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CMS RVU26D · Effective 2026-10-01

73223 in Delaware

Office / nonfacility

$379.26

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 73223: Upper extremity joint MRI without and with contrast

Reports MRI evaluation of an upper extremity joint using images acquired before and after contrast, such as for suspected joint infection or tumor.

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%.

CMS billing rules for 73223

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 RVU2.10 · 18%
  • Practice expense (office) RVU9.22 · 80%
  • Malpractice RVU0.15 · 1%

19.7K

Medicare services in 2024 · #1156 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.

73223 compared with similar codes

Office rates for Delaware, from the same CMS release.

73221

Joint MRI

Upper extremity, no contrast

$203.10

Choose 73221 when the joint MRI is performed without contrast. This code requires both unenhanced and contrast-enhanced imaging.

73222

Joint MRI

Upper extremity, with contrast

$309.45

Choose 73222 when the joint MRI uses contrast only. Use this code when the protocol includes imaging both before and after contrast.

73220

Extremity MRI

Without and with contrast

$402.66

73220 covers upper extremity MRI rather than a joint-focused study. Use this code when the imaged target is a joint and both contrast phases are performed.

73225

Mr angio upr extr w/o&w/dye

No office rate

73225 is MR angiography of the upper extremity, focused on vessels. This code is for joint MRI, not vascular imaging.

The same code, a different location

How does Delaware compare?

73223 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $379.26

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

    $440.66

    $61.40 higher than Delaware

  3. Dc + Md/Va Suburbs

    $442.28

    $63.02 higher than Delaware

  4. Miami

    $403.40

    $24.14 higher than Delaware

  5. Chicago

    $391.63

    $12.37 higher than Delaware

  6. Manhattan

    $440.42

    $61.16 higher than Delaware

  7. Alaska*

    $435.95

    $56.69 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, 73223 ranges from $337.26 in Arkansas to $524.62 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 · 73223

    Office

    $342.44

    Facility

    Unavailable

    $36.82 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 73223

    Office

    $337.26

    Facility

    Unavailable

    $42.00 lower than Delaware for the office setting.

  • Arizona

    Arizona · 73223

    Office

    $372.84

    Facility

    Unavailable

    $6.42 lower than Delaware for the office setting.

  • Bakersfield

    California · 73223

    Office

    $412.05

    Facility

    Unavailable

    $32.79 higher than Delaware for the office setting.

  • Chico

    California · 73223

    Office

    $411.54

    Facility

    Unavailable

    $32.28 higher than Delaware for the office setting.

  • El Centro

    California · 73223

    Office

    $411.56

    Facility

    Unavailable

    $32.30 higher than Delaware for the office setting.

  • Fresno

    California · 73223

    Office

    $411.54

    Facility

    Unavailable

    $32.28 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 73223

    Office

    $411.54

    Facility

    Unavailable

    $32.28 higher than Delaware for the office setting.

  • Madera

    California · 73223

    Office

    $411.54

    Facility

    Unavailable

    $32.28 higher than Delaware for the office setting.

  • Merced

    California · 73223

    Office

    $411.54

    Facility

    Unavailable

    $32.28 higher than Delaware for the office setting.

  • Modesto

    California · 73223

    Office

    $411.54

    Facility

    Unavailable

    $32.28 higher than Delaware for the office setting.

  • Napa

    California · 73223

    Office

    $482.99

    Facility

    Unavailable

    $103.73 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 73223

    Office

    $439.23

    Facility

    Unavailable

    $59.97 higher than Delaware for the office setting.

  • Redding

    California · 73223

    Office

    $411.54

    Facility

    Unavailable

    $32.28 higher than Delaware for the office setting.

  • Rest Of California

    California · 73223

    Office

    $411.54

    Facility

    Unavailable

    $32.28 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 73223

    Office

    $413.20

    Facility

    Unavailable

    $33.94 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 73223

    Office

    $433.51

    Facility

    Unavailable

    $54.25 higher than Delaware for the office setting.

