70555
No office rateFmri brain by phys/psych
Both describe functional brain MRI, but 70554 is acquired without physician or psychologist attendance; 70555 is used when one attends.
On this page
CMS RVU26D · Effective 2026-10-01
70554 Functional brain MRI Medicare reimbursement rates in Michigan
Report 70554 for functional brain MRI acquired by a technologist to map task-related brain activity, such as for presurgical planning, without physician or psychologist attendance. Compare 70554 office and facility rates across CMS payment localities in Michigan.
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 70554 in Michigan?
Michigan 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
$352.11–$371.04
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.
Magnetic resonance imaging
About 70554: Technologist-acquired functional brain MRI
Report 70554 for functional brain MRI acquired by a technologist to map task-related brain activity, such as for presurgical planning, without physician or psychologist attendance.
This service uses functional MRI to map brain activity associated with tasks, often to help plan surgery near areas involved in language or movement. A technologist conducts the imaging acquisition; the physician or psychologist interprets the study and prepares the report without attending the acquisition. It is commonly performed in a hospital or imaging center when a clinical team needs functional information for neurologic or neurosurgical evaluation.
Choose this code for functional rather than routine anatomic brain imaging, and retain documentation of the clinical purpose, acquisition, interpretation, and report. The global service is billed without a component modifier; modifier TC identifies the technical service, and modifier 26 identifies the professional interpretation. When multiple diagnostic imaging procedures are performed, the imaging multiple-procedure reduction applies to both components. CMS pays each side separately at 100% when the service is performed bilaterally.
CMS billing rules for 70554
- 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.
- Bilateral procedures
- Each side is paid separately at 100% when performed bilaterally.
Where the value comes from
- Work RVU2.06 · 18%
- Practice expense (office) RVU9.08 · 80%
- Malpractice RVU0.17 · 2%
524
Medicare services in 2024 · #3516 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.
70554 compared with similar codes
Office rates for Michigan, from the same CMS release.
$183.30–$192.65
70551 is routine anatomic brain MRI without contrast. Choose 70554 when the service maps task-related brain activity.
$297.03–$312.34
70553 is routine anatomic brain MRI without and with contrast; 70554 is functional imaging rather than a contrast-based anatomic study.
Compare 70554 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
Detroit →
Office / nonfacility
$371.04
Facility
Unavailable
Rest Of Michigan →
Office / nonfacility
$352.11
Facility
Unavailable
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70554 billing questions
How is 70554 different from 70555?
70554 is for technologist acquisition without physician or psychologist attendance. Use 70555 when the physician or psychologist attends the functional imaging.
Can the technical and professional services be billed separately?
Yes. Report modifier TC for the technical service and modifier 26 for the professional interpretation and report. Billing without either modifier represents the global service.
When does the imaging multiple-procedure reduction apply?
When multiple diagnostic imaging procedures are performed, CMS applies the reduction to both the technical and professional components.
Is 70554 the code for a routine brain MRI?
No. It describes functional imaging that maps task-related brain activity. Routine anatomic brain MRI is represented by codes such as 70551 through 70553, selected according to contrast use.
What documentation supports reporting 70554?
Document the clinical reason for functional mapping, the imaging acquisition, and the interpreting physician's or psychologist's findings and report. The record should support that the technologist performed the acquisition without physician or psychologist attendance.
How does CMS treat bilateral performance?
When the service is performed bilaterally, CMS pays each side separately at 100%. Follow applicable claim instructions for reporting the sides.
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.
7,86270553,,Mri brain stem w/o & w/dye,A,,2.23,7.10,,7.10,NA,0.16,9.49,9.49,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,11.41,11.41,0.18
7,86370553,26,Mri brain stem w/o & w/dye,A,,2.23,0.79,,0.79,,0.13,3.15,3.15,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
7,86470553,TC,Mri brain stem w/o & w/dye,A,,0.00,6.31,,6.31,NA,0.03,6.34,6.34,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,02,0,88,10.62,10.62,0.05
7,86570554,,Fmri brain by tech,A,,2.06,9.08,,9.08,NA,0.17,11.31,11.31,1,XXX,0.00,0.00,0.00,4,3,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
7,86670554,26,Fmri brain by tech,A,,2.06,0.74,,0.74,,0.13,2.93,2.93,1,XXX,0.00,0.00,0.00,4,3,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
7,86770554,TC,Fmri brain by tech,A,,0.00,8.34,,8.34,NA,0.04,8.38,8.38,1,XXX,0.00,0.00,0.00,4,3,0,0,0,9,,33.4009,02,0,88,0.00,0.00,0.00
7,86870555,,Fmri brain by phys/psych,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00