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CMS RVU26D · Effective 2026-10-01

70540 in Vallejo

Office / nonfacility

$282.01

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 70540: MRI of orbit, face, or neck without contrast

MRI of the orbit, face, or neck without contrast evaluates soft-tissue structures when the ordered study does not use contrast material.

This service is an MRI examination focused on the orbit, face, or neck, performed without contrast material. It may be ordered to evaluate soft-tissue concerns such as an orbital abnormality or a mass in the face or neck. A radiologic technologist performs the scan, and a physician, typically a radiologist, interprets the images. The exam may take place in a hospital, imaging center, or other setting with MRI equipment.

Report 70540 when the documented study covers the orbit, face, or neck and is performed without contrast. The order and imaging report should support the body region examined and the contrast protocol. The code represents the global service when billed without a component modifier; modifier 26 identifies the physician interpretation, while modifier TC identifies the technical service, including equipment and staff. CMS applies the diagnostic imaging multiple procedure reduction to both the technical and professional components when the rule is triggered.

CMS billing rules for 70540

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 RVU1.32 · 20%
  • Practice expense (office) RVU5.31 · 79%
  • Malpractice RVU0.09 · 1%

9.7K

Medicare services in 2024 · #1481 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.

70540 compared with similar codes

Office rates for Vallejo, from the same CMS release.

70542

MRI with contrast

Orbit, face, or neck

$334.69

Use 70542 for an orbit, face, or neck MRI performed with contrast; 70540 is for the examination without contrast.

70543

Regional MRI

Without and with contrast

$422.00

70543 applies when the examination includes imaging both without and with contrast. 70540 covers the noncontrast examination only.

70551

Brain MRI

Without contrast

$242.40

70551 is for a brain MRI without contrast. 70540 is selected when the imaged region is the orbit, face, or neck.

The same code, a different location

How does Vallejo compare?

In Bakersfield, the office rate for 70540 is $241.14—$40.87 lower than the $282.01 rate in Vallejo. Both use the same code, release and participation basis.

70540 across payment areas

Same release and payment basis · bars start at $0

  1. Vallejo · This locality

    $282.01

  2. Bakersfield

    $241.14

    $40.87 lower than Vallejo

  3. Chico

    $240.84

    $41.17 lower than Vallejo

  4. El Centro

    $240.85

    $41.16 lower than Vallejo

  5. Fresno

    $240.84

    $41.17 lower than Vallejo

  6. Hanford-Corcoran

    $240.84

    $41.17 lower than Vallejo

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $257.71

    $24.30 lower than Vallejo

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, 70540 ranges from $197.99 in Arkansas to $306.30 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

  • Madera

    California · 70540

    Office

    $240.84

    Facility

    Unavailable

    $41.17 lower than Vallejo for the office setting.

  • Merced

    California · 70540

    Office

    $240.84

    Facility

    Unavailable

    $41.17 lower than Vallejo for the office setting.

  • Modesto

    California · 70540

    Office

    $240.84

    Facility

    Unavailable

    $41.17 lower than Vallejo for the office setting.

  • Napa

    California · 70540

    Office

    $282.15

    Facility

    Unavailable

    $0.14 higher than Vallejo for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 70540

    Office

    $256.83

    Facility

    Unavailable

    $25.18 lower than Vallejo for the office setting.

  • Redding

    California · 70540

    Office

    $240.84

    Facility

    Unavailable

    $41.17 lower than Vallejo for the office setting.

  • Rest Of California

    California · 70540

    Office

    $240.84

    Facility

    Unavailable

    $41.17 lower than Vallejo for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 70540

    Office

    $241.83

    Facility

    Unavailable

    $40.18 lower than Vallejo for the office setting.

  • Sacramento-Roseville-Folsom

    California · 70540

    Office

    $253.56

    Facility

    Unavailable

    $28.45 lower than Vallejo for the office setting.

  • Salinas

    California · 70540

    Office

    $252.63

    Facility

    Unavailable

    $29.38 lower than Vallejo for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 70540

    Office

    $259.16

    Facility

    Unavailable

    $22.85 lower than Vallejo for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 70540

    Office

    $299.73

    Facility

    Unavailable

    $17.72 higher than Vallejo for the office setting.

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

    California · 70540

    Office

    $299.63

    Facility

    Unavailable

    $17.62 higher than Vallejo for the office setting.

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

    California · 70540

    Office

    $306.30

    Facility

    Unavailable

    $24.29 higher than Vallejo for the office setting.

