CPT code 71551: Chest MRI2026 Medicare rate & RVUs in Washington

Reports a chest MRI performed with contrast to evaluate thoracic findings such as a mediastinal mass, chest-wall lesion, or pleural abnormality.

CMS RVU26DEffective Oct 1, 20262 payment localities168 Medicare services in 2024

Medicare pays $387.67–$444.10 for 71551 in the office in Washington, from Rest Of Washington to Seattle (King Cnty). Which amount applies depends on the service address.

$387.67–$444.10Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 71551 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Washington
  2. What 71551 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 71551 covers

This service covers MRI imaging of the chest performed with contrast, often to characterize a mediastinal mass, chest-wall lesion, pleural abnormality, or other thoracic finding. A radiologist interprets the images acquired by an MRI technologist, typically in a hospital imaging department or freestanding imaging center.

Choose this code when the documented protocol uses contrast without the combined without-and-with protocol. The order, performed protocol, and interpretation should support the chest study and use of contrast. Billing without a modifier represents the global service; modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service, including equipment and staff. CMS applies the diagnostic imaging multiple procedure reduction to both the professional and technical 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.

Where 71551 pays more and less in Washington

71551 office and facility rates by payment locality
Payment localityOfficeFacility
Rest Of Washington$387.67Unavailable
Seattle (King Cnty)$444.10Unavailable

How the 71551 rate is calculated

Each of 71551’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 · 71551

RVUs × geographic indexes × conversion factor

Work1.69

1.69 RVUs× 1.000 GPCI

Practice expense9.31

9.31 RVUs× 1.000 GPCI

Malpractice0.12

0.12 RVUs× 1.000 GPCI

Adjusted RVUs

11.1200

Conversion factor

$33.4009

Medicare rate

$371.42

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 71551

The CMS indicators that decide how 71551 is paid alongside other services.

CMS payment indicators · 71551

Chest MRI

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures4Diagnostic imaging reduction applies to the technical component (and professional component) of additional services.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

71551 without 26 · national office

$371.42

Chest MRI

71551-26 · Professional component

$79.49

Pays only the interpretation and report.

When to use modifier 26

71551 compared with similar codes

Compare codes · National

4 codes, side by side

  • 71551

    Chest MRI1.69 wRVU

    $371.42

  • 71550

    Not on the physician fee schedule1.42 wRVU

    $333.01−$38.41

  • 71552

    Not on the physician fee schedule2.2 wRVU

    $465.94+$94.52

  • 71555

    Not on the physician fee schedule1.76 wRVU

    $334.34−$37.08

How to choose

71550Mri chest w/o dye
71550 is for chest MRI without contrast. Choose 71551 when contrast is used.
71552Mri chest w/o & w/dye
71552 covers chest MRI performed both without and with contrast; 71551 is for the with-contrast-only protocol.
71555Mri angio chest w or w/o dye
71555 is chest MR angiography, used for vascular imaging. Code 71551 describes a chest MRI rather than an angiographic study.

71551 billing questions

When should this code be chosen over 71550?

Use 71551 when the chest MRI is performed with contrast. Code 71550 describes a chest MRI without contrast.

How does this differ from 71552?

71552 describes a chest MRI performed without and with contrast. Use 71551 for a with-contrast-only protocol.

Can the professional and technical services be billed separately?

Yes. Modifier 26 reports the professional interpretation, and modifier TC reports the technical service; billing without either modifier represents the global service.

How does the multiple procedure reduction affect this code?

CMS applies the diagnostic imaging multiple procedure reduction to both the professional and technical components when applicable.

What documentation supports reporting 71551?

The record should support a chest MRI, the use of contrast, and the resulting interpretation. The performed protocol distinguishes this code from a study without contrast or one performed both without and with 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 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
RVUs for 71551PPRRVU2026_Oct_nonQPP.csv, line 7,928 (RVU26D)

Open CMS sourceHow we calculate rates

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