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CPT 70554 — Fmri brain by tech

CPT code 70554 (Fmri brain by tech) carries 2.06 work RVUs under the CMS 2026 Medicare Physician Fee Schedule. Total RVUs are 11.31 in a non-facility setting and 11.31 in a facility setting, which at the 2026 conversion factor of $33.40 works out to $377.76 and $377.76 respectively.

2.06
Work RVU
11.31
Total RVU (non-facility)
$377.76
Medicare, non-facility
$377.76
Medicare, facility
Calculate your total wRVUs →

RVU breakdown for CPT 70554

ComponentRVUsWhat it covers
Work RVU2.06Physician time, skill, effort, and stress.
Practice expense RVU (non-facility)9.08Office overhead, staff, supplies.
Practice expense RVU (facility)9.08Overhead when performed in a hospital.
Malpractice RVU0.0Professional liability cost.
Total RVU (non-facility)11.31Work + non-facility PE + malpractice.
Total RVU (facility)11.31Work + facility PE + malpractice.

Professional and technical components

CPT 70554 can be split into professional (modifier 26) and technical (modifier TC) components.

ComponentWork RVUTotal RVU (non-fac)Total RVU (fac)
Modifier 262.062.932.93
Modifier TC0.08.388.38

How Medicare payment is calculated

Medicare multiplies total RVUs by the annual conversion factor. For CPT 70554 in 2026:

SettingTotal RVUConversion factorNational payment
Non-facility11.31$33.40$377.76
Facility11.31$33.40$377.76

These are national amounts. Actual payment is adjusted by the Geographic Practice Cost Index for your locality — check yours with the GPCI lookup.

Billing rules for CPT 70554

Global period
Global concept does not apply to this code.
Multiple procedure reduction
Subject to the diagnostic imaging multiple-procedure reduction.
Bilateral surgery
Payment is 100% per side rather than the usual bilateral adjustment.
Assistant surgeon
Not permitted unless documentation supports medical necessity.
Co-surgeon
Not permitted unless documentation supports medical necessity.
Team surgery
Not permitted unless documentation supports medical necessity.

Related codes

Codes in the same CMS family, with their work RVU values.

70543 · 2.1 wRVU70549 · 1.76 wRVU70551 · 1.44 wRVU70552 · 1.74 wRVU70553 · 2.23 wRVU

Questions about CPT 70554

How many work RVUs is CPT 70554?

CPT 70554 is assigned 2.06 work RVUs in the CMS 2026 Medicare Physician Fee Schedule.

What does Medicare pay for CPT 70554?

At the 2026 national conversion factor of $33.40, CPT 70554 pays approximately $377.76 in a non-facility setting and $377.76 in a facility setting before geographic adjustment.

What is the global period for CPT 70554?

Global concept does not apply to this code.

RVU values reflect the CMS 2026 Medicare Physician Fee Schedule (conversion factor $33.40). Payment figures are national and unadjusted for geography. Verify against the official fee schedule before using for billing.