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

    California · 70540

    Office

    $305.88

    Facility

    Unavailable

    $23.87 higher than Vallejo for the office setting.

  • San Luis Obispo-Paso Robles

    California · 70540

    Office

    $248.46

    Facility

    Unavailable

    $33.55 lower than Vallejo for the office setting.

  • Santa Cruz-Watsonville

    California · 70540

    Office

    $262.12

    Facility

    Unavailable

    $19.89 lower than Vallejo for the office setting.

  • Santa Maria-Santa Barbara

    California · 70540

    Office

    $253.74

    Facility

    Unavailable

    $28.27 lower than Vallejo for the office setting.

  • Santa Rosa-Petaluma

    California · 70540

    Office

    $264.82

    Facility

    Unavailable

    $17.19 lower than Vallejo for the office setting.

  • Stockton

    California · 70540

    Office

    $240.84

    Facility

    Unavailable

    $41.17 lower than Vallejo for the office setting.

  • Visalia

    California · 70540

    Office

    $240.84

    Facility

    Unavailable

    $41.17 lower than Vallejo for the office setting.

  • Yuba City

    California · 70540

    Office

    $240.84

    Facility

    Unavailable

    $41.17 lower than Vallejo for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 70540

    Office

    $258.74

    Facility

    Unavailable

    $23.27 lower than Vallejo for the office setting.

  • Miami

    Florida · 70540

    Office

    $236.32

    Facility

    Unavailable

    $45.69 lower than Vallejo for the office setting.

  • Chicago

    Illinois · 70540

    Office

    $229.54

    Facility

    Unavailable

    $52.47 lower than Vallejo for the office setting.

  • Manhattan

    New York · 70540

    Office

    $257.77

    Facility

    Unavailable

    $24.24 lower than Vallejo for the office setting.

  • Alaska*

    Alaska · 70540

    Office

    $256.68

    Facility

    Unavailable

    $25.33 lower than Vallejo for the office setting.

  • Alabama

    Alabama · 70540

    Office

    $200.98

    Facility

    Unavailable

    $81.03 lower than Vallejo for the office setting.

  • Arkansas

    Arkansas · 70540

    Office

    $197.99

    Facility

    Unavailable

    $84.02 lower than Vallejo for the office setting.

  • Arizona

    Arizona · 70540

    Office

    $218.52

    Facility

    Unavailable

    $63.49 lower than Vallejo for the office setting.

  • Colorado

    Colorado · 70540

    Office

    $235.68

    Facility

    Unavailable

    $46.33 lower than Vallejo for the office setting.

  • Connecticut

    Connecticut · 70540

    Office

    $239.62

    Facility

    Unavailable

    $42.39 lower than Vallejo for the office setting.

  • Delaware

    Delaware · 70540

    Office

    $222.24

    Facility

    Unavailable

    $59.77 lower than Vallejo for the office setting.

  • Fort Lauderdale

    Florida · 70540

    Office

    $229.19

    Facility

    Unavailable

    $52.82 lower than Vallejo for the office setting.

  • Rest Of Florida

    Florida · 70540

    Office

    $218.16

    Facility

    Unavailable

    $63.85 lower than Vallejo for the office setting.

  • Atlanta

    Georgia · 70540

    Office

    $228.03

    Facility

    Unavailable

    $53.98 lower than Vallejo for the office setting.

  • Rest Of Georgia

    Georgia · 70540

    Office

    $205.88

    Facility

    Unavailable

    $76.13 lower than Vallejo for the office setting.

  • Hawaii, Guam

    Hawaii · 70540

    Office

    $247.49

    Facility

    Unavailable

    $34.52 lower than Vallejo for the office setting.

  • Iowa

    Iowa · 70540

    Office

    $207.57

    Facility

    Unavailable

    $74.44 lower than Vallejo for the office setting.

  • Idaho

    Idaho · 70540

    Office

    $208.68

    Facility

    Unavailable

    $73.33 lower than Vallejo for the office setting.

  • East St. Louis

    Illinois · 70540

    Office

    $213.31

    Facility

    Unavailable

    $68.70 lower than Vallejo for the office setting.

  • Rest Of Illinois

    Illinois · 70540

    Office

    $210.72

    Facility

    Unavailable

    $71.29 lower than Vallejo for the office setting.

  • Suburban Chicago

    Illinois · 70540

    Office

    $231.87

    Facility

    Unavailable

    $50.14 lower than Vallejo for the office setting.

