73201 Extremity CT Medicare reimbursement rates in Pennsylvania

This service is a CT examination of an upper extremity, such as an arm or hand, performed with contrast material. It may be used to evaluate findings such as a soft-tissue mass, suspected infection, or injury when cross-sectional imaging with contrast is requested. A radiologist typically interprets the images; the technical work is performed by imaging staff using CT equipment in a hospital or outpatient imaging setting.

Choose this code when the examination uses contrast without also acquiring images without contrast. When both without- and with-contrast imaging are performed, the corresponding combined-protocol code is 73202. The order and report should support the clinical indication, the upper-extremity anatomy examined, laterality, and contrast protocol. The global service is reported without a component modifier; modifier 26 identifies the interpretation, and modifier TC identifies the equipment and staff service. CMS applies diagnostic imaging multiple-procedure reductions to both components. For bilateral examinations, each side is paid separately at 100%.