  • Salinas

    California · 73223

    Office

    $431.92

    Facility

    Unavailable

    $52.66 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 73223

    Office

    $443.28

    Facility

    Unavailable

    $64.02 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 73223

    Office

    $513.32

    Facility

    Unavailable

    $134.06 higher than Delaware for the office setting.

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

    California · 73223

    Office

    $513.15

    Facility

    Unavailable

    $133.89 higher than Delaware for the office setting.

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

    California · 73223

    Office

    $524.62

    Facility

    Unavailable

    $145.36 higher than Delaware for the office setting.

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

    California · 73223

    Office

    $523.92

    Facility

    Unavailable

    $144.66 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 73223

    Office

    $424.78

    Facility

    Unavailable

    $45.52 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 73223

    Office

    $448.47

    Facility

    Unavailable

    $69.21 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 73223

    Office

    $433.87

    Facility

    Unavailable

    $54.61 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 73223

    Office

    $453.10

    Facility

    Unavailable

    $73.84 higher than Delaware for the office setting.

  • Stockton

    California · 73223

    Office

    $411.54

    Facility

    Unavailable

    $32.28 higher than Delaware for the office setting.

  • Vallejo

    California · 73223

    Office

    $482.75

    Facility

    Unavailable

    $103.49 higher than Delaware for the office setting.

  • Visalia

    California · 73223

    Office

    $411.54

    Facility

    Unavailable

    $32.28 higher than Delaware for the office setting.

  • Yuba City

    California · 73223

    Office

    $411.54

    Facility

    Unavailable

    $32.28 higher than Delaware for the office setting.

  • Colorado

    Colorado · 73223

    Office

    $402.56

    Facility

    Unavailable

    $23.30 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 73223

    Office

    $409.28

    Facility

    Unavailable

    $30.02 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 73223

    Office

    $391.16

    Facility

    Unavailable

    $11.90 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 73223

    Office

    $372.08

    Facility

    Unavailable

    $7.18 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 73223

    Office

    $389.25

    Facility

    Unavailable

    $9.99 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 73223

    Office

    $350.81

    Facility

    Unavailable

    $28.45 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 73223

    Office

    $423.19

    Facility

    Unavailable

    $43.93 higher than Delaware for the office setting.

  • Iowa

    Iowa · 73223

    Office

    $353.91

    Facility

    Unavailable

    $25.35 lower than Delaware for the office setting.

  • Idaho

    Idaho · 73223

    Office

    $355.83

    Facility

    Unavailable

    $23.43 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 73223

    Office

    $363.55

    Facility

    Unavailable

    $15.71 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 73223

    Office

    $359.14

    Facility

    Unavailable

    $20.12 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 73223

    Office

    $395.78

    Facility

    Unavailable

    $16.52 higher than Delaware for the office setting.

  • Indiana

    Indiana · 73223

    Office

    $358.05

    Facility

    Unavailable

    $21.21 lower than Delaware for the office setting.

  • Kansas

    Kansas · 73223

    Office

    $351.06

    Facility

    Unavailable

    $28.20 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 73223

    Office

    $348.50

    Facility

    Unavailable

    $30.76 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 73223

    Office

    $365.62

    Facility

    Unavailable

    $13.64 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 73223

    Office

    $347.48

    Facility

    Unavailable

    $31.78 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 73223

    Office

    $445.18

    Facility

    Unavailable

    $65.92 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 73223

    Office

    $399.54

    Facility

    Unavailable

    $20.28 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 73223

    Office

    $407.90

    Facility

    Unavailable

    $28.64 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 73223

    Office

    $387.09

    Facility

    Unavailable

    $7.83 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 73223

    Office

    $356.58

    Facility

    Unavailable

    $22.68 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 73223

    Office

    $378.49

    Facility

    Unavailable

    $0.77 lower than Delaware for the office setting.