  • Indiana

    Indiana · 70540

    Office

    $209.96

    Facility

    Unavailable

    $72.05 lower than Vallejo for the office setting.

  • Kansas

    Kansas · 70540

    Office

    $205.94

    Facility

    Unavailable

    $76.07 lower than Vallejo for the office setting.

  • Kentucky

    Kentucky · 70540

    Office

    $204.51

    Facility

    Unavailable

    $77.50 lower than Vallejo for the office setting.

  • New Orleans

    Louisiana · 70540

    Office

    $214.40

    Facility

    Unavailable

    $67.61 lower than Vallejo for the office setting.

  • Rest Of Louisiana

    Louisiana · 70540

    Office

    $203.93

    Facility

    Unavailable

    $78.08 lower than Vallejo for the office setting.

  • Metropolitan Boston

    Massachusetts · 70540

    Office

    $260.34

    Facility

    Unavailable

    $21.67 lower than Vallejo for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 70540

    Office

    $233.95

    Facility

    Unavailable

    $48.06 lower than Vallejo for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 70540

    Office

    $238.82

    Facility

    Unavailable

    $43.19 lower than Vallejo for the office setting.

  • Rest Of Maryland

    Maryland · 70540

    Office

    $226.78

    Facility

    Unavailable

    $55.23 lower than Vallejo for the office setting.

  • Rest Of Maine

    Maine · 70540

    Office

    $209.13

    Facility

    Unavailable

    $72.88 lower than Vallejo for the office setting.

  • Southern Maine

    Maine · 70540

    Office

    $221.75

    Facility

    Unavailable

    $60.26 lower than Vallejo for the office setting.

  • Detroit

    Michigan · 70540

    Office

    $220.31

    Facility

    Unavailable

    $61.70 lower than Vallejo for the office setting.

  • Rest Of Michigan

    Michigan · 70540

    Office

    $209.41

    Facility

    Unavailable

    $72.60 lower than Vallejo for the office setting.

  • Minnesota

    Minnesota · 70540

    Office

    $227.48

    Facility

    Unavailable

    $54.53 lower than Vallejo for the office setting.

  • Metropolitan Kansas City

    Missouri · 70540

    Office

    $213.57

    Facility

    Unavailable

    $68.44 lower than Vallejo for the office setting.

  • Metropolitan St. Louis

    Missouri · 70540

    Office

    $215.95

    Facility

    Unavailable

    $66.06 lower than Vallejo for the office setting.

  • Rest Of Missouri

    Missouri · 70540

    Office

    $199.90

    Facility

    Unavailable

    $82.11 lower than Vallejo for the office setting.

  • Mississippi

    Mississippi · 70540

    Office

    $199.02

    Facility

    Unavailable

    $82.99 lower than Vallejo for the office setting.

  • Montana**

    Montana · 70540

    Office

    $224.45

    Facility

    Unavailable

    $57.56 lower than Vallejo for the office setting.

  • North Carolina

    North Carolina · 70540

    Office

    $211.49

    Facility

    Unavailable

    $70.52 lower than Vallejo for the office setting.

  • North Dakota**

    North Dakota · 70540

    Office

    $222.67

    Facility

    Unavailable

    $59.34 lower than Vallejo for the office setting.

  • Nebraska

    Nebraska · 70540

    Office

    $208.93

    Facility

    Unavailable

    $73.08 lower than Vallejo for the office setting.

  • New Hampshire

    New Hampshire · 70540

    Office

    $231.35

    Facility

    Unavailable

    $50.66 lower than Vallejo for the office setting.

  • Northern Nj

    New Jersey · 70540

    Office

    $255.81

    Facility

    Unavailable

    $26.20 lower than Vallejo for the office setting.

  • Rest Of New Jersey

    New Jersey · 70540

    Office

    $242.83

    Facility

    Unavailable

    $39.18 lower than Vallejo for the office setting.

  • New Mexico

    New Mexico · 70540

    Office

    $210.34

    Facility

    Unavailable

    $71.67 lower than Vallejo for the office setting.

  • Nevada**

    Nevada · 70540

    Office

    $224.13

    Facility

    Unavailable

    $57.88 lower than Vallejo for the office setting.

  • Nyc Suburbs/Long Island

    New York · 70540

    Office

    $263.37

    Facility

    Unavailable

    $18.64 lower than Vallejo for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 70540

    Office

    $243.92

    Facility

    Unavailable

    $38.09 lower than Vallejo for the office setting.

