CPT code 91200: Liver elastography2026 Medicare rate & RVUs in Delaware
Reports mechanically induced liver elastography used to assess liver stiffness as a noninvasive marker of fibrosis in patients with chronic liver disease.
Medicare pays $33.38 for 91200 in the office in Delaware (Delaware). 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.
On this page 9 sections
What 91200 covers
This test uses mechanically generated shear waves, commonly vibration-controlled transient elastography, to measure liver stiffness without producing diagnostic images. It is used in evaluating conditions such as chronic viral hepatitis and fatty liver disease, where stiffness can help assess the likelihood or degree of hepatic fibrosis. Trained staff typically acquire the measurements in an outpatient setting, with a physician interpreting the results and documenting a report.
Select 91200 for the mechanically induced liver elastography service, rather than ultrasound elastography performed with imaging. The record should support the clinical reason for testing and include the interpreted results. The global service includes both the technical work, such as equipment and staff, and the professional interpretation and report. When those components are billed separately, report modifier 26 for the professional component or modifier TC for the technical component.
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.
91200 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $33.38 | Unavailable |
How the 91200 rate is calculated
Each of 91200’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 · 91200
RVUs × geographic indexes × conversion factor
Work0.20
0.20 RVUs× 1.000 GPCI
Practice expense0.79
0.79 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
1.0100
Conversion factor
$33.4009
Medicare rate
$33.73
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 91200
The CMS indicators that decide how 91200 is paid alongside other services.
CMS payment indicators · 91200
Liver elastography
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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
91200 without 26 · national office
$33.73
Liver elastography
91200-26 · Professional component
$11.02
Pays only the interpretation and report.
91200 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 76981Ultrasound elastography
- Use 91200 for mechanically induced liver stiffness testing without imaging. Code 76981 describes parenchymal ultrasound elastography with interpretation and report.
- 76982Ultrasound elastography
- Code 76982 describes ultrasound elastography with limited ultrasound imaging; 91200 is the mechanically induced, non-imaging liver elastography service.
- 76983Ultrasound elastography
- Code 76983 describes ultrasound elastography with complete ultrasound imaging. Choose 91200 when the liver stiffness test uses mechanical shear waves without imaging.
91200 billing questions
How is 91200 different from ultrasound elastography codes?
91200 describes mechanically induced shear-wave testing of the liver without imaging. Ultrasound elastography codes describe elastography performed with ultrasound imaging.
Can the professional and technical portions be billed separately?
Yes. Use modifier 26 for the interpretation and report, and modifier TC for equipment and staff. Without a modifier, 91200 represents the global service.
What documentation supports reporting 91200?
Document the clinical reason for evaluating liver stiffness, the test results, and the physician’s interpretation and report.
Is the test a liver biopsy?
No. It measures liver stiffness noninvasively and does not obtain tissue for histologic examination.
What clinical situations commonly prompt this test?
It is commonly used when assessing possible fibrosis in chronic liver disease, including chronic viral hepatitis or fatty liver disease.
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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