CPT Code 73721: MRI Lower Extremity Joint without Contrast

What is code 73721?

CPT code 73721 represents an MRI examination of the lower extremity joints without contrast, typically involving the hip, knee, ankle, or foot. This magnetic resonance imaging (MRI) procedure provides detailed imaging of soft tissues and bones, helping healthcare providers evaluate conditions like ligament tears, bone fractures, joint abnormalities, and inflammatory disorders.

The 73721 CPT code is commonly used when contrast is not needed for accurate diagnosis, making it essential for accurately documenting and billing MRI procedures using specific CPT codes.

Documentation requirements

Proper documentation for CPT code 73721 is essential for accurate documentation and billing of MRI procedures. To ensure compliance and reimbursement, the following elements must be included:

• Clinical indication: Specify why the magnetic resonance imaging (MRI) was needed, such as ligament tears, bone fractures and joint abnormalities, or chronic joint pain. These scans play a crucial role in the evaluation and diagnosis of musculoskeletal issues involving the legs, knees, and feet.
• Joint identification: Indicate the specific lower extremity joint imaged—e.g., hip, knee, ankle, or foot. This is critical for ensuring the procedure is appropriately represented by CPT code 73721 and not confused with scans of the upper extremity, pelvis without contrast, or spine (e.g., cervical spine, thoracic spine, or lumbar spine).
• Detailed radiology report: Include a comprehensive interpretation describing anatomical structures, pathological findings, and relevant abnormalities. These detailed images that aid in diagnosing and managing conditions are essential for effective treatment planning.
• Radiologist’s impression: Provide final diagnostic impressions and any recommendations for clinical management, which are essential for accurately diagnosing and managing the patient's condition.

Accurate documentation and billing help differentiate this service from scans with contrast (e.g., contrast CPT code 73722 or other imaging like scans of the brain, scan of the neck, or imaging of the abdominal organs, bladder, and rectum.

Billing guidelines

Accurate billing for CPT code 73721 ensures compliance, reduces claim denials, and supports timely reimbursement for MRI procedures of the lower extremity joints without contrast. Follow these key guidelines:

• Bill CPT 73721 once per joint imaged without contrast, such as the hip, knee, ankle, or foot, as each scan represents a distinct procedure.
• Check payer-specific requirements, including whether prior authorization is needed. Some insurers have strict rules for MRI scans, especially those performed without contrast.
• Avoid billing contrast-related CPT codes (e.g., 73722 or 73723) alongside 73721 unless separate documentation supports an additional, medically necessary scan.
• Link appropriate ICD-10 codes to the MRI, ensuring the imaging justifies the clinical condition (e.g., ligament tears, bone fractures, joint abnormalities).

Other relevant CPT codes

• CPT 73722 – MRI, lower extremity joint with contrast only. Used when contrast material is administered to enhance imaging of joint structures.
• CPT 73723 – MRI, lower extremity joint without or with contrast. Billed when both non-contrast and contrast-enhanced imaging are performed during the same session.
• CPT 73718 – MRI of the lower extremity other than joint, without contrast. Used for imaging non-joint areas.