CPT code 76016: MR safety review, physician or QHP determination2026 Medicare rate & RVUs in East St. Louis, IL

In East St. Louis, IL, Medicare pays $69.47 for 76016 in the office.

Check a contract rate as a % of Medicare · 76016 nationwide

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

What 76016 covers

This service covers a physician or qualified health care professional’s individualized assessment of whether and under what conditions a patient with an implant or possible retained foreign body can undergo MRI. It may be needed when device records, patient history, or other available information require clinical judgment beyond routine screening. The determination is part of MRI safety work, not the MRI image acquisition or interpretation. It is distinct from assessment performed by clinical staff and from a customized medical physics examination.

Report the service when the physician or QHP performs and documents the safety determination; retain the relevant device or foreign-body information and the reasoning supporting the decision. The code has professional and technical components: bill modifier 26 for the interpretation, modifier TC for equipment and staff, or neither modifier for the global service. When 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.

How East St. Louis, IL compares for 76016

Across 109 of 109 payment localities, the office rate for 76016 runs from $63.89 in Arkansas to $95.50 in San Benito County, CA. East St. Louis, IL pays $69.47. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

76016 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 76016 in every payment locality

How the 76016 rate is calculated

Each of 76016’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.

Payment rules and modifiers for 76016

The CMS indicators that decide how 76016 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

Codes related to 76016

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 76016 has changed in East St. Louis, IL

Price 76016 for an earlier date of service

Where the East St. Louis, IL rate applies

East St. Louis, IL is a Medicare payment area, not a city. Our Census mapping connects it to 175 cities and communities in Illinois. Some span more than one payment area; confirm with the service ZIP.

• 76016 in East St. Louis
• 76016 in Addieville
• 76016 in Albers
• 76016 in Alhambra
• 76016 in Alton
• 76016 in Ashley
• 76016 in Aviston
• 76016 in Baldwin

Browse all communities in Illinois

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

Open CMS sourceHow we calculate rates