CPT code 76019: MR safety, implant positioning or immobilization2026 Medicare rate & RVUs in Washington, DC area
Reports MR-safety positioning or immobilization for a patient with an implant when controlled positioning is part of safely performing the MR service.
In Washington, DC area, Medicare pays $178.00 for 76019 in the office.
Check a contract rate as a % of Medicare · 76019 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 76019 covers
This service covers positioning or immobilizing a patient with an implant for an MR examination under the applicable MR-safety protocol. MR technologists or other qualified MR personnel may perform the work in an imaging facility. The positioning or restraint must address a safety need related to the implant, rather than routine setup for the scan. For example, staff may need to maintain a prescribed patient position or limit movement during imaging.
Report the service when the record supports the implant-related positioning or immobilization performed. Document the relevant implant, the safety protocol or positioning requirement, and the work completed. CMS recognizes professional and technical components: modifier 26 identifies the professional interpretation, modifier TC identifies the technical service, and reporting without either modifier represents the global service. The diagnostic imaging multiple procedure reduction applies to both the technical and professional components when applicable.
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 Washington, DC area compares for 76019
Across 109 of 109 payment localities, the office rate for 76019 runs from $133.67 in Arkansas to $212.41 in San Benito County, CA. Washington, DC area pays $178.00. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$178.00
- Los Angeles, CA · California$177.35−$0.65
- Miami, FL · Florida$162.27−$15.73
- Chicago, IL · Illinois$157.13−$20.87
- Manhattan, NY · New York$177.21−$0.79
- Alaska · Alaska$170.65−$7.35
- Alabama · Alabama$135.89−$42.11
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $133.67 | — |
| ArizonaArizona | $148.90 | — |
| Bakersfield, CACalifornia | $165.37 | — |
| Chico, CACalifornia | $165.16 | — |
| El Centro, CACalifornia | $165.17 | — |
| Fresno, CACalifornia | $165.16 | — |
| Hanford, CACalifornia | $165.16 | — |
| Madera, CACalifornia | $165.16 | — |
| Merced, CACalifornia | $165.16 | — |
| Modesto, CACalifornia | $165.16 | — |
| Napa, CACalifornia | $195.14 | — |
| Oxnard, CACalifornia | $176.87 | — |
| Redding, CACalifornia | $165.16 | — |
| Rest of CaliforniaCalifornia | $165.16 | — |
| Riverside, CACalifornia | $165.92 | — |
| Sacramento, CACalifornia | $174.33 | — |
| Salinas, CACalifornia | $173.71 | — |
| San Diego, CACalifornia | $178.56 | — |
| Marin County, CACalifornia | $207.74 | — |
| San Francisco, CACalifornia | $207.66 | — |
| San Benito County, CACalifornia | $212.41 | — |
| Santa Clara County, CACalifornia | $212.09 | — |
| San Luis Obispo, CACalifornia | $170.81 | — |
| Santa Cruz, CACalifornia | $180.86 | — |
| Santa Maria, CACalifornia | $174.57 | — |
| Santa Rosa, CACalifornia | $182.75 | — |
| Stockton, CACalifornia | $165.16 | — |
| Vallejo, CACalifornia | $195.03 | — |
| Visalia, CACalifornia | $165.16 | — |
| Yuba City, CACalifornia | $165.16 | — |
| ColoradoColorado | $161.44 | — |
| ConnecticutConnecticut | $164.30 | — |
| DelawareDelaware | $151.60 | — |
| Fort Lauderdale, FLFlorida | $156.91 | — |
| Rest of FloridaFlorida | $148.71 | — |
| Atlanta, GAGeorgia | $155.94 | — |
| Rest of GeorgiaGeorgia | $139.58 | — |
| Hawaii, Guam, HIHawaii | $170.31 | — |
| IowaIowa | $140.74 | — |
| IdahoIdaho | $141.58 | — |
| East St. Louis, ILIllinois | $145.18 | — |
| Rest of IllinoisIllinois | $143.21 | — |
| Suburban Chicago, ILIllinois | $158.80 | — |
| IndianaIndiana | $142.53 | — |
| KansasKansas | $139.55 | — |
| KentuckyKentucky | $138.54 | — |
| New Orleans, LALouisiana | $145.88 | — |
| Rest of LouisianaLouisiana | $138.12 | — |
| Metropolitan Boston, MAMassachusetts | $179.33 | — |
| Rest of MassachusettsMassachusetts | $160.11 | — |
| Baltimore area, MDMaryland | $163.76 | — |
| Rest of MarylandMaryland | $154.89 | — |
| Rest of MaineMaine | $141.93 | — |
| Southern Maine, MEMaine | $151.27 | — |
| Detroit, MIMichigan | $150.32 | — |
