| Section | B | Imaging |
| Body System | P | Non-Axial Upper Bones |
| Type | 3 | Magnetic Resonance Imaging (MRI): Computer reformatted digital display of multiplanar images developed from the capture of radiofrequency signals emitted by nuclei in a body site excited within a magnetic field |
| Body Part 8 Shoulder, Right 9 Shoulder, Left C Hand/Finger Joint, Right D Hand/Finger Joint, Left E Upper Arm, Right F Upper Arm, Left G Elbow, Right H Elbow, Left J Forearm, Right K Forearm, Left L Wrist, Right M Wrist, Left |
Contrast Y Other Contrast |
Qualifier 0 Unenhanced and Enhanced Z None |
Qualifier Z None |
| Body Part 8 Shoulder, Right 9 Shoulder, Left C Hand/Finger Joint, Right D Hand/Finger Joint, Left E Upper Arm, Right F Upper Arm, Left G Elbow, Right H Elbow, Left J Forearm, Right K Forearm, Left L Wrist, Right M Wrist, Left |
Contrast Z None |
Qualifier Z None |
Qualifier Z None |