for the office setting.

  • Houston

    Texas · 73222

    Office

    $312.64

    Facility

    Unavailable

    $3.19 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 73222

    Office

    $299.21

    Facility

    Unavailable

    $10.24 lower than Delaware for the office setting.

  • Utah

    Utah · 73222

    Office

    $296.89

    Facility

    Unavailable

    $12.56 lower than Delaware for the office setting.

  • Virginia

    Virginia · 73222

    Office

    $307.20

    Facility

    Unavailable

    $2.25 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 73222

    Office

    $315.40

    Facility

    Unavailable

    $5.95 higher than Delaware for the office setting.

  • Vermont

    Vermont · 73222

    Office

    $308.26

    Facility

    Unavailable

    $1.19 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 73222

    Office

    $326.02

    Facility

    Unavailable

    $16.57 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 73222

    Office

    $372.75

    Facility

    Unavailable

    $63.30 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 73222

    Office

    $299.33

    Facility

    Unavailable

    $10.12 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 73222

    Office

    $280.66

    Facility

    Unavailable

    $28.79 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 73222

    Office

    $311.68

    Facility

    Unavailable

    $2.23 higher than Delaware for the office setting.

See how rates vary across the country

73222 · 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.

$274.73

$383.20

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$354.021
AL$279.011
AR$274.731
AZ$304.161
CA$336.42–$429.9729
CO$328.861
CT$334.191
DC$361.501
DE$309.451
FL$303.21–$328.753
GA$285.67–$317.632
GU$346.181
HI$346.181
IA$288.641
ID$290.201
IL$292.41–$322.764
IN$292.041
KS$286.221
KY$283.881
LA$283.02–$298.022
MA$326.31–$364.092
MD$315.93–$361.503
ME$290.75–$308.972
MI$290.82–$306.192
MN$317.481
MO$277.18–$300.343
MS$276.061
MT$312.631
NC$294.141
ND$310.451
NE$290.621
NH$322.681
NJ$338.67–$357.202
NM$292.111
NV$312.281
NY$298.73–$367.585
OH$290.371
OK$284.401
OR$310.52–$340.972
PA$291.42–$324.802
PR$315.401
RI$321.691
SC$292.611
SD$310.191
TN$287.621
TX$289.31–$327.188
UT$296.891
VA$307.20–$361.502
VI$315.401
VT$308.261
WA$326.02–$372.752
WI$299.331
WV$280.661
WY$311.681

Explore 73222 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 Delaware →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 73222 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$340.40

$309.45 × 110% = $340.40

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 73222 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

8,177

Code
73222
Physician work
1.58
Practice expense
7.67
Malpractice
0.11

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 73222 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.58× 1.0051.5879
Practice expense7.67× 0.9887.5780
Malpractice0.11× 0.8990.0989
Total RVUs9.2648
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$309.45

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

Open 73222 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.581.005
Practice expense7.670.988
Malpractice0.110.899

(1.58 × 1.005 + 7.67 × 0.988 + 0.11 × 0.899) × $33.4009 = $309.45

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

73222 · Office / nonfacility

$309.45

Effective 2026-10-01

The base rate is $5.47 higher than on 2025-10-01, moving from $303.98 to $309.45 (1.8%).

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

    $303.98changed to$309.45

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.62 changed to 1.58
    • Practice expense RVU 7.73 changed to 7.67
    • Malpractice RVU 0.10 changed to 0.11
    • 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

    Earliest loaded release: $303.98

    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$309.45Not available in this settingRVU26D
2026-07-01$309.45Not available in this settingRVU26C
2026-04-01$309.45Not available in this settingRVU26B
2026-01-01$309.45Not available in this settingRVU26A
2025-10-01$303.98Not available in this settingRVU25D
2025-07-01$303.98Not available in this settingRVU25C
2025-04-01$303.98Not available in this settingRVU25B
2025-01-01$303.98Not available in this settingRVU25A

73222 billing questions

How does this differ from 73223?

Use 73222 for the contrast-enhanced joint MRI. Code 73223 describes a joint MRI performed both before and after contrast.

When should 73221 be used instead?

Use 73221 for an upper-extremity joint MRI without contrast. Use 73222 when the joint study is performed with contrast.

Is a joint injection included in this code?

This code identifies the MRI service. A separately performed injection for arthrography may be reported under the appropriate injection code when documentation and coding requirements are met.

Can the professional and technical portions be billed separately?

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

How is a bilateral examination paid?

CMS pays each side separately at 100%. Documentation should identify the joint examined on each side.

What documentation supports choosing 73222?

Document the specific joint and side, the clinical reason for imaging, use of contrast, and the imaging interpretation.

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 73222PPRRVU2026_Oct_nonQPP.csv, line 8,177 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet