2025 CPT code 73219
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diagnostic Radiology - Magnetic Resonance Imaging (MRI) Radiology Feed
MRI of upper extremity (excluding joints) with contrast.
Modifiers 26 (professional component only) and TC (technical component only) may be appended as appropriate based on service provided.This may be dependent on payer policies (e.g., hospitals often do not need modifier TC).
Medical necessity is established by the ordering physician's clinical assessment and documented rationale for the MRI with contrast, based on the patient's symptoms, history, and physical examination findings.This may include ruling out specific conditions, guiding treatment decisions, or monitoring disease progression.
The radiologist is responsible for patient positioning, contrast administration (if applicable), image acquisition, image interpretation, and report generation.
In simple words: This test uses a powerful magnet and radio waves to create detailed pictures of your arm, excluding the joints. A special dye is injected to make the pictures clearer. The doctor examines these images and creates a report.
This diagnostic procedure involves magnetic resonance imaging (MRI) of the upper extremity, excluding joints, utilizing contrast material.The patient is positioned within a magnetic scanner, and contrast is administered to enhance image quality. Radiofrequency signals are captured, and a computer generates a series of images depicting slices of the upper extremity.The radiologist reviews the images, analyzes the findings, and generates a written report.
Example 1: A patient presents with unexplained upper arm pain. An MRI with contrast of the upper extremity (excluding the shoulder joint) is ordered to rule out soft tissue abnormalities or tumors., A patient with a history of trauma to the forearm undergoes an MRI with contrast to assess for ligamentous or muscular injury, excluding the wrist joint., A patient with suspected nerve compression in the upper arm undergoes an MRI with contrast to pinpoint the location and extent of the compression, focusing on areas outside the elbow joint.
* Physician's order specifying the need for MRI with contrast.* Patient's medical history relevant to the indication for the exam.* Report of the radiologist's interpretation including images and findings.* Documentation of contrast type, amount administered, and route of administration.* Documentation supporting medical necessity for the exam, if requested by payer.
** Payers may have specific requirements regarding the type of contrast used and documentation needed for reimbursement.Always check individual payer policies.
- Revenue Code: I2D (ADVANCED IMAGING - MRI: OTHER)
- RVU: This information requires access to a specific fee schedule (e.g., Medicare, private payer) and is not available in the provided text.
- Global Days: This information is not provided in the source data and would depend on payer-specific rules and the nature of the service performed.
- Payment Status: Active
- Modifier TC rule: Modifier TC may be appended if only the technical component of the service is billed; however, this may be exempt for hospitals based on payer policy.
- Fee Schedule: Historical fee schedule data is not available in the provided source data and varies significantly depending on payer and location.
- Specialties:Radiology
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center