Billing code 73219: Extremity MRIMedicare rate & RVUs in Oklahoma
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.
Medicare pays $299.61 for 73219 in the office in Oklahoma (Oklahoma). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 73219 covers
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%.
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 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | $299.61 | Unavailable |
How the 73219 rate is calculated
Each of 73219’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 · 73219
RVUs × geographic indexes × conversion factor
Work1.58
1.58 RVUs× 1.000 GPCI
Practice expense8.18
8.18 RVUs× 1.000 GPCI
Malpractice0.11
0.11 RVUs× 1.000 GPCI
Adjusted RVUs
9.8700
Conversion factor
$33.4009
Medicare rate
$329.67
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 73219
The CMS indicators that decide how 73219 is paid alongside other services.
CMS payment indicators · 73219
Extremity MRI
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 4 | Diagnostic imaging reduction applies to the technical component (and professional component) of additional services. |
| Bilateral (modifier 50) | 3 | Each side paid at 100% (no 150% cap). |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
73219 without 26 · national office
$329.67
Extremity MRI
73219-26 · Professional component
$74.82
Pays only the interpretation and report.
73219 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 73218Extremity MRI
- 73218 is for an upper-extremity MRI without contrast. Choose 73219 when contrast is used.
- 73220Extremity MRI
- 73220 represents imaging both before and after contrast; 73219 is for the contrast-enhanced study without that combined acquisition.
- 73222Joint MRI
- 73222 is for a contrast-enhanced MRI centered on an upper-extremity joint. Use 73219 for an area outside a joint.
- 73201Extremity CT
- 73201 is a CT examination with contrast, rather than MRI. The modality documented as performed determines which code family applies.
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 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
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