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CMS RVU26D · Effective 2026-10-01

74182 in El Centro

Office / nonfacility

$322.42

Base rate per service

Facility setting

Not available in this setting

Base rate per service

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.

Diagnostic imaging

About 74182: Contrast-enhanced abdominal MRI

Report this service for an abdominal MRI performed with contrast only, such as imaging to evaluate a liver, pancreatic, or renal finding.

This service covers MRI imaging of the abdomen after contrast administration, commonly with an IV gadolinium-based agent when clinically appropriate. It may be used to assess findings involving abdominal organs such as the liver, pancreas, kidneys, spleen, or adrenal glands. A radiologist interprets the images; imaging-center or hospital staff provide the technical service using the MRI equipment.

Select this code when the examination uses contrast without both precontrast and postcontrast imaging; an exam performed both before and after contrast is reported with the corresponding with-and-without-contrast code. The order and report should identify the abdominal examination, the clinical indication, and the contrast protocol performed. Bill without a modifier for the global service, or use modifier 26 for interpretation or TC for equipment and staff when billing a separately priced component. When multiple diagnostic imaging procedures are performed, CMS applies the multiple procedure reduction to both the professional and technical components.

CMS billing rules for 74182

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 RVU1.69 · 19%
  • Practice expense (office) RVU7.18 · 80%
  • Malpractice RVU0.12 · 1%

3.9K

Medicare services in 2024 · #2016 by national volume

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.

74182 compared with similar codes

Office rates for El Centro, from the same CMS release.

74181

Abdominal MRI

Without contrast

$206.91

74181 describes abdominal MRI without contrast. Choose 74182 when contrast is used without a precontrast imaging series.

74183

MRI abdomen

Without and with contrast

$359.63

74183 applies when the abdominal MRI includes images both before and after contrast; 74182 is for contrast-only imaging.

74160

Abdominal CT

With contrast

$247.28

74160 is contrast-enhanced abdominal CT. Use the MRI code when the performed examination is MRI rather than CT.

74185

Mra abd w or w/o cntrst

No office rate

74185 describes abdominal MR angiography focused on blood vessels, not routine contrast-enhanced MRI of abdominal organs.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 74182 is $322.80—$0.38 higher than the $322.42 rate in El Centro. Both use the same code, release and participation basis.

74182 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $322.42

  2. $0.38 higher than El Centro

  3. Chico

    $322.40

    $0.02 lower than El Centro

  4. Fresno

    $322.40

    $0.02 lower than El Centro

  5. $0.02 lower than El Centro

  6. $22.71 higher than El Centro

  7. Madera

    $322.40

    $0.02 lower than El Centro

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 74182 ranges from $264.52 in Arkansas to $410.62 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas
  • Merced

    California · 74182

    Office

    $322.40

    Facility

    Unavailable

    $0.02 lower than El Centro for the office setting.

  • Modesto

    California · 74182

    Office

    $322.40

    Facility

    Unavailable

    $0.02 lower than El Centro for the office setting.

  • Napa

    California · 74182

    Office

    $378.12

    Facility

    Unavailable

    $55.70 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 74182

    Office

    $343.99

    Facility

    Unavailable

    $21.57 higher than El Centro for the office setting.

  • Redding

    California · 74182

    Office

    $322.40

    Facility

    Unavailable

    $0.02 lower than El Centro for the office setting.

  • Rest Of California

    California · 74182

    Office

    $322.40

    Facility

    Unavailable

    $0.02 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 74182

    Office

    $323.72

    Facility

    Unavailable

    $1.30 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 74182

    Office

    $339.54

    Facility

    Unavailable

    $17.12 higher than El Centro for the office setting.

  • Salinas

    California · 74182

    Office

    $338.30

    Facility

    Unavailable

    $15.88 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 74182

    Office

    $347.14

    Facility

    Unavailable

    $24.72 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 74182

    Office

    $401.79

    Facility

    Unavailable

    $79.37 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 74182

    Office

    $401.66

    Facility

    Unavailable

    $79.24 higher than El Centro for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 74182

    Office

    $410.62

    Facility

    Unavailable

    $88.20 higher than El Centro for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 74182

    Office

    $410.07

    Facility

    Unavailable

    $87.65 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 74182

    Office

    $332.71

    Facility

    Unavailable

    $10.29 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 74182

    Office

    $351.16

    Facility

    Unavailable

    $28.74 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 74182

    Office

    $339.80

    Facility

    Unavailable

    $17.38 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 74182

    Office

    $354.79

    Facility

    Unavailable

    $32.37 higher than El Centro for the office setting.

