76390
No office rateMr spectroscopy
76391 assesses tissue stiffness using MRI. Code 76390 is used for MR spectroscopy, which analyzes tissue chemistry.
On this page
CMS RVU26D · Effective 2026-10-01
76391 MRI elastography Medicare reimbursement rates in Massachusetts
Reports MRI-based measurement of tissue stiffness, most often to assess liver fibrosis in patients with chronic liver disease. Compare 76391 office and facility rates across CMS payment localities in Massachusetts.
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 76391 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$205.86–$229.41
2 of 2 localities have a supported rate.
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
About 76391: Magnetic resonance elastography exam
Reports MRI-based measurement of tissue stiffness, most often to assess liver fibrosis in patients with chronic liver disease.
Magnetic resonance elastography uses MRI and externally generated vibrations to map how mechanical waves move through tissue and estimate its stiffness. It is most often performed to assess liver fibrosis in people with conditions such as chronic hepatitis or fatty liver disease, and can provide information that may help clinicians stage disease without a liver biopsy. The acquisition takes place in an MRI suite, with imaging staff performing the technical work and a radiologist interpreting the study.
Report the service for the elastography examination, supported by documentation of the clinical indication, body site, acquisition, and interpreted findings. When an abdominal MRI is also performed, the conventional MRI service may be separately reported when supported by the record and applicable coding guidance. Bill the global service without a component modifier, modifier 26 for the interpretation alone, or modifier TC for the technical service alone. CMS applies the diagnostic imaging multiple procedure reduction to both the professional and technical components when applicable.
CMS billing rules for 76391
- 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 RVU1.07 · 18%
- Practice expense (office) RVU4.76 · 81%
- Malpractice RVU0.08 · 1%
8.5K
Medicare services in 2024 · #1560 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.
76391 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
$201.47–$223.14
74181 reports abdominal MRI without contrast for anatomic imaging. Code 76391 reports the elastography service that assesses tissue stiffness; both may be performed in one examination.
$35.10–$39.05
91200 reports liver transient elastography using a non-MRI technique. Choose 76391 when stiffness is assessed with MRI elastography.
$117.47–$131.03
76981 reports ultrasound elastography of parenchymal tissue. Code 76391 is the MRI-based method.
Compare 76391 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.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
$229.41
Facility
Unavailable
Rest Of Massachusetts →
Office / nonfacility
$205.86
Facility
Unavailable
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76391 billing questions
How does this differ from MR spectroscopy?
Code 76391 reports MRI-based assessment of tissue stiffness. MR spectroscopy, reported with 76390, analyzes tissue chemistry rather than mechanical properties.
Can an abdominal MRI be reported on the same date?
Yes, when a conventional abdominal MRI is also performed and separately supported. The elastography service measures tissue stiffness; the MRI provides anatomic imaging.
Which modifier should be used for a radiologist's interpretation?
Use modifier 26 for the professional interpretation alone. Use modifier TC for the technical service alone, or report the global service without either modifier.
Does the multiple procedure reduction affect both components?
Yes. CMS applies the diagnostic imaging multiple procedure reduction to the professional and technical components when applicable.
How does MRI elastography differ from transient elastography?
Code 76391 uses MRI to map tissue stiffness. Code 91200 reports liver transient elastography using a different, non-MRI method.
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.
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8,69176496,,Unlisted fluoroscopic px,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00