73219 Extremity MRI Medicare reimbursement rates in Alabama

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%.