How To Use CPT Code 73722

CPT 73722 describes the use of magnetic resonance imaging (MRI) with contrast material to visualize and diagnose joint conditions in the lower extremities. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 73722?

CPT 73722 is a code used to describe the diagnostic procedure of performing an MRI with contrast material on a joint in the lower extremities. This procedure allows healthcare providers to visualize and diagnose various joint conditions in the legs, such as injuries, inflammation, or degenerative diseases.

2. Official Description

The official description of CPT code 73722 is: ‘Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s).’ This code specifically refers to the use of MRI technology with the administration of contrast material to enhance the visibility of internal structures or organs within the joint being examined.

3. Procedure

1. During the procedure, the patient is positioned on a scanning table, and their lower extremities are placed inside a large tunnel-shaped magnetic scanner.
2. The technician instructs the patient to hold their breath and remain still while the machine captures radiofrequency signals generated by the body.
3. The computer then generates a series of images that display slices of the leg, with a focus on the joint being examined.
4. The radiology provider reviews the images, performs a diagnostic interpretation, and prepares a written report of their findings.

4. Qualifying circumstances

CPT 73722 is used when a healthcare provider determines that an MRI with contrast material is necessary to diagnose a joint condition in the lower extremities. This procedure is typically performed when there is a suspected injury, inflammation, or degenerative disease affecting the joint. The use of contrast material helps improve the visibility of internal structures or organs within the joint, aiding in the diagnostic process.

5. When to use CPT code 73722

CPT code 73722 should be used when a healthcare provider performs an MRI with contrast material on a joint in the lower extremities. This code is appropriate when the provider determines that the use of contrast material is necessary to enhance the visibility of internal structures or organs within the joint being examined. It is important to note that CPT code 73722 specifically refers to the use of MRI technology with contrast material, and should not be used for MRI procedures without contrast or for other body parts.

6. Documentation requirements

To support a claim for CPT code 73722, the healthcare provider must document the following information:

• Indication for the MRI with contrast material, including the suspected joint condition or reason for the procedure
• Details of the contrast material used, including the type and amount administered
• Date and time of the procedure
• Specific joint being examined
• Any additional findings or observations made during the procedure
• Diagnostic interpretation and written report of the radiology provider’s findings

7. Billing guidelines

When billing for CPT code 73722, ensure that the procedure performed is an MRI with contrast material on a joint in the lower extremities. It is important to accurately document the use of contrast material and the specific joint being examined. Additionally, follow any specific billing guidelines provided by payers regarding the use of modifiers or reporting bilateral procedures. It is also important to ensure that the documentation matches the ordered and pre-certified services to avoid any billing discrepancies.

8. Historical information

CPT code 73722 was added to the Current Procedural Terminology system on January 1, 2001. There have been no updates or changes to the code since its addition.

9. Examples

1. A patient undergoes an MRI with contrast material on their knee joint to evaluate a suspected ligament tear.
2. An individual with chronic hip pain receives an MRI with contrast material to assess for any signs of inflammation or degenerative changes in the joint.
3. A healthcare provider orders an MRI with contrast material on a patient’s ankle joint to investigate the cause of persistent swelling and discomfort.
4. A professional athlete undergoes an MRI with contrast material on their foot joint to assess the extent of a suspected stress fracture.
5. A patient with a history of knee arthritis receives an MRI with contrast material to evaluate the progression of the disease and determine the need for further treatment.
6. An individual with a recent ankle injury undergoes an MRI with contrast material to assess the extent of ligament damage and guide the appropriate treatment plan.
7. A healthcare provider orders an MRI with contrast material on a patient’s hip joint to investigate the cause of chronic hip pain and rule out any underlying pathology.
8. A patient with persistent ankle instability receives an MRI with contrast material to assess the integrity of the ligaments and determine the need for surgical intervention.
9. An individual with a suspected meniscal tear in their knee undergoes an MRI with contrast material to confirm the diagnosis and guide the appropriate treatment plan.
10. A healthcare provider orders an MRI with contrast material on a patient’s hip joint to evaluate the extent of a suspected labral tear and determine the need for surgical intervention.