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2025 CPT code 73219

MRI of upper extremity (excluding joints) with contrast.

Adhere to current CPT coding guidelines and payer-specific policies regarding MRI with contrast.Appropriate modifier usage (26, TC) should be considered depending on the services performed.

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.

IMPORTANT:For MRI of the upper extremity, excluding joints, without contrast, see 73218. For MRI of the upper extremity, excluding joints, without contrast followed by contrast and additional sequences, see 73220. For other MRI (proton imaging) studies of the joints of the upper extremity, see 73221 (without contrast), 73222 (with contrast), and 73223 (without contrast followed by contrast and additional sequences).

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.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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