`70540` Mri orbit/face/neck w/o dye

What 70540 is

CMS fee schedule short descriptor: Mri orbit/face/neck w/o dye.

Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.

Medicare payment for 70540 (CY2026)

	Work RVU	Practice expense RVU	Malpractice RVU	Total	Medicare rate
Non-facility (office)	1.32	5.31	0.09	6.72	$224.45
Facility (hospital, ASC)	1.32	5.31	0.09	6.72	$224.45

National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.

Adjust for a Medicare locality:

Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.

Medically Unlikely Edit (MUE)

Medicare caps 70540 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 70540? These codes are bundled into it

70540 is a Column 1 code in 11 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 code	Short description	Modifier indicator
`01922`	Anes n-invas img/radj ther	0 - no modifier bypass	Check pair
`36591`	Draw blood off venous device	0 - no