$112.21
Use 91200 for mechanically induced liver stiffness testing without imaging. Code 76981 describes parenchymal ultrasound elastography with interpretation and report.
On this page
CMS RVU26D · Effective 2026-10-01
91200 Liver elastography Medicare reimbursement rates in Wyoming
Reports mechanically induced liver elastography used to assess liver stiffness as a noninvasive marker of fibrosis in patients with chronic liver disease. Compare 91200 office and facility rates across CMS payment localities in Wyoming.
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 91200 in Wyoming?
Wyoming 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
$33.56
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 testing
About 91200: Mechanically induced liver elastography
Reports mechanically induced liver elastography used to assess liver stiffness as a noninvasive marker of fibrosis in patients with chronic liver disease.
This test uses mechanically generated shear waves, commonly vibration-controlled transient elastography, to measure liver stiffness without producing diagnostic images. It is used in evaluating conditions such as chronic viral hepatitis and fatty liver disease, where stiffness can help assess the likelihood or degree of hepatic fibrosis. Trained staff typically acquire the measurements in an outpatient setting, with a physician interpreting the results and documenting a report.
Select 91200 for the mechanically induced liver elastography service, rather than ultrasound elastography performed with imaging. The record should support the clinical reason for testing and include the interpreted results. The global service includes both the technical work, such as equipment and staff, and the professional interpretation and report. When those components are billed separately, report modifier 26 for the professional component or modifier TC for the technical component.
CMS billing rules for 91200
- 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.
Where the value comes from
- Work RVU0.20 · 20%
- Practice expense (office) RVU0.79 · 78%
- Malpractice RVU0.02 · 2%
57.2K
Medicare services in 2024 · #732 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.
91200 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$92.17
Code 76982 describes ultrasound elastography with limited ultrasound imaging; 91200 is the mechanically induced, non-imaging liver elastography service.
$60.44
Code 76983 describes ultrasound elastography with complete ultrasound imaging. Choose 91200 when the liver stiffness test uses mechanical shear waves without imaging.
Compare 91200 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
Wyoming** →
Office / nonfacility
$33.56
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 91200 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
11,646
- Code
- 91200
- Physician work
- 0.20
- Practice expense
- 0.79
- Malpractice
- 0.02
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.20 | × 1.000 | 0.2000 |
| Practice expense | 0.79 | × 1.000 | 0.7900 |
| Malpractice | 0.02 | × 0.740 | 0.0148 |
| Total RVUs | 1.0048 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$33.56
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.2 | 1 |
| Practice expense | 0.79 | 1 |
| Malpractice | 0.02 | 0.74 |
(0.2 × 1 + 0.79 × 1 + 0.02 × 0.74) × $33.4009 = $33.56
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.
91200 billing questions
How is 91200 different from ultrasound elastography codes?
91200 describes mechanically induced shear-wave testing of the liver without imaging. Ultrasound elastography codes describe elastography performed with ultrasound imaging.
Can the professional and technical portions be billed separately?
Yes. Use modifier 26 for the interpretation and report, and modifier TC for equipment and staff. Without a modifier, 91200 represents the global service.
What documentation supports reporting 91200?
Document the clinical reason for evaluating liver stiffness, the test results, and the physician’s interpretation and report.
Is the test a liver biopsy?
No. It measures liver stiffness noninvasively and does not obtain tissue for histologic examination.
What clinical situations commonly prompt this test?
It is commonly used when assessing possible fibrosis in chronic liver disease, including chronic viral hepatitis or fatty liver disease.
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.
11,64391133,,Electrogastrography w/test,A,,0.64,14.55,,14.55,NA,0.03,15.22,15.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,64491133,26,Electrogastrography w/test,A,,0.64,0.37,,0.37,,0.02,1.03,1.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,64591133,TC,Electrogastrography w/test,A,,0.00,14.18,,14.18,NA,0.01,14.19,14.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
11,64691200,,Liver elastography,A,,0.20,0.79,,0.79,NA,0.02,1.01,1.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,64791200,26,Liver elastography,A,,0.20,0.12,,0.12,,0.01,0.33,0.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,64891200,TC,Liver elastography,A,,0.00,0.67,,0.67,NA,0.01,0.68,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,64991299,,Unlisted dx gi procedure,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,