PFS Explorer

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73720

ActiveGlobal n/a

Mri lwr extremity 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.

Show values as
Component
Modifiers
LineQtyNon-facility (office)Facility (hospital/ASC)
737201$335.01$335.01
add-on0649T
0
$0.00/ unit$0.00/ unit
add-on0698T
0
$0.00/ unit$0.00/ unit
Conversion factor: Locality: national average GPCIs

RVU breakdown (national)

Relative value units before geographic adjustment. Payment = (work×GPCIw + PE×GPCIpe + MP×GPCImp) × CF

RowWork RVUPE RVU (office)PE RVU (facility)MP RVUTotal (office)
73720-TC0.007.037.030.037.06
737202.107.787.780.1510.03
73720-262.100.750.750.122.97

Payment policy for 73720

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.

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