2025 CPT code 73200
(Active) Effective Date: N/A Revision Date: N/A Diagnostic Radiology - Computed Tomography Radiology Feed
Computed tomography (CT) of the upper extremity without contrast material.
Modifiers 26 (professional component only) and TC (technical component only) are applicable depending on the provider and payer.Other modifiers may apply depending on the circumstances of the service.Consult the official CPT manual and payer guidelines.
Medical necessity for this procedure is typically established by the presence of clinical symptoms suggestive of pathology in the upper extremity requiring CT imaging.The absence of contraindications to CT imaging is also important. Specific payer requirements must also be considered.
The physician is responsible for patient positioning, supervision of image acquisition, image analysis, interpretation of results, and generation of a report.The technical component may be billed separately by the facility.
In simple words: This code covers an X-ray scan of your arm and shoulder without any special dye.A machine takes pictures of your upper extremity, and the doctor looks at the images to find any problems.
This CPT code represents the performance of a computed tomographic (CT) scan of the upper extremity without the use of intravenous, intra-articular, or intrathecal contrast material.The procedure involves the acquisition and interpretation of cross-sectional images of the upper extremity using a CT scanner. The physician positions the patient, supervises image acquisition, analyzes the images, and generates a report of findings.
Example 1: A patient presents with acute upper extremity pain following a fall. A CT scan without contrast is ordered to rule out fracture or other bony injuries., A patient with a history of rheumatoid arthritis undergoes a CT scan of the upper extremity without contrast to assess joint erosion and bone changes., A patient with a soft tissue mass in the upper extremity undergoes a CT scan without contrast to evaluate the mass's size, location, and characteristics before a biopsy.
The documentation should include the patient's history and physical examination findings, the reason for the CT scan, the images obtained, and the radiologist's interpretation and report.
** Always refer to the most up-to-date CPT codebook and payer guidelines for accurate coding and reimbursement.
- Revenue Code: I2B (ADVANCED IMAGING - CAT: OTHER)
- Payment Status: Active
- Modifier TC rule: Modifier TC (Technical Component) is applicable when only the technical component is reported. However, hospital policy may exempt the need for modifier TC.
- Specialties:Radiology, Orthopedics, Emergency Medicine
- Place of Service:Office, Hospital (Inpatient or Outpatient), Urgent Care Facility, Ambulatory Surgical Center