  • Detroit

    Michigan · 73223

    Office

    $375.77

    Facility

    Unavailable

    $3.49 lower than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 73223

    Office

    $356.96

    Facility

    Unavailable

    $22.30 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 73223

    Office

    $388.51

    Facility

    Unavailable

    $9.25 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 73223

    Office

    $364.21

    Facility

    Unavailable

    $15.05 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 73223

    Office

    $368.34

    Facility

    Unavailable

    $10.92 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 73223

    Office

    $340.48

    Facility

    Unavailable

    $38.78 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 73223

    Office

    $338.99

    Facility

    Unavailable

    $40.27 lower than Delaware for the office setting.

  • Montana**

    Montana · 73223

    Office

    $383.10

    Facility

    Unavailable

    $3.84 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 73223

    Office

    $360.67

    Facility

    Unavailable

    $18.59 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 73223

    Office

    $380.13

    Facility

    Unavailable

    $0.87 higher than Delaware for the office setting.

  • Nebraska

    Nebraska · 73223

    Office

    $356.28

    Facility

    Unavailable

    $22.98 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 73223

    Office

    $395.11

    Facility

    Unavailable

    $15.85 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 73223

    Office

    $437.14

    Facility

    Unavailable

    $57.88 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 73223

    Office

    $414.73

    Facility

    Unavailable

    $35.47 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 73223

    Office

    $358.55

    Facility

    Unavailable

    $20.71 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 73223

    Office

    $382.58

    Facility

    Unavailable

    $3.32 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 73223

    Office

    $450.09

    Facility

    Unavailable

    $70.83 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 73223

    Office

    $416.57

    Facility

    Unavailable

    $37.31 higher than Delaware for the office setting.

  • Queens

    New York · 73223

    Office

    $445.86

    Facility

    Unavailable

    $66.60 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 73223

    Office

    $366.22

    Facility

    Unavailable

    $13.04 lower than Delaware for the office setting.

  • Ohio

    Ohio · 73223

    Office

    $356.36

    Facility

    Unavailable

    $22.90 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 73223

    Office

    $349.04

    Facility

    Unavailable

    $30.22 lower than Delaware for the office setting.

  • Portland

    Oregon · 73223

    Office

    $417.13

    Facility

    Unavailable

    $37.87 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 73223

    Office

    $380.39

    Facility

    Unavailable

    $1.13 higher than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 73223

    Office

    $397.96

    Facility

    Unavailable

    $18.70 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 73223

    Office

    $357.58

    Facility

    Unavailable

    $21.68 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 73223

    Office

    $386.42

    Facility

    Unavailable

    $7.16 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 73223

    Office

    $394.06

    Facility

    Unavailable

    $14.80 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 73223

    Office

    $358.95

    Facility

    Unavailable

    $20.31 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 73223

    Office

    $379.78

    Facility

    Unavailable

    $0.52 higher than Delaware for the office setting.

  • Tennessee

    Tennessee · 73223

    Office

    $352.76

    Facility

    Unavailable

    $26.50 lower than Delaware for the office setting.

  • Austin

    Texas · 73223

    Office

    $400.54

    Facility

    Unavailable

    $21.28 higher than Delaware for the office setting.

  • Beaumont

    Texas · 73223

    Office

    $355.04

    Facility

    Unavailable

    $24.22 lower than Delaware for the office setting.

  • Brazoria

    Texas · 73223

    Office

    $379.80

    Facility

    Unavailable

    $0.54 higher than Delaware for the office setting.

  • Dallas

    Texas · 73223

    Office

    $381.80

    Facility

    Unavailable

    $2.54 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 73223

    Office

    $378.78

    Facility

    Unavailable

    $0.48 lower than Delaware for the office setting.

  • Galveston

    Texas · 73223

    Office

    $380.65

    Facility

    Unavailable

    $1.39 higher than Delaware for the office setting.

