CPT code 76019: MR safety, implant positioning or immobilization2026 Medicare rate & RVUs in Guam
Reports MR-safety positioning or immobilization for a patient with an implant when controlled positioning is part of safely performing the MR service.
Medicare pays $170.31 for 76019 in the office in Guam (Hawaii, Guam, HI). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 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.
76019 in Hawaii, Guam, HI
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam, HI | $170.31 | Unavailable |
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.
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.
76019 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 76014MRI safety assessmentInitial 15 minutes
- Use 76014 for MR-safety assessment of an implant or foreign body by MR personnel. Use 76019 for implant-related positioning or immobilization.
- 76016MR safety reviewPhysician or QHP determination
- Code 76016 represents a physician or qualified health care professional's MR-safety determination; 76019 represents positioning or immobilization work.
- 76018MRI implant preparationElectrical stimulation system
- Code 76018 covers preparation of an implantable electronic device. Code 76019 covers positioning or immobilizing the patient for MR safety.
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
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