CPT code 72141: Cervical MRI, without contrast2026 Medicare rate & RVUs in California

Reports an MRI study of the cervical spine performed without contrast, commonly used to evaluate suspected disc, nerve, or spinal cord conditions.

CMS RVU26DEffective Oct 1, 202629 payment localities630.4K Medicare services in 2024

Medicare pays $203.36–$256.02 for 72141 in the office in California, from Chico, CA to San Benito County, CA. Which amount applies depends on the service address.

$203.36–$256.02Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 9 sections
  1. Rate in California
  2. What 72141 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 72141 covers

This service covers magnetic resonance imaging of the cervical spine without contrast material. The study produces detailed images of the neck portion of the spine and surrounding structures, often to assess symptoms such as neck pain with radiating arm symptoms, suspected disc disease, or possible spinal cord or nerve-root compression. A technologist typically performs the scan in an imaging center or hospital, and a radiologist interprets the images.

Select this code when the documented study is of the cervical spine and is performed without contrast; use a different code when contrast is administered or the study includes both pre- and post-contrast imaging. The order and report should identify the cervical region, the protocol performed, and the clinical reason for imaging. Bill without a component modifier for the global service, or use modifier 26 for the interpretation or TC for the technical service. When the diagnostic imaging multiple-procedure reduction applies, it affects both the technical and professional components.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 72141 pays more and less in California

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

29 payment localities

$203.36 to $256.02

$203.36$229.69$256.02
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

29 of 29 payment localities

72141 office and facility rates by payment locality
Payment localityOfficeFacility
Bakersfield, CA$203.70Unavailable
Chico, CA$203.36Unavailable
El Centro, CA$203.37Unavailable
Fresno, CA$203.36Unavailable
Hanford, CA$203.36Unavailable
Los Angeles, CA$217.06Unavailable
Madera, CA$203.36Unavailable
Marin County, CA$250.59Unavailable
Merced, CA$203.36Unavailable
Modesto, CA$203.36Unavailable

How the 72141 rate is calculated

Each of 72141’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 72141

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.44

1.44 RVUs× 1.000 GPCI

Practice expense4.17

4.17 RVUs× 1.000 GPCI

Malpractice0.10

0.10 RVUs× 1.000 GPCI

Adjusted RVUs

5.7100

Conversion factor

$33.4009

Medicare rate

$190.72

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 72141

The CMS indicators that decide how 72141 is paid alongside other services.

CMS payment indicators · 72141

Cervical MRI, without contrast

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures4Diagnostic imaging reduction applies to the technical component (and professional component) of additional services.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

72141 without 26 · national office

$190.72

Cervical MRI, without contrast

72141-26 · Professional component

$68.14

Pays only the interpretation and report.

When to use modifier 26

72141 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 72141

    Cervical MRI, without contrast1.44 wRVU

    $190.72

  • 72142

    Spine MRI, cervical, contrast only1.74 wRVU

    $273.89+$83.17

  • 72156

    Spine MRI, cervical spine, without and with contrast2.23 wRVU

    $317.98+$127.26

  • 72125

    Cervical spine CT, without contrast0.98 wRVU

    $130.60−$60.12

How to choose

72142Spine MRICervical, contrast only
Both cover cervical spine MRI, but 72142 is for imaging with contrast; this code is for imaging without contrast.
72156Spine MRICervical spine, without and with contrast
Use 72156 when the cervical study includes imaging both before and after contrast. Use this code when the study is performed without contrast.
72125Cervical spine CTWithout contrast
Both evaluate the cervical spine without contrast, but 72125 is a CT study and this code is an MRI study.

72141 billing questions

How is this code distinguished from 72142?

Use 72141 for a cervical spine MRI performed without contrast. Code 72142 describes the cervical study performed with contrast.

When does 72156 apply instead?

Use 72156 when the cervical MRI includes imaging both without and with contrast. This code is for the study without contrast only.

Can the interpretation and scan be billed separately?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Without either modifier, the claim represents the global service.

Can the multiple imaging reduction affect this service?

When the diagnostic imaging multiple-procedure reduction applies, it affects both the technical and professional components of this service.

How does this differ from a cervical spine CT?

This code is for MRI without contrast. Code 72125 is for cervical spine CT without contrast, a different imaging modality.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 72141PPRRVU2026_Oct_nonQPP.csv, line 8,012 (RVU26D)

Open CMS sourceHow we calculate rates

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