$293.77
Use 70542 for an orbit, face, or neck MRI performed with contrast; 70540 is for the examination without contrast.
On this page
CMS RVU26D · Effective 2026-10-01
70540 MRI Medicare reimbursement rates in Hawaii
MRI of the orbit, face, or neck without contrast evaluates soft-tissue structures when the ordered study does not use contrast material. Compare 70540 office and facility rates across CMS payment localities in Hawaii.
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 70540 in Hawaii?
Hawaii 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
$247.49
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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.
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 Hawaii, from the same CMS release.
$370.78
70543 applies when the examination includes imaging both without and with contrast. 70540 covers the noncontrast examination only.
$213.71
70551 is for a brain MRI without contrast. 70540 is selected when the imaged region is the orbit, face, or neck.
Compare 70540 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
Hawaii, Guam →
Office / nonfacility
$247.49
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 70540 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
7,829
- Code
- 70540
- Physician work
- 1.32
- Practice expense
- 5.31
- Malpractice
- 0.09
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.32 | × 1.000 | 1.3200 |
| Practice expense | 5.31 | × 1.137 | 6.0375 |
| Malpractice | 0.09 | × 0.579 | 0.0521 |
| Total RVUs | 7.4096 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$247.49
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.32 | 1 |
| Practice expense | 5.31 | 1.137 |
| Malpractice | 0.09 | 0.579 |
(1.32 × 1 + 5.31 × 1.137 + 0.09 × 0.579) × $33.4009 = $247.49
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.
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.
7,82670498,,Ct angiography neck,A,,1.71,6.37,,6.37,NA,0.12,8.20,8.20,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,5.94,5.94,0.12
7,82770498,26,Ct angiography neck,A,,1.71,0.60,,0.60,,0.09,2.40,2.40,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
7,82870498,TC,Ct angiography neck,A,,0.00,5.77,,5.77,NA,0.03,5.80,5.80,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,02,0,88,5.34,5.34,0.03
7,82970540,,Mri orbit/face/neck w/o dye,A,,1.32,5.31,,5.31,NA,0.09,6.72,6.72,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,7.73,7.73,0.10
7,83070540,26,Mri orbit/face/neck w/o dye,A,,1.32,0.46,,0.46,,0.07,1.85,1.85,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
7,83170540,TC,Mri orbit/face/neck w/o dye,A,,0.00,4.85,,4.85,NA,0.02,4.87,4.87,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,01,0,88,7.27,7.27,0.03
7,83270542,,Mri orbit/face/neck w/dye,A,,1.58,6.29,,6.29,NA,0.11,7.98,7.98,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,11.19,11.19,0.14
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014