  • Stockton

    California · 74182

    Office

    $322.40

    Facility

    Unavailable

    $0.02 lower than El Centro for the office setting.

  • Vallejo

    California · 74182

    Office

    $377.92

    Facility

    Unavailable

    $55.50 higher than El Centro for the office setting.

  • Visalia

    California · 74182

    Office

    $322.40

    Facility

    Unavailable

    $0.02 lower than El Centro for the office setting.

  • Yuba City

    California · 74182

    Office

    $322.40

    Facility

    Unavailable

    $0.02 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 74182

    Office

    $346.46

    Facility

    Unavailable

    $24.04 higher than El Centro for the office setting.

  • Miami

    Florida · 74182

    Office

    $316.24

    Facility

    Unavailable

    $6.18 lower than El Centro for the office setting.

  • Chicago

    Illinois · 74182

    Office

    $307.06

    Facility

    Unavailable

    $15.36 lower than El Centro for the office setting.

  • Manhattan

    New York · 74182

    Office

    $345.09

    Facility

    Unavailable

    $22.67 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 74182

    Office

    $342.29

    Facility

    Unavailable

    $19.87 higher than El Centro for the office setting.

  • Alabama

    Alabama · 74182

    Office

    $268.56

    Facility

    Unavailable

    $53.86 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 74182

    Office

    $264.52

    Facility

    Unavailable

    $57.90 lower than El Centro for the office setting.

  • Arizona

    Arizona · 74182

    Office

    $292.26

    Facility

    Unavailable

    $30.16 lower than El Centro for the office setting.

  • Colorado

    Colorado · 74182

    Office

    $315.42

    Facility

    Unavailable

    $7.00 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 74182

    Office

    $320.71

    Facility

    Unavailable

    $1.71 lower than El Centro for the office setting.

  • Delaware

    Delaware · 74182

    Office

    $297.27

    Facility

    Unavailable

    $25.15 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 74182

    Office

    $306.63

    Facility

    Unavailable

    $15.79 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 74182

    Office

    $291.74

    Facility

    Unavailable

    $30.68 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 74182

    Office

    $305.09

    Facility

    Unavailable

    $17.33 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 74182

    Office

    $275.14

    Facility

    Unavailable

    $47.28 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 74182

    Office

    $331.44

    Facility

    Unavailable

    $9.02 higher than El Centro for the office setting.

  • Iowa

    Iowa · 74182

    Office

    $277.47

    Facility

    Unavailable

    $44.95 lower than El Centro for the office setting.

  • Idaho

    Idaho · 74182

    Office

    $278.98

    Facility

    Unavailable

    $43.44 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 74182

    Office

    $285.15

    Facility

    Unavailable

    $37.27 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 74182

    Office

    $281.67

    Facility

    Unavailable

    $40.75 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 74182

    Office

    $310.24

    Facility

    Unavailable

    $12.18 lower than El Centro for the office setting.

  • Indiana

    Indiana · 74182

    Office

    $280.71

    Facility

    Unavailable

    $41.71 lower than El Centro for the office setting.

  • Kansas

    Kansas · 74182

    Office

    $275.26

    Facility

    Unavailable

    $47.16 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 74182

    Office

    $273.31

    Facility

    Unavailable

    $49.11 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 74182

    Office

    $286.67

    Facility

    Unavailable

    $35.75 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 74182

    Office

    $272.53

    Facility

    Unavailable

    $49.89 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 74182

    Office

    $348.67

    Facility

    Unavailable

    $26.25 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 74182

    Office

    $313.07

    Facility

    Unavailable

    $9.35 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 74182

    Office

    $319.63

    Facility

    Unavailable

    $2.79 lower than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 74182

    Office

    $303.39

    Facility

    Unavailable

    $19.03 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 74182

    Office

    $279.57

    Facility

    Unavailable

    $42.85 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 74182

    Office

    $296.64

    Facility

    Unavailable

    $25.78 lower than El Centro for the office setting.

