CPT^® 73221, Under Diagnostic Radiology (Diagnostic Imaging) Procedures of the Upper Extremities

The Current Procedural Terminology (CPT^®) code 73221 as maintained by American Medical Association, is a medical procedural code under the range - Diagnostic Radiology (Diagnostic Imaging) Procedures of the Upper Extremities.

Additional/Related Information

Tabs

Summary

In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or joints of the hand. The provider performs this procedure without using contrast material.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 73221 ? Start a discussion here

MRI foot,lower leg & femur

[QUOTE="bnmoody, post: 392628, member: 265484"] [B]MRI Extremity - Joint/Nonjoint[/B] If the patient has a MRI [U]Joint[/U] you can code [B]multiple[/B] studies [U](Upper: 73221-73223) (Lower: 73721-... [ Read More ]

MRI Billed Twice for RT Shoulder and RT Wrist?

Yes. 73221 is billable per joint, but there should be separate reports and orders for each joint. If you were billing for non-joint MRI's that is per extremity so those can only be billed once.... [ Read More ]

MRI Billed Twice for RT Shoulder and RT Wrist?

We have this happen in our office frequently. Typically, we bill 73221 on two lines with -RT or -LT, and add -59 on the second line showing the different body part. Hope this helps!... [ Read More ]

MRI Billed Twice for RT Shoulder and RT Wrist?

Can you bill 73221 once for an MRI of the right shoulder and right wrist?... [ Read More ]

HELP -Question on NCD

Hello every one. I am fairly new to coding, and have a question regarding NCD. If a radiology code 73221 was paid by excellus M'care 5 months ago and now they are saying that the same radiology code... [ Read More ]

MRI foot,lower leg & femur

[b]MRI Extremity - Joint/Nonjoint[/b] If the patient has a MRI [U]Joint[/U] you can code [B]multiple[/B] studies [U](Upper: 73221-73223) (Lower: 73721-73723). [/U] [U]Non-joint [/U]studies are to be... [ Read More ]

Multiple MRI's on same extremity

Z-Health 2015 says to code each joint as per joint imaged but to code non-joint imaging as once per extremity for MRIs. Both 73221 and 73218 have an MUE of 2.... [ Read More ]

Mri sc joint

I agree w/ response from Sacteam. The SC joint is an upper extremity joint. If the CC or DX involves the area where the clavicle & sternum meets, then codes 73221 - 73223 would seem appropriate.... [ Read More ]

Mri sc joint

[b]Happy Monday![/b] Depends on the purpose of the exam. But in this case per your question, I would look at MRI -->Joint (Sternoclavicular Joint) --> Upper Extremity --> 73221-73223. Hope that help... [ Read More ]

Help with 73221 MRI

I am confused! An outpatient had MRI of left shoulder w/o contrast for a rotator cuff tear. Two shoulder joints were mentioned in the MRI report, but one MRI done. I was under impression we code the 7... [ Read More ]

View All