| Rest of MichiganMichigan | $142.19 | — |
| MinnesotaMinnesota | $155.47 | — |
| Metropolitan Kansas City, MOMissouri | $145.25 | — |
| Metropolitan St. Louis, MOMissouri | $147.01 | — |
| Rest of MissouriMissouri | $135.13 | — |
| MississippiMississippi | $134.45 | — |
| MontanaMontana | $153.31 | — |
| North CarolinaNorth Carolina | $143.67 | — |
| North DakotaNorth Dakota | $151.92 | — |
| NebraskaNebraska | $141.75 | — |
| New HampshireNew Hampshire | $158.40 | — |
| Northern New JerseyNew Jersey | $175.71 | — |
| Rest of New JerseyNew Jersey | $166.40 | — |
| New MexicoNew Mexico | $142.89 | — |
| NevadaNevada | $153.05 | — |
| NYC suburbs and Long Island, NYNew York | $181.38 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $167.16 | — |
| Queens, NYNew York | $179.50 | — |
| Rest of New YorkNew York | $146.05 | — |
| OhioOhio | $141.91 | — |
| OklahomaOklahoma | $138.74 | — |
| Portland, OROregon | $167.60 | — |
| Rest of OregonOregon | $152.09 | — |
| Metropolitan Philadelphia, PAPennsylvania | $159.50 | — |
| Rest of PennsylvaniaPennsylvania | $142.42 | — |
| Puerto RicoPuerto Rico | $154.72 | — |
| Rhode IslandRhode Island | $157.76 | — |
| South CarolinaSouth Carolina | $142.98 | — |
| South DakotaSouth Dakota | $151.76 | — |
| TennesseeTennessee | $140.28 | — |
| Austin, TXTexas | $160.70 | — |
| Beaumont, TXTexas | $141.33 | — |
| Brazoria, TXTexas | $151.77 | — |
| Dallas, TXTexas | $152.63 | — |
| Fort Worth, TXTexas | $151.35 | — |
| Galveston, TXTexas | $152.15 | — |
| Houston, TXTexas | $153.43 | — |
| Rest of TexasTexas | $146.39 | — |
| UtahUtah | $145.20 | — |
| VirginiaVirginia | $150.39 | — |
| Virgin Islands, VIUnited States Virgin Islands | $154.72 | — |
| VermontVermont | $150.84 | — |
| Rest of WashingtonWashington | $159.96 | — |
| King County, WAWashington | $183.66 | — |
| WisconsinWisconsin | $146.18 | — |
| West VirginiaWest Virginia | $137.12 | — |
| WyomingWyoming | $152.70 | — |
76019 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$133.67
$188.79
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $170.65 | 1 |
| AL | $135.89 | 1 |
| AR | $133.67 | 1 |
| AZ | $148.90 | 1 |
| CA | $165.16–$212.41 | 29 |
| CO | $161.44 | 1 |
| CT | $164.30 | 1 |
| DC | $178.00 | 1 |
| DE | $151.60 | 1 |
| FL | $148.71–$162.27 | 3 |
| GA | $139.58–$155.94 | 2 |
| GU | $170.31 | 1 |
| HI | $170.31 | 1 |
| IA | $140.74 | 1 |
| ID | $141.58 | 1 |
| IL | $143.21–$158.80 | 4 |
| IN | $142.53 | 1 |
| KS | $139.55 | 1 |
| KY | $138.54 | 1 |
| LA | $138.12–$145.88 | 2 |
| MA | $160.11–$179.33 | 2 |
| MD | $154.89–$178.00 | 3 |
| ME | $141.93–$151.27 | 2 |
| MI | $142.19–$150.32 | 2 |
| MN | $155.47 | 1 |
| MO | $135.13–$147.01 | 3 |
| MS | $134.45 | 1 |
| MT | $153.31 | 1 |
| NC | $143.67 | 1 |
| ND | $151.92 | 1 |
| NE | $141.75 | 1 |
| NH | $158.40 | 1 |
| NJ | $166.40–$175.71 | 2 |
| NM | $142.89 | 1 |
| NV | $153.05 | 1 |
| NY | $146.05–$181.38 | 5 |
| OH | $141.91 | 1 |
| OK | $138.74 | 1 |
| OR | $152.09–$167.60 | 2 |
| PA | $142.42–$159.50 | 2 |
| PR | $154.72 | 1 |
| RI | $157.76 | 1 |
| SC | $142.98 | 1 |
| SD | $151.76 | 1 |
| TN | $140.28 | 1 |
| TX | $141.33–$160.70 | 8 |
| UT | $145.20 | 1 |
| VA | $150.39–$178.00 | 2 |
| VI | $154.72 | 1 |
| VT | $150.84 | 1 |
| WA | $159.96–$183.66 | 2 |
| WI | $146.18 | 1 |
| WV | $137.12 | 1 |
| WY | $152.70 | 1 |
How the 76019 rate is calculated
Each of 76019’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 · 76019
RVUs × geographic indexes × conversion factor
Work0.59
0.59 RVUs× 1.000 GPCI
Practice expense3.93
3.93 RVUs× 1.000 GPCI
Malpractice0.07
0.07 RVUs× 1.000 GPCI
Adjusted RVUs
4.5900
Conversion factor
$33.4009
Medicare rate
$153.31
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
8,656
- Code
- 76019
- Physician work
- 0.59
- Practice expense
- 3.93
- Malpractice
- 0.07
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.59 | × 1.054 | 0.6219 |
| Practice expense | 3.93 | × 1.178 | 4.6295 |
| Malpractice | 0.07 | × 1.113 | 0.0779 |
| Total RVUs | 5.3293 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Washington, DC area$178.00
Office: (0.59 × 1.054 + 3.93 × 1.178 + 0.07 × 1.113) × $33.4009 = $178.00
Payment rules and modifiers for 76019
The CMS indicators that decide how 76019 is paid alongside other services.