  • Detroit

    Michigan · 74182

    Office

    $294.63

    Facility

    Unavailable

    $27.79 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 74182

    Office

    $279.93

    Facility

    Unavailable

    $42.49 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 74182

    Office

    $304.41

    Facility

    Unavailable

    $18.01 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 74182

    Office

    $285.55

    Facility

    Unavailable

    $36.87 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 74182

    Office

    $288.77

    Facility

    Unavailable

    $33.65 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 74182

    Office

    $267.07

    Facility

    Unavailable

    $55.35 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 74182

    Office

    $265.89

    Facility

    Unavailable

    $56.53 lower than El Centro for the office setting.

  • Montana**

    Montana · 74182

    Office

    $300.27

    Facility

    Unavailable

    $22.15 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 74182

    Office

    $282.76

    Facility

    Unavailable

    $39.66 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 74182

    Office

    $297.89

    Facility

    Unavailable

    $24.53 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 74182

    Office

    $279.32

    Facility

    Unavailable

    $43.10 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 74182

    Office

    $309.61

    Facility

    Unavailable

    $12.81 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 74182

    Office

    $342.47

    Facility

    Unavailable

    $20.05 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 74182

    Office

    $324.98

    Facility

    Unavailable

    $2.56 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 74182

    Office

    $281.17

    Facility

    Unavailable

    $41.25 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 74182

    Office

    $299.84

    Facility

    Unavailable

    $22.58 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 74182

    Office

    $352.65

    Facility

    Unavailable

    $30.23 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 74182

    Office

    $326.44

    Facility

    Unavailable

    $4.02 higher than El Centro for the office setting.

  • Queens

    New York · 74182

    Office

    $349.31

    Facility

    Unavailable

    $26.89 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 74182

    Office

    $287.09

    Facility

    Unavailable

    $35.33 lower than El Centro for the office setting.

  • Ohio

    Ohio · 74182

    Office

    $279.44

    Facility

    Unavailable

    $42.98 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 74182

    Office

    $273.72

    Facility

    Unavailable

    $48.70 lower than El Centro for the office setting.

  • Portland

    Oregon · 74182

    Office

    $326.77

    Facility

    Unavailable

    $4.35 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 74182

    Office

    $298.12

    Facility

    Unavailable

    $24.30 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 74182

    Office

    $311.90

    Facility

    Unavailable

    $10.52 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 74182

    Office

    $280.39

    Facility

    Unavailable

    $42.03 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 74182

    Office

    $302.85

    Facility

    Unavailable

    $19.57 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 74182

    Office

    $308.83

    Facility

    Unavailable

    $13.59 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 74182

    Office

    $281.45

    Facility

    Unavailable

    $40.97 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 74182

    Office

    $297.61

    Facility

    Unavailable

    $24.81 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 74182

    Office

    $276.59

    Facility

    Unavailable

    $45.83 lower than El Centro for the office setting.

  • Austin

    Texas · 74182

    Office

    $313.84

    Facility

    Unavailable

    $8.58 lower than El Centro for the office setting.

  • Beaumont

    Texas · 74182

    Office

    $278.41

    Facility

    Unavailable

    $44.01 lower than El Centro for the office setting.

  • Brazoria

    Texas · 74182

    Office

    $297.69

    Facility

    Unavailable

    $24.73 lower than El Centro for the office setting.

  • Dallas

    Texas · 74182

    Office

    $299.25

    Facility

    Unavailable

    $23.17 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 74182

    Office

    $296.91

    Facility

    Unavailable

    $25.51 lower than El Centro for the office setting.

  • Galveston

    Texas · 74182

    Office

    $298.36

    Facility

    Unavailable

    $24.06 lower than El Centro for the office setting.

  • Houston

    Texas · 74182

    Office

    $300.55

    Facility

    Unavailable

    $21.87 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 74182

    Office

    $287.65

    Facility

    Unavailable

    $34.77 lower than El Centro for the office setting.

  • Utah

    Utah · 74182

    Office

    $285.48

    Facility

    Unavailable

    $36.94 lower than El Centro for the office setting.

  • Virginia

    Virginia · 74182

    Office

    $295.02

    Facility

    Unavailable

    $27.40 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 74182

    Office

    $302.85

    Facility

    Unavailable

    $19.57 lower than El Centro for the office setting.

  • Vermont

    Vermont · 74182

    Office

    $295.90

    Facility

    Unavailable

    $26.52 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 74182

    Office

    $312.76

    Facility

    Unavailable

    $9.66 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 74182

    Office

    $356.80

    Facility

    Unavailable

    $34.38 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 74182

    Office

    $287.43

    Facility

    Unavailable

    $34.99 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 74182

    Office

    $270.59

    Facility

    Unavailable

    $51.83 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 74182

    Office

    $299.23

    Facility

    Unavailable

    $23.19 lower than El Centro for the office setting.

See how rates vary across the country

74182 · 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.

$264.52

$366.51

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$342.291
AL$268.561
AR$264.521
AZ$292.261
CA$322.40–$410.6229
CO$315.421
CT$320.711
DC$346.461
DE$297.271
FL$291.74–$316.243
GA$275.14–$305.092
GU$331.441
HI$331.441
IA$277.471
ID$278.981
IL$281.67–$310.244
IN$280.711
KS$275.261
KY$273.311
LA$272.53–$286.672
MA$313.07–$348.672
MD$303.39–$346.463
ME$279.57–$296.642
MI$279.93–$294.632
MN$304.411
MO$267.07–$288.773
MS$265.891
MT$300.271
NC$282.761
ND$297.891
NE$279.321
NH$309.611
NJ$324.98–$342.472
NM$281.171
NV$299.841
NY$287.09–$352.655
OH$279.441
OK$273.721
OR$298.12–$326.772
PA$280.39–$311.902
PR$302.851
RI$308.831
SC$281.451
SD$297.611
TN$276.591
TX$278.41–$313.848
UT$285.481
VA$295.02–$346.462
VI$302.851
VT$295.901
WA$312.76–$356.802
WI$287.431
WV$270.591
WY$299.231

Explore 74182 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 74182 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$354.66

$322.42 × 110% = $354.66

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 74182 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

8,327

Code
74182
Physician work
1.69
Practice expense
7.18
Malpractice
0.12

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 74182 in El Centro
ComponentRVULocality factorAdjusted
Physician work1.69× 1.0171.7187
Practice expense7.18× 1.0967.8693
Malpractice0.12× 0.5410.0649
Total RVUs9.6529
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$322.42

Open 74182 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.691.017
Practice expense7.181.096
Malpractice0.120.541

(1.69 × 1.017 + 7.18 × 1.096 + 0.12 × 0.541) × $33.4009 = $322.42

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

74182 · Office / nonfacility

$322.42

Effective 2026-10-01

The base rate is $3.79 higher than on 2025-10-01, moving from $318.63 to $322.42 (1.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $318.63changed to$322.42

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.73 changed to 1.69
    • Practice expense RVU 7.35 changed to 7.18
    • Malpractice RVU 0.11 changed to 0.12
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $318.63

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$322.42Not available in this settingRVU26D
2026-07-01$322.42Not available in this settingRVU26C
2026-04-01$322.42Not available in this settingRVU26B
2026-01-01$322.42Not available in this settingRVU26A
2025-10-01$318.63Not available in this settingRVU25D
2025-07-01$318.63Not available in this settingRVU25C
2025-04-01$318.63Not available in this settingRVU25B
2025-01-01$318.63Not available in this settingRVU25A

74182 billing questions

When is 74182 used instead of 74183?

Use 74182 when the abdominal MRI is performed with contrast only. Use 74183 when the exam includes imaging both before and after contrast.

Can the interpretation and technical service be billed separately?

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

Does the multiple procedure reduction affect both components?

Yes. CMS applies the diagnostic imaging multiple procedure reduction to both the professional and technical components.

What documentation supports this code?

The record should support an abdominal MRI, the clinical reason for imaging, and the contrast protocol actually performed. The radiology report should document the examination and its findings.

How does this differ from an abdominal MRI without contrast?

Code 74182 represents an abdominal MRI with contrast only. Code 74181 is for an abdominal MRI performed without contrast.

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.

RVUs for 74182PPRRVU2026_Oct_nonQPP.csv, line 8,327 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)