$214.92
70540 is for the same regional anatomy imaged without contrast; 70543 includes imaging before and after contrast.
On this page
CMS RVU26D · Effective 2026-10-01
70543 Regional MRI Medicare reimbursement rates in Wisconsin
MRI of the orbits, face, or neck with imaging before and after contrast, reported when the examination covers these structures and includes both phases. Compare 70543 office and facility rates across CMS payment localities in Wisconsin.
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 70543 in Wisconsin?
Wisconsin 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
$322.55
1 of 1 localities have a supported rate.
Payment area: Wisconsin
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.
Diagnostic imaging
About 70543: Orbit, face, and neck MRI with and without contrast
MRI of the orbits, face, or neck with imaging before and after contrast, reported when the examination covers these structures and includes both phases.
This examination images the orbits, facial structures, or neck using MRI sequences obtained before and after contrast administration. Radiologists interpret these studies for questions such as an orbital or facial mass, suspected inflammation, or a neck soft-tissue abnormality. The imaging may be performed in a hospital or outpatient imaging center, or in an office with MRI equipment.
Report 70543 when the documented examination includes the relevant orbit, face, or neck anatomy and both pre-contrast and post-contrast imaging. The report should support the body region examined, use of contrast, and the interpreting findings. Billing without a component modifier represents the global service; modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. CMS multiple-procedure reduction applies to both the technical and professional components when multiple diagnostic imaging procedures are reported.
CMS billing rules for 70543
- 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 RVU2.10 · 21%
- Practice expense (office) RVU7.84 · 78%
- Malpractice RVU0.15 · 1%
77.6K
Medicare services in 2024 · #640 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.
70543 compared with similar codes
Office rates for Wisconsin, from the same CMS release.
$255.17
70542 covers the same regional anatomy with contrast only. Choose 70543 when the examination includes both pre-contrast and post-contrast imaging.
$328.59
70549 is an MRA of the neck performed before and after contrast to evaluate vessels; 70543 images orbit, face, or neck structures rather than serving as a neck angiogram.
Compare 70543 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
Wisconsin →
Office / nonfacility
$322.55
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 70543 in Wisconsin.
PPRRVU2026_Oct_nonQPP.csv
7,835
- Code
- 70543
- Physician work
- 2.10
- Practice expense
- 7.84
- Malpractice
- 0.15
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.10 | × 1.000 | 2.1000 |
| Practice expense | 7.84 | × 0.958 | 7.5107 |
| Malpractice | 0.15 | × 0.308 | 0.0462 |
| Total RVUs | 9.6569 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wisconsin$322.55
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.1 | 1 |
| Practice expense | 7.84 | 0.958 |
| Malpractice | 0.15 | 0.308 |
(2.1 × 1 + 7.84 × 0.958 + 0.15 × 0.308) × $33.4009 = $322.55
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.
70543 billing questions
When should 70543 be chosen instead of 70540 or 70542?
Use 70543 when the examination includes imaging both before and after contrast. Use 70540 for imaging without contrast and 70542 for imaging with contrast only.
Can the professional interpretation and technical service be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Billing without either modifier represents the global service.
Does the multiple-procedure reduction affect this MRI?
CMS applies diagnostic imaging multiple-procedure reduction to both the technical and professional components when multiple diagnostic imaging procedures are reported.
What documentation supports reporting 70543?
Document the orbit, face, or neck anatomy examined, that imaging was performed before and after contrast, and the interpretation findings.
Is 70543 the same as an MRA of the neck?
No. 70543 is an MRI examination of orbit, face, or neck structures; an MRA of the neck evaluates blood vessels.
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.
7,83270542,,Mri orbit/face/neck w/dye,A,,1.58,6.29,,6.29,NA,0.11,7.98,7.98,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,11.19,11.19,0.14
7,83370542,26,Mri orbit/face/neck w/dye,A,,1.58,0.57,,0.57,,0.08,2.23,2.23,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
7,83470542,TC,Mri orbit/face/neck w/dye,A,,0.00,5.72,,5.72,NA,0.03,5.75,5.75,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,02,0,88,10.62,10.62,0.06
7,83570543,,Mri orbt/fac/nck w/o &w/dye,A,,2.10,7.84,,7.84,NA,0.15,10.09,10.09,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,11.37,11.37,0.17
7,83670543,26,Mri orbt/fac/nck w/o &w/dye,A,,2.10,0.74,,0.74,,0.12,2.96,2.96,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
7,83770543,TC,Mri orbt/fac/nck w/o &w/dye,A,,0.00,7.10,,7.10,NA,0.03,7.13,7.13,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,02,0,88,10.63,10.63,0.05
7,83870544,,Mr angiography head w/o dye,A,,1.17,5.16,,5.16,NA,0.10,6.43,6.43,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,7.66,7.66,0.12
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,