$70.48
Choose 76018 for preparing an implanted electrical stimulation system for MRI; 76016 represents the clinician’s safety determination about proceeding with MRI.
On this page
CMS RVU26D · Effective 2026-10-01
76018 MRI implant preparation Medicare reimbursement rates in Vermont
Reports preparation of an implanted electrical stimulation system for MRI, including device adjustments needed to support the planned scan safely. Compare 76018 office and facility rates across CMS payment localities in Vermont.
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 76018 in Vermont?
Vermont 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
$113.35
1 of 1 localities have a supported rate.
Payment area: Vermont
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.
Radiology safety
About 76018: MRI electrical implant preparation
Reports preparation of an implanted electrical stimulation system for MRI, including device adjustments needed to support the planned scan safely.
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.
CMS billing rules for 76018
- 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 RVU0.73 · 21%
- Practice expense (office) RVU2.67 · 78%
- Malpractice RVU0.04 · 1%
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 compared with similar codes
Office rates for Vermont, from the same CMS release.
$218.03
76017 describes a medical physics examination and customized safety planning. 76018 concerns preparation of the electrical stimulation system itself.
$150.84
76019 addresses implant positioning or immobilization for MRI. It does not represent electrical stimulation system preparation.
Compare 76018 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
Vermont →
Office / nonfacility
$113.35
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 76018 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
8,653
- Code
- 76018
- Physician work
- 0.73
- Practice expense
- 2.67
- Malpractice
- 0.04
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.73 | × 1.000 | 0.7300 |
| Practice expense | 2.67 | × 0.990 | 2.6433 |
| Malpractice | 0.04 | × 0.506 | 0.0202 |
| Total RVUs | 3.3935 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$113.35
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.73 | 1 |
| Practice expense | 2.67 | 0.99 |
| Malpractice | 0.04 | 0.506 |
(0.73 × 1 + 2.67 × 0.99 + 0.04 × 0.506) × $33.4009 = $113.35
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.
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 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.
8,65076017,,Mr sfty med physics xm cstmz,A,,0.74,5.79,,5.79,NA,0.11,6.64,6.64,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,65176017,26,Mr sfty med physics xm cstmz,A,,0.74,0.26,,0.26,,0.04,1.04,1.04,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,65276017,TC,Mr sfty med physics xm cstmz,A,,0.00,5.53,,5.53,NA,0.07,5.60,5.60,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,01,0,88,0.00,0.00,0.00
8,65376018,,Mr safety implant elec prepj,A,,0.73,2.67,,2.67,NA,0.04,3.44,3.44,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,65476018,26,Mr safety implant elec prepj,A,,0.73,0.27,,0.27,,0.03,1.03,1.03,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,65576018,TC,Mr safety implant elec prepj,A,,0.00,2.40,,2.40,NA,0.01,2.41,2.41,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,01,0,88,0.00,0.00,0.00
8,65676019,,Mr safety implt pos&/immoblj,A,,0.59,3.93,,3.93,NA,0.07,4.59,4.59,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817