© Copyright 2026 American Medical Association. All rights reserved.
Magnetic resonance imaging (MRI) is a sophisticated imaging technique utilized to visualize the internal structures of the body, particularly the joints of the upper extremity, such as the shoulder, elbow, wrist, and hand. This noninvasive procedure employs powerful magnetic fields and radiofrequency waves to generate detailed images without the use of ionizing radiation, making it a safer alternative to traditional imaging methods like X-rays or CT scans. During the MRI process, the patient is positioned on a motorized table that moves into a large cylindrical scanner, which houses the magnet. The magnetic field aligns the hydrogen atoms present in the body, primarily found in water and fat. Subsequently, radio waves are transmitted, causing these aligned protons to emit signals that are captured and processed by a computer to create high-resolution, three-dimensional images of the joint in question. The MRI procedure described by CPT® Code 73223 specifically involves imaging a joint of the upper extremity first without the use of contrast material, followed by the administration of contrast material to enhance the visibility of certain structures. This dual-phase imaging approach allows for a comprehensive assessment of the joint, aiding in the diagnosis of various conditions such as injuries, trauma, unexplained pain, swelling, and loss of motion. The use of contrast material can significantly improve the clarity of the images, allowing healthcare providers to better evaluate the presence of tumors, lesions, infections, or other abnormalities within the joint. Overall, MRI serves as a critical tool in the diagnostic process, providing essential information that correlates with the patient's clinical signs and symptoms.
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