$9.54
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 in Alabama
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 in Alabama.
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 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$64.78
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
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.
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 rates for Alabama, from the same CMS release.
$45.85
76015 reports additional clinical-staff assessment time. It is not the physician or QHP determination represented by 76016.
$196.01
76017 is a customized medical physics examination. 76016 is the physician or QHP’s clinical MR safety determination.
$103.17
76018 addresses electrical preparation of an implanted device; 76016 reports the broader physician or QHP safety decision.
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.
1 of 1 payment localities
Alabama →
Office / nonfacility
$64.78
Facility
Unavailable
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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 76016 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
8,647
- Code
- 76016
- Physician work
- 0.59
- Practice expense
- 1.51
- Malpractice
- 0.05
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.59 | × 1.000 | 0.5900 |
| Practice expense | 1.51 | × 0.875 | 1.3213 |
| Malpractice | 0.05 | × 0.566 | 0.0283 |
| Total RVUs | 1.9395 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$64.78
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.59 | 1 |
| Practice expense | 1.51 | 0.875 |
| Malpractice | 0.05 | 0.566 |
(0.59 × 1 + 1.51 × 0.875 + 0.05 × 0.566) × $33.4009 = $64.78
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.
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
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515