2025 CPT code 73201
(Active) Effective Date: N/A Revision Date: N/A Diagnostic Imaging - Computed Tomography Radiology Feed
Computed tomography (CT) scan of the upper extremity with contrast material.
Modifiers 26 (professional component), TC (technical component), 59 (distinct procedural service), 76 (repeat procedure by same physician), 77 (repeat procedure by another physician) may be applicable depending on the specific circumstances.
Medical necessity is established when a CT scan of the upper extremity with contrast is deemed necessary for the diagnosis or management of a specific clinical condition based on the patient’s symptoms, history, and physical examination findings. The use of contrast is justified when visualization of blood vessels or other structures is crucial for accurate assessment.
The physician is responsible for patient positioning, IV line insertion and contrast administration supervision, image acquisition supervision, image review, analysis, and interpretation, and report generation.
In simple words: A CT scan of your arm or shoulder is done using a special dye to get clearer pictures.The pictures help doctors see the bones, muscles, and other tissues in detail to check for problems.
This procedure involves performing a computed tomography (CT) scan of the upper extremity (arm, shoulder, etc.) using intravenous contrast material.The scan produces detailed cross-sectional images to evaluate bones, muscles, and other tissues. The contrast enhances the visualization of blood vessels and other structures, aiding in diagnosis and assessment of various conditions.
Example 1: A patient presents with a suspected fracture of the humerus. A CT scan with contrast is ordered to visualize the bone and surrounding soft tissues for accurate diagnosis and treatment planning., A patient with a history of trauma to the shoulder experiences persistent pain and limited range of motion.A CT scan with contrast is used to identify any potential ligamentous or tendinous injuries., A patient presents with a suspected infection in the forearm. A CT scan with contrast is performed to delineate the extent of the infection and identify any associated abscesses or fluid collections.
* Physician's order specifying the need for a CT scan of the upper extremity with contrast.* Detailed clinical history including patient's symptoms, relevant medical history, and reason for the study.* Radiologist's report including image interpretation, findings, and any relevant measurements or observations.* Documentation of contrast administration, including type, volume, and route of administration, and any reactions.
** When only one side of the upper extremity is imaged, only one charge is submitted.If both sides are imaged, both sides can be billed.Payers may have specific requirements regarding contrast material billing and may require additional codes to report the supply of contrast material.
- Revenue Code: I2B (ADVANCED IMAGING - CAT: OTHER)
- Payment Status: Active
- Modifier TC rule: Modifier TC (Technical Component) may be appended if only the technical aspect of the service is billed.
- Specialties:Radiology, Orthopedics, Emergency Medicine
- Place of Service:Office, Hospital (Inpatient and Outpatient), Ambulatory Surgical Center, Urgent Care Facility