73200
No office rateCt upper extremity w/o dye
73200 is for upper-extremity CT without contrast. 73201 is appropriate when contrast is used and no without-contrast acquisition is performed.
On this page
CMS RVU26D · Effective 2026-10-01
73201 Extremity CT Medicare reimbursement rates in Wisconsin
Reports CT evaluation of an upper extremity performed with contrast, such as imaging to assess a soft-tissue mass, infection, or injury. Compare 73201 office and facility rates across CMS payment localities in Wisconsin.
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.
What does Medicare pay for 73201 in Wisconsin?
Wisconsin has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$190.66
1 of 1 localities have a supported rate.
Payment area: Wisconsin
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
CT imaging
About 73201: CT of Upper Extremity With Contrast
Reports CT evaluation of an upper extremity performed with contrast, such as imaging to assess a soft-tissue mass, infection, or injury.
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%.
CMS billing rules for 73201
- 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 RVU1.13 · 19%
- Practice expense (office) RVU4.75 · 80%
- Malpractice RVU0.09 · 2%
22.6K
Medicare services in 2024 · #1095 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.
73201 compared with similar codes
Office rates for Wisconsin, from the same CMS release.
73202
No office rateCt uppr extremity w/o&w/dye
73202 represents an upper-extremity CT protocol with imaging both without and with contrast; 73201 represents the with-contrast-only protocol.
73206
No office rateCt angio upr extrm w/o&w/dye
73206 is for CT angiography of upper-extremity vessels. 73201 is used for a nonangiographic contrast-enhanced upper-extremity CT.
$315.65
73219 reports MRI of an upper extremity with contrast. Choose 73201 when the performed modality is CT rather than MRI.
Compare 73201 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Wisconsin →
Office / nonfacility
$190.66
Facility
Unavailable
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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 73201 in Wisconsin.
PPRRVU2026_Oct_nonQPP.csv
8,156
- Code
- 73201
- Physician work
- 1.13
- Practice expense
- 4.75
- Malpractice
- 0.09
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.13 | × 1.000 | 1.1300 |
| Practice expense | 4.75 | × 0.958 | 4.5505 |
| Malpractice | 0.09 | × 0.308 | 0.0277 |
| Total RVUs | 5.7082 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wisconsin$190.66
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.13 | 1 |
| Practice expense | 4.75 | 0.958 |
| Malpractice | 0.09 | 0.308 |
(1.13 × 1 + 4.75 × 0.958 + 0.09 × 0.308) × $33.4009 = $190.66
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.
73201 billing questions
When should 73201 be reported instead of 73202?
Report 73201 for an upper-extremity CT performed with contrast only. If images are acquired both without and with contrast, use 73202.
How does 73201 differ from 73206?
73201 is a contrast-enhanced CT examination of the upper extremity. Use 73206 when the study is a CT angiographic examination of the upper-extremity vessels.
Can the interpretation and technical service be billed separately?
Yes. Report modifier 26 for the professional interpretation or modifier TC for the technical service; reporting without either modifier represents the global service.
How is bilateral imaging reported?
When both sides are examined, each side is paid separately at 100% under the CMS bilateral rule.
What documentation supports 73201?
The order and imaging report should identify the clinical reason, the upper-extremity anatomy and side examined, and that contrast was used without a without-contrast acquisition.
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.
8,15373200,,Ct upper extremity w/o dye,A,,0.98,3.75,,3.75,NA,0.08,4.81,4.81,1,XXX,0.00,0.00,0.00,4,3,0,0,0,9,,33.4009,09,0,88,3.53,3.53,0.08
8,15473200,26,Ct upper extremity w/o dye,A,,0.98,0.35,,0.35,,0.06,1.39,1.39,1,XXX,0.00,0.00,0.00,4,3,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,15573200,TC,Ct upper extremity w/o dye,A,,0.00,3.40,,3.40,NA,0.02,3.42,3.42,1,XXX,0.00,0.00,0.00,4,3,0,0,0,9,,33.4009,01,0,88,3.18,3.18,0.02
8,15673201,,Ct upper extremity w/dye,A,,1.13,4.75,,4.75,NA,0.09,5.97,5.97,1,XXX,0.00,0.00,0.00,4,3,0,0,0,9,,33.4009,09,0,88,11.02,11.02,0.12
8,15773201,26,Ct upper extremity w/dye,A,,1.13,0.40,,0.40,,0.07,1.60,1.60,1,XXX,0.00,0.00,0.00,4,3,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,15873201,TC,Ct upper extremity w/dye,A,,0.00,4.35,,4.35,NA,0.02,4.37,4.37,1,XXX,0.00,0.00,0.00,4,3,0,0,0,9,,33.4009,02,0,88,10.62,10.62,0.05
8,15973202,,Ct uppr extremity w/o&w/dye,A,,1.19,6.09,,6.09,NA,0.09,7.37,7.37,1,XXX,0.00,0.00,0.00,4,3,0,0,0,9,,33.4009,09,0,88,5.76,5.76,0.09
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,