  • Houston

    Texas · 73223

    Office

    $383.40

    Facility

    Unavailable

    $4.14 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 73223

    Office

    $366.92

    Facility

    Unavailable

    $12.34 lower than Delaware for the office setting.

  • Utah

    Utah · 73223

    Office

    $364.12

    Facility

    Unavailable

    $15.14 lower than Delaware for the office setting.

  • Virginia

    Virginia · 73223

    Office

    $376.40

    Facility

    Unavailable

    $2.86 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 73223

    Office

    $386.42

    Facility

    Unavailable

    $7.16 higher than Delaware for the office setting.

  • Vermont

    Vermont · 73223

    Office

    $377.55

    Facility

    Unavailable

    $1.71 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 73223

    Office

    $399.14

    Facility

    Unavailable

    $19.88 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 73223

    Office

    $455.60

    Facility

    Unavailable

    $76.34 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 73223

    Office

    $366.71

    Facility

    Unavailable

    $12.55 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 73223

    Office

    $344.93

    Facility

    Unavailable

    $34.33 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 73223

    Office

    $381.81

    Facility

    Unavailable

    $2.55 higher than Delaware for the office setting.

See how rates vary across the country

73223 · 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.

$337.26

$468.08

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$435.951
AL$342.441
AR$337.261
AZ$372.841
CA$411.54–$524.6229
CO$402.561
CT$409.281
DC$442.281
DE$379.261
FL$372.08–$403.403
GA$350.81–$389.252
GU$423.191
HI$423.191
IA$353.911
ID$355.831
IL$359.14–$395.784
IN$358.051
KS$351.061
KY$348.501
LA$347.48–$365.622
MA$399.54–$445.182
MD$387.09–$442.283
ME$356.58–$378.492
MI$356.96–$375.772
MN$388.511
MO$340.48–$368.343
MS$338.991
MT$383.101
NC$360.671
ND$380.131
NE$356.281
NH$395.111
NJ$414.73–$437.142
NM$358.551
NV$382.581
NY$366.22–$450.095
OH$356.361
OK$349.041
OR$380.39–$417.132
PA$357.58–$397.962
PR$386.421
RI$394.061
SC$358.951
SD$379.781
TN$352.761
TX$355.04–$400.548
UT$364.121
VA$376.40–$442.282
VI$386.421
VT$377.551
WA$399.14–$455.602
WI$366.711
WV$344.931
WY$381.811

Explore 73223 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 73223 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$417.19

$379.26 × 110% = $417.19

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 73223 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

8,180

Code
73223
Physician work
2.10
Practice expense
9.22
Malpractice
0.15

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 73223 in Delaware
ComponentRVULocality factorAdjusted
Physician work2.10× 1.0052.1105
Practice expense9.22× 0.9889.1094
Malpractice0.15× 0.8990.1348
Total RVUs11.3547
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$379.26

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

Open 73223 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.11.005
Practice expense9.220.988
Malpractice0.150.899

(2.1 × 1.005 + 9.22 × 0.988 + 0.15 × 0.899) × $33.4009 = $379.26

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

73223 · Office / nonfacility

$379.26

Effective 2026-10-01

The base rate is $2.86 higher than on 2025-10-01, moving from $376.40 to $379.26 (0.8%).

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

    $376.40changed to$379.26

    • 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
    • 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: $376.40

    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$379.26Not available in this settingRVU26D
2026-07-01$379.26Not available in this settingRVU26C
2026-04-01$379.26Not available in this settingRVU26B
2026-01-01$379.26Not available in this settingRVU26A
2025-10-01$376.40Not available in this settingRVU25D
2025-07-01$376.40Not available in this settingRVU25C
2025-04-01$376.40Not available in this settingRVU25B
2025-01-01$376.40Not available in this settingRVU25A

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 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 73223PPRRVU2026_Oct_nonQPP.csv, line 8,180 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet