Billing code 76018: MRI implant preparationMedicare rate & RVUs in Ohio
Reports preparation of an implanted electrical stimulation system for MRI, including device adjustments needed to support the planned scan safely.
Medicare pays $107.15 for 76018 in the office in Ohio (Ohio). 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 76018 covers
This service covers preparing an implanted electrical stimulation system for an MRI examination, such as adjusting device settings for the planned scan. It is distinct from deciding whether an implant or foreign body is safe for MRI and from positioning or immobilizing an implant. It may involve personnel who manage or program the implanted system, such as clinicians familiar with the device, in coordination with the MRI service.
Report the service when the electrical stimulation system itself requires MRI-related preparation, rather than reporting another MRI safety service for assessment or determination alone. Documentation should identify the implanted system, the preparation performed, and its connection to the planned MRI. CMS recognizes professional and technical components: report modifier 26 for interpretation or professional work, modifier TC for equipment and staff, or neither modifier for the global service. Diagnostic imaging multiple procedure reduction applies to both the technical and professional components.
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.
76018 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | $107.15 | Unavailable |
How the 76018 rate is calculated
Each of 76018’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 · 76018
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.73Practice expense 2.67Malpractice 0.04
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 76018
The CMS indicators that decide how 76018 is paid alongside other services.
CMS payment indicators · 76018
MRI implant preparation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 4 | Diagnostic imaging reduction applies to the technical component (and professional component) of additional services. |
| 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
76018 without 26 · national office
$114.90
MRI implant preparation
76018-26 · Professional component
$34.40
Pays only the interpretation and report.
76018 compared with similar codes
Compare codes
76018 vs 76016 vs 76017 vs 76019: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 76016MR safety review
- Choose 76018 for preparing an implanted electrical stimulation system for MRI; 76016 represents the clinician’s safety determination about proceeding with MRI.
- 76017MR safety
- 76017 describes a medical physics examination and customized safety planning. 76018 concerns preparation of the electrical stimulation system itself.
- 76019MR safety
- 76019 addresses implant positioning or immobilization for MRI. It does not represent electrical stimulation system preparation.
76018 billing questions
How is 76018 different from 76016?
76018 addresses preparation of an implanted electrical stimulation system for MRI. 76016 is the physician or qualified health care professional’s MRI safety determination.
When would 76014 or 76015 be reported instead?
Those codes describe implant or foreign-body assessment by nonphysician or qualified health care professional staff. Use 76018 for preparation of the electrical stimulation system itself.
Can 76018 be reported with modifier 26 or TC?
Yes. Modifier 26 identifies the professional component, and modifier TC identifies the technical component; without either modifier, the claim represents the global service.
What documentation supports reporting 76018?
Document the implanted electrical stimulation system, the MRI-related preparation performed, and the planned MRI examination. The record should make clear that system preparation occurred, rather than only a safety assessment or determination.
Can the multiple procedure reduction affect 76018?
Yes. CMS applies the diagnostic imaging multiple procedure reduction to both the professional and technical components.
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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