73223

ActiveGlobal n/a

Mri joint upr extr w/o&w/dye

2026 Medicare payment

Estimated allowed amounts. Pick a locality or enter a ZIP; toggle modifiers to see how the payment rules change the number; add the add-on codes to price the whole procedure.

Locality

or ZIP

Show values as

Component

Modifiers

Line	Qty	Non-facility (office)	Facility (hospital/ASC)
73223Mri joint upr extr w/o&w/dye	1	$383.11	$383.11
add-on0649TQuan mr tiss w/mri 1orgn	0	$0.00/ unit	$0.00/ unit
add-on0698TQuan mr tiss w/mri mlt orgn	0	$0.00/ unit	$0.00/ unit

Conversion factor: Locality: national average GPCIs

RVU breakdown (national)

Relative value units before geographic adjustment. Payment = (work×GPCI_w + PE×GPCI_pe + MP×GPCI_mp) × CF

Row	Work RVU	PE RVU (office)	PE RVU (facility)	MP RVU	Total (office)
73223	2.10	9.22	9.22	0.15	11.47
73223-26	2.10	0.76	0.76	0.12	2.98
73223-TC	0.00	8.46	8.46	0.03	8.49

Payment policy for 73223

CMS's indicator fields, translated. These control which modifiers are payable and how.

Professional/technical (PC/TC)

pctc=1

Diagnostic test

Has professional (-26) and technical (-TC) components, each priced separately.

Multiple procedures

mult_surg=4

Imaging TC reduction

Technical component of multiple diagnostic-imaging services reduced 50%.

Bilateral (modifier 50)

bilt_surg=3

Each side 100%

The usual 150% cap does not apply — each side is paid in full.

Assistant surgeon (80/81/82)

asst_surg=0

Payable with documentation

Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.

Co-surgeons (modifier 62)

co_surg=0

Not permitted

Co-surgeons (mod 62) may not be paid for this procedure.

Team surgery (modifier 66)

team_surg=0

Not permitted

Team surgery (mod 66) may not be paid for this procedure.

Source: pfs.data.cms.gov "Indicators for 2026", retrieved 2026-07-16; conversion factors $33.4009 / $33.5675 (QP) per CMS-1832-F. Estimated amounts — not billing or coding advice.