  • Queens

    New York · 70540

    Office

    $260.88

    Facility

    Unavailable

    $21.13 lower than Vallejo for the office setting.

  • Rest Of New York

    New York · 70540

    Office

    $214.69

    Facility

    Unavailable

    $67.32 lower than Vallejo for the office setting.

  • Ohio

    Ohio · 70540

    Office

    $209.05

    Facility

    Unavailable

    $72.96 lower than Vallejo for the office setting.

  • Oklahoma

    Oklahoma · 70540

    Office

    $204.81

    Facility

    Unavailable

    $77.20 lower than Vallejo for the office setting.

  • Portland

    Oregon · 70540

    Office

    $244.08

    Facility

    Unavailable

    $37.93 lower than Vallejo for the office setting.

  • Rest Of Oregon

    Oregon · 70540

    Office

    $222.85

    Facility

    Unavailable

    $59.16 lower than Vallejo for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 70540

    Office

    $233.10

    Facility

    Unavailable

    $48.91 lower than Vallejo for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 70540

    Office

    $209.75

    Facility

    Unavailable

    $72.26 lower than Vallejo for the office setting.

  • Puerto Rico

    Puerto Rico · 70540

    Office

    $226.36

    Facility

    Unavailable

    $55.65 lower than Vallejo for the office setting.

  • Rhode Island

    Rhode Island · 70540

    Office

    $230.82

    Facility

    Unavailable

    $51.19 lower than Vallejo for the office setting.

  • South Carolina

    South Carolina · 70540

    Office

    $210.52

    Facility

    Unavailable

    $71.49 lower than Vallejo for the office setting.

  • South Dakota**

    South Dakota · 70540

    Office

    $222.46

    Facility

    Unavailable

    $59.55 lower than Vallejo for the office setting.

  • Tennessee

    Tennessee · 70540

    Office

    $206.92

    Facility

    Unavailable

    $75.09 lower than Vallejo for the office setting.

  • Austin

    Texas · 70540

    Office

    $234.49

    Facility

    Unavailable

    $47.52 lower than Vallejo for the office setting.

  • Beaumont

    Texas · 70540

    Office

    $208.28

    Facility

    Unavailable

    $73.73 lower than Vallejo for the office setting.

  • Brazoria

    Texas · 70540

    Office

    $222.55

    Facility

    Unavailable

    $59.46 lower than Vallejo for the office setting.

  • Dallas

    Texas · 70540

    Office

    $223.71

    Facility

    Unavailable

    $58.30 lower than Vallejo for the office setting.

  • Fort Worth

    Texas · 70540

    Office

    $221.98

    Facility

    Unavailable

    $60.03 lower than Vallejo for the office setting.

  • Galveston

    Texas · 70540

    Office

    $223.05

    Facility

    Unavailable

    $58.96 lower than Vallejo for the office setting.

  • Houston

    Texas · 70540

    Office

    $224.70

    Facility

    Unavailable

    $57.31 lower than Vallejo for the office setting.

  • Rest Of Texas

    Texas · 70540

    Office

    $215.12

    Facility

    Unavailable

    $66.89 lower than Vallejo for the office setting.

  • Utah

    Utah · 70540

    Office

    $213.51

    Facility

    Unavailable

    $68.50 lower than Vallejo for the office setting.

  • Virginia

    Virginia · 70540

    Office

    $220.56

    Facility

    Unavailable

    $61.45 lower than Vallejo for the office setting.

  • Virgin Islands

    United States Virgin Islands · 70540

    Office

    $226.36

    Facility

    Unavailable

    $55.65 lower than Vallejo for the office setting.

  • Vermont

    Vermont · 70540

    Office

    $221.20

    Facility

    Unavailable

    $60.81 lower than Vallejo for the office setting.

  • Rest Of Washington

    Washington · 70540

    Office

    $233.71

    Facility

    Unavailable

    $48.30 lower than Vallejo for the office setting.

  • Seattle (King Cnty)

    Washington · 70540

    Office

    $266.37

    Facility

    Unavailable

    $15.64 lower than Vallejo for the office setting.

  • Wisconsin

    Wisconsin · 70540

    Office

    $214.92

    Facility

    Unavailable

    $67.09 lower than Vallejo for the office setting.

  • West Virginia

    West Virginia · 70540

    Office

    $202.52

    Facility

    Unavailable

    $79.49 lower than Vallejo for the office setting.

