$9.35–$15.59
Choose 76014 for the clinical-staff implant or foreign-body assessment; choose 76016 when a physician or QHP makes the individualized safety determination.
On this page
CMS RVU26D · Effective 2026-10-01
76016 MR safety review Medicare reimbursement rates
Reports a physician or qualified health care professional’s individualized MR safety determination when an implant or possible foreign body requires clinical review before MRI. Compare 76016 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 76016?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$63.89–$95.50
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $31.61 per service.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 76016 pays more and less
109 payment localities
$63.89 to $95.50
MRI safety
About 76016: Physician MR safety determination
Reports a physician or qualified health care professional’s individualized MR safety determination when an implant or possible foreign body requires clinical review before MRI.
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.
CMS billing rules for 76016
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Multiple procedures
- Diagnostic imaging multiple procedure reduction applies to the technical and professional components.
Where the value comes from
- Work RVU0.59 · 27%
- Practice expense (office) RVU1.51 · 70%
- Malpractice RVU0.05 · 2%
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.
76016 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$44.93–$74.77
76015 reports additional clinical-staff assessment time. It is not the physician or QHP determination represented by 76016.
$192.73–$308.27
76017 is a customized medical physics examination. 76016 is the physician or QHP’s clinical MR safety determination.
$101.68–$156.38
76018 addresses electrical preparation of an implanted device; 76016 reports the broader physician or QHP safety decision.
See how rates vary across the country
76016 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$63.89
$85.85
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $84.19 | 1 |
| AL | $64.78 | 1 |
| AR | $63.89 | 1 |
| AZ | $70.01 | 1 |
| CA | $76.21–$95.50 | 29 |
| CO | $74.91 | 1 |
| CT | $76.44 | 1 |
| DC | $82.04 | 1 |
| DE | $71.14 | 1 |
| FL | $70.43–$76.43 | 3 |
| GA | $66.69–$73.01 | 2 |
| GU | $78.02 | 1 |
| HI | $78.02 | 1 |
| IA | $66.52 | 1 |
| ID | $66.90 | 1 |
| IL | $68.36–$74.60 | 4 |
| IN | $67.27 | 1 |
| KS | $66.14 | 1 |
| KY | $66.07 | 1 |
| LA | $65.94–$69.06 | 2 |
| MA | $74.46–$82.22 | 2 |
| MD | $72.48–$82.04 | 3 |
| ME | $67.15–$70.74 | 2 |
| MI | $67.64–$71.19 | 2 |
| MN | $72.10 | 1 |
| MO | $64.81–$69.39 | 3 |
| MS | $64.37 | 1 |
| MT | $71.81 | 1 |
| NC | $67.83 | 1 |
| ND | $70.82 | 1 |
| NE | $66.89 | 1 |
| NH | $73.67 | 1 |
| NJ | $77.40–$81.24 | 2 |
| NM | $67.96 | 1 |
| NV | $71.58 | 1 |
| NY | $68.79–$84.04 | 5 |
| OH | $67.44 | 1 |
| OK | $66.04 | 1 |
| OR | $71.11–$77.30 | 2 |
| PA | $67.58–$74.56 | 2 |
| PR | $72.34 | 1 |
| RI | $73.67 | 1 |
| SC | $67.73 | 1 |
| SD | $70.70 | 1 |
| TN | $66.45 | 1 |
| TX | $67.15–$74.59 | 8 |
| UT | $68.62 | 1 |
| VA | $70.46–$82.04 | 2 |
| VI | $72.34 | 1 |
| VT | $70.48 | 1 |
| WA | $74.34–$83.94 | 2 |
| WI | $68.54 | 1 |
| WV | $65.92 | 1 |
| WY | $71.38 | 1 |
Compare 76016 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $64.78 | Facility Unavailable |
| Alaska* | Office $84.19 | Facility Unavailable |
| Arizona | Office $70.01 | Facility Unavailable |
| Arkansas | Office $63.89 | Facility Unavailable |
| Atlanta | Office $73.01 | Facility Unavailable |
| Austin | Office $74.59 | Facility Unavailable |
| Bakersfield | Office $76.38 | Facility Unavailable |
| Baltimore/Surr. Cntys | Office $76.20 | Facility Unavailable |
| Beaumont | Office $67.15 | Facility Unavailable |
| Brazoria | Office $71.15 | Facility Unavailable |
| Chicago | Office $74.36 | Facility Unavailable |
| Chico | Office $76.21 | Facility Unavailable |
| Colorado | Office $74.91 | Facility Unavailable |
| Connecticut | Office $76.44 | Facility Unavailable |
| Dallas | Office $71.55 | Facility Unavailable |
| Dc + Md/Va Suburbs | Office $82.04 | Facility Unavailable |
| Delaware | Office $71.14 | Facility Unavailable |
| Detroit | Office $71.19 | Facility Unavailable |
| East St. Louis | Office $69.47 | Facility Unavailable |
| El Centro | Office $76.22 | Facility Unavailable |
| Fort Lauderdale | Office $73.82 | Facility Unavailable |
| Fort Worth | Office $71.07 | Facility Unavailable |
| Fresno | Office $76.21 | Facility Unavailable |
| Galveston | Office $71.33 | Facility Unavailable |
| Hanford-Corcoran | Office $76.21 | Facility Unavailable |
| Hawaii, Guam | Office $78.02 | Facility Unavailable |
| Houston | Office $72.24 | Facility Unavailable |
| Idaho | Office $66.90 | Facility Unavailable |
| Indiana | Office $67.27 | Facility Unavailable |
| Iowa | Office $66.52 | Facility Unavailable |
| Kansas | Office $66.14 | Facility Unavailable |
| Kentucky | Office $66.07 | Facility Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $81.29 | Facility Unavailable |
| Madera | Office $76.21 | Facility Unavailable |
| Manhattan | Office $82.22 | Facility Unavailable |
| Merced | Office $76.21 | Facility Unavailable |
| Metropolitan Boston | Office $82.22 | Facility Unavailable |
| Metropolitan Kansas City | Office $68.70 | Facility Unavailable |
| Metropolitan Philadelphia | Office $74.56 | Facility Unavailable |
| Metropolitan St. Louis | Office $69.39 | Facility Unavailable |
| Miami | Office $76.43 | Facility Unavailable |
| Minnesota | Office $72.10 | Facility Unavailable |
| Mississippi | Office $64.37 | Facility Unavailable |
| Modesto | Office $76.21 | Facility Unavailable |
| Montana** | Office $71.81 | Facility Unavailable |
| Napa | Office $88.27 | Facility Unavailable |
| Nebraska | Office $66.89 | Facility Unavailable |
| Nevada** | Office $71.58 | Facility Unavailable |
| New Hampshire | Office $73.67 | Facility Unavailable |
| New Mexico | Office $67.96 | Facility Unavailable |
| New Orleans | Office $69.06 | Facility Unavailable |
| North Carolina | Office $67.83 | Facility Unavailable |
| North Dakota** | Office $70.82 | Facility Unavailable |
| Northern Nj | Office $81.24 | Facility Unavailable |
| Nyc Suburbs/Long Island | Office $84.04 | Facility Unavailable |
| Ohio | Office $67.44 | Facility Unavailable |
| Oklahoma | Office $66.04 | Facility Unavailable |
| Oxnard-Thousand Oaks-Ventura | Office $80.91 | Facility Unavailable |
| Portland | Office $77.30 | Facility Unavailable |
| Poughkpsie/N Nyc Suburbs | Office $77.84 | Facility Unavailable |
| Puerto Rico | Office $72.34 | Facility Unavailable |
| Queens | Office $82.99 | Facility Unavailable |
| Redding | Office $76.21 | Facility Unavailable |
| Rest Of California | Office $76.21 | Facility Unavailable |
| Rest Of Florida | Office $70.43 | Facility Unavailable |
| Rest Of Georgia | Office $66.69 | Facility Unavailable |
| Rest Of Illinois | Office $68.36 | Facility Unavailable |
| Rest Of Louisiana | Office $65.94 | Facility Unavailable |
| Rest Of Maine | Office $67.15 | Facility Unavailable |
| Rest Of Maryland | Office $72.48 | Facility Unavailable |
| Rest Of Massachusetts | Office $74.46 | Facility Unavailable |
| Rest Of Michigan | Office $67.64 | Facility Unavailable |
| Rest Of Missouri | Office $64.81 | Facility Unavailable |
| Rest Of New Jersey | Office $77.40 | Facility Unavailable |
| Rest Of New York | Office $68.79 | Facility Unavailable |
| Rest Of Oregon | Office $71.11 | Facility Unavailable |
| Rest Of Pennsylvania | Office $67.58 | Facility Unavailable |
| Rest Of Texas | Office $69.08 | Facility Unavailable |
| Rest Of Washington | Office $74.34 | Facility Unavailable |
| Rhode Island | Office $73.67 | Facility Unavailable |
| Riverside-San Bernardino-Ontario | Office $76.76 | Facility Unavailable |
| Sacramento-Roseville-Folsom | Office $79.97 | Facility Unavailable |
| Salinas | Office $79.67 | Facility Unavailable |
| San Diego-Chula Vista-Carlsbad | Office $81.52 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $93.46 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $93.40 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $95.50 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $95.27 | Facility Unavailable |
| San Luis Obispo-Paso Robles | Office $78.38 | Facility Unavailable |
| Santa Cruz-Watsonville | Office $82.29 | Facility Unavailable |
| Santa Maria-Santa Barbara | Office $79.96 | Facility Unavailable |
| Santa Rosa-Petaluma | Office $83.13 | Facility Unavailable |
| Seattle (King Cnty) | Office $83.94 | Facility Unavailable |
| South Carolina | Office $67.73 | Facility Unavailable |
| South Dakota** | Office $70.70 | Facility Unavailable |
| Southern Maine | Office $70.74 | Facility Unavailable |
| Stockton | Office $76.21 | Facility Unavailable |
| Suburban Chicago | Office $74.60 | Facility Unavailable |
| Tennessee | Office $66.45 | Facility Unavailable |
| Utah | Office $68.62 | Facility Unavailable |
| Vallejo | Office $88.19 | Facility Unavailable |
| Vermont | Office $70.48 | Facility Unavailable |
| Virgin Islands | Office $72.34 | Facility Unavailable |
| Virginia | Office $70.46 | Facility Unavailable |
| Visalia | Office $76.21 | Facility Unavailable |
| West Virginia | Office $65.92 | Facility Unavailable |
| Wisconsin | Office $68.54 | Facility Unavailable |
| Wyoming** | Office $71.38 | Facility Unavailable |
| Yuba City | Office $76.21 | Facility Unavailable |
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76016 billing questions
How does 76016 differ from 76014?
76016 represents a physician or QHP’s individualized MR safety determination. 76014 is the clinical-staff implant or foreign-body assessment.
When is modifier 26 or TC appropriate?
Use modifier 26 for the professional interpretation and TC for the technical service. Without either modifier, the claim represents the global service.
Does a multiple procedure reduction affect this code?
Yes. CMS applies diagnostic imaging multiple procedure reduction to both the professional and technical components.
What documentation supports reporting 76016?
Document the implant or possible foreign-body concern, the information reviewed, the physician or QHP’s safety decision, and any conditions or precautions for MRI.
Is 76016 a timed clinical-staff assessment?
No. It reports the physician or QHP determination; 76014 and 76015 describe clinical-staff assessment services.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
8,64476010,TC,X-ray nose to rectum,A,,0.00,0.60,,0.60,NA,0.01,0.61,0.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,2.62,2.62,0.04
8,64576014,,Mr sfty implt&/fb asmt stf 1,A,,0.00,0.32,,0.32,NA,0.01,0.33,0.33,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,64676015,,Mr sfty mplt&/fb asmt stf ea,A,,0.00,1.53,,1.53,NA,0.06,1.59,1.59,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,64776016,,Mr safety deter phys/qhp,A,,0.59,1.51,,1.51,NA,0.05,2.15,2.15,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,64876016,26,Mr safety deter phys/qhp,A,,0.59,0.21,,0.21,,0.03,0.83,0.83,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,64976016,TC,Mr safety deter phys/qhp,A,,0.00,1.30,,1.30,NA,0.02,1.32,1.32,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,01,0,88,0.00,0.00,0.00
8,65076017,,Mr sfty med physics xm cstmz,A,,0.74,5.79,,5.79,NA,0.11,6.64,6.64,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00