CMS payment indicators · 76019
MR safety, implant positioning or immobilization
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 4 | Diagnostic imaging reduction applies to the technical component (and professional component) of additional services. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
76019 without 26 · national office
$153.31
MR safety, implant positioning or immobilization
76019-26 · Professional component
$28.06
Pays only the interpretation and report.
How 76019 has changed in Washington, DC area
76019 · Office / nonfacility
$178.00
Effective 2026-10-01
The base rate is $7.16 higher than on 2025-10-01, moving from $170.84 to $178.00 (4.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$170.84changed to$178.00
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.60 changed to 0.59
- Practice expense RVU 3.84 changed to 3.93
- Malpractice RVU 0.06 changed to 0.07
- Work GPCI 1.057 changed to 1.054
- Practice expense GPCI 1.192 changed to 1.178
- Malpractice GPCI 1.168 changed to 1.113
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
No ratechanged to$170.84
Held through RVU25B, RVU25C, RVU25D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $178.00 | Not available in this setting | RVU26D |
| 2026-07-01 | $178.00 | Not available in this setting | RVU26C |
| 2026-04-01 | $178.00 | Not available in this setting | RVU26B |
| 2026-01-01 | $178.00 | Not available in this setting | RVU26A |
| 2025-10-01 | $170.84 | Not available in this setting | RVU25D |
| 2025-07-01 | $170.84 | Not available in this setting | RVU25C |
| 2025-04-01 | $170.84 | Not available in this setting | RVU25B |
| 2025-01-01 | $170.84 | Not available in this setting | RVU25A |
| 2024-10-01 | Not in this release | Not in this release | RVU24D |
| 2024-07-01 | Not in this release | Not in this release | RVU24C |
| 2024-04-01 | Not in this release | Not in this release | RVU24B |
| 2024-03-09 | Not in this release | Not in this release | RVU24AR |
| 2024-01-01 | Not in this release | Not in this release | RVU24A |
| 2023-10-01 | Not in this release | Not in this release | RVU23D |
| 2023-07-01 | Not in this release | Not in this release | RVU23C |
| 2023-04-01 | Not in this release | Not in this release | RVU23B |
| 2023-01-01 | Not in this release | Not in this release | RVU23A |
| 2022-10-01 | Not in this release | Not in this release | RVU22D |
| 2022-07-01 | Not in this release | Not in this release | RVU22C |
| 2022-04-01 | Not in this release | Not in this release | RVU22B |
| 2022-01-01 | Not in this release | Not in this release | RVU22A |
| 2021-10-01 | Not in this release | Not in this release | RVU21D |
| 2021-07-01 | Not in this release | Not in this release | RVU21C |
| 2021-04-01 | Not in this release | Not in this release | RVU21B |
| 2021-01-01 | Not in this release | Not in this release | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Washington, DC area rate applies
Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.
- Washington
76019 billing questions
How is this different from code 76018?
Code 76019 covers positioning or immobilization for MR safety. Code 76018 addresses preparation of an implantable electronic device, a distinct activity.
Can this be reported with an MR examination?
The service concerns implant-related positioning or immobilization, not the diagnostic MR examination itself. Document the separate safety work performed alongside the examination.
What documentation supports reporting this code?
Record the implant, the applicable MR-safety positioning or immobilization requirement, and how staff carried it out. Routine patient setup alone does not establish the specific service.
How do modifiers 26 and TC apply?
Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
Does the multiple procedure reduction affect this code?
Yes. CMS applies the diagnostic imaging multiple procedure reduction to both the professional and technical components.
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
Fee sheets
Put 76019 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet