2025 CPT code 73222
Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)
Modifiers such as 26 (professional component), 50 (bilateral procedure), 52 (reduced services), 59 (distinct procedural service), TC (technical component), and others may be applicable depending on the specific circumstances of the service provided.
Medical necessity for this procedure must be established by documenting the clinical indication for the MRI and how the results will impact the patient's treatment plan.
In simple words: An MRI of any joint in your arm or hand is taken using a special dye to highlight the area. This helps doctors see the joint clearly and diagnose problems.
This diagnostic procedure involves magnetic resonance imaging (MRI) of any joint in the upper extremity, including the shoulder, elbow, wrist, or hand joints, using contrast material. The patient is positioned within the MRI scanner, and after contrast administration, images are captured and processed to visualize the targeted joint. The provider then interprets the images and prepares a report.
Example 1: A patient presents with chronic shoulder pain and limited range of motion. An MRI of the shoulder joint with contrast is ordered to evaluate for rotator cuff tear, labral tear, or other pathology., A patient experiences sudden wrist pain after a fall. An MRI of the wrist joint with contrast is performed to assess for ligament tears, fractures, or other injuries., A patient with rheumatoid arthritis has persistent hand pain and swelling. An MRI of the hand joints with contrast is conducted to evaluate the extent of joint inflammation and damage.
Documentation should include the patient's history, physical exam findings, reason for the MRI, the specific joint imaged, and the results of the imaging study. The report should also include details about the contrast material used, if any.
- Modifier TC rule: Modifier TC can be used to indicate only the technical component of the procedure was performed.
- Specialties:Radiology, Orthopedic Surgery, Rheumatology
- Place of Service:Office, Independent Clinic, Outpatient Hospital, Inpatient Hospital, and other applicable facilities.