  • Wyoming**

    Wyoming · 70540

    Office

    $223.67

    Facility

    Unavailable

    $58.34 lower than Vallejo for the office setting.

See how rates vary across the country

70540 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$197.99

$273.57

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$256.681
AL$200.981
AR$197.991
AZ$218.521
CA$240.84–$306.3029
CO$235.681
CT$239.621
DC$258.741
DE$222.241
FL$218.16–$236.323
GA$205.88–$228.032
GU$247.491
HI$247.491
IA$207.571
ID$208.681
IL$210.72–$231.874
IN$209.961
KS$205.941
KY$204.511
LA$203.93–$214.402
MA$233.95–$260.342
MD$226.78–$258.743
ME$209.13–$221.752
MI$209.41–$220.312
MN$227.481
MO$199.90–$215.953
MS$199.021
MT$224.451
NC$211.491
ND$222.671
NE$208.931
NH$231.351
NJ$242.83–$255.812
NM$210.341
NV$224.131
NY$214.69–$263.375
OH$209.051
OK$204.811
OR$222.85–$244.082
PA$209.75–$233.102
PR$226.361
RI$230.821
SC$210.521
SD$222.461
TN$206.921
TX$208.28–$234.498
UT$213.511
VA$220.56–$258.742
VI$226.361
VT$221.201
WA$233.71–$266.372
WI$214.921
WV$202.521
WY$223.671

Explore 70540 on the national rate map →

Where does this rate apply?

Vallejo is a Medicare payment area. Our Census mapping connects it to 11 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.

Browse all communities in California →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 70540 in Vallejo. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$310.21

$282.01 × 110% = $310.21

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.

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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 70540 in Vallejo.

PPRRVU2026_Oct_nonQPP.csv

7,829

Code
70540
Physician work
1.32
Practice expense
5.31
Malpractice
0.09

GPCI2026.csv

33

Locality
Vallejo
Physician work
1.063
Practice expense
1.318
Malpractice
0.459
Office / nonfacility calculation for 70540 in Vallejo
ComponentRVULocality factorAdjusted
Physician work1.32× 1.0631.4032
Practice expense5.31× 1.3186.9986
Malpractice0.09× 0.4590.0413
Total RVUs8.4430
Conversion factor× 33.4009

Office / nonfacility rate, Vallejo$282.01

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 70540 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.321.063
Practice expense5.311.318
Malpractice0.090.459

(1.32 × 1.063 + 5.31 × 1.318 + 0.09 × 0.459) × $33.4009 = $282.01

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

70540 · Office / nonfacility

$282.01

Effective 2026-10-01

The base rate is $4.08 higher than on 2025-10-01, moving from $277.93 to $282.01 (1.5%).

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

    $277.93changed to$282.01

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.35 changed to 1.32
    • Practice expense RVU 5.44 changed to 5.31
    • Malpractice RVU 0.08 changed to 0.09
    • Work GPCI 1.058 changed to 1.063
    • Practice expense GPCI 1.310 changed to 1.318
    • Malpractice GPCI 0.470 changed to 0.459

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $277.93

    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$282.01Not available in this settingRVU26D
2026-07-01$282.01Not available in this settingRVU26C
2026-04-01$282.01Not available in this settingRVU26B
2026-01-01$282.01Not available in this settingRVU26A
2025-10-01$277.93Not available in this settingRVU25D
2025-07-01$277.93Not available in this settingRVU25C
2025-04-01$277.93Not available in this settingRVU25B
2025-01-01$277.93Not available in this settingRVU25A

70540 billing questions

How does 70540 differ from 70542?

70540 is for the orbit, face, or neck MRI performed without contrast. Use 70542 when the study is performed with contrast.

When is 70543 reported instead?

70543 describes an orbit, face, or neck MRI performed both without and with contrast. Follow the documented imaging protocol rather than choosing based only on the clinical indication.

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 claim represents the global service.

What documentation supports 70540?

The order and report should identify the orbit, face, or neck as the imaged region and show that the examination was performed without contrast.

How does the multiple procedure reduction affect 70540?

When the diagnostic imaging multiple procedure reduction applies, CMS applies it to the technical and professional components.

Should 70540 be used for a brain MRI?

No. Choose a brain MRI code when the imaged anatomy is the brain rather than the orbit, face, or neck; for example, 70551 is a brain MRI 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 70540PPRRVU2026_Oct_nonQPP.csv, line 7,829 (RVU26D)
Geographic factors for VallejoGPCI2026.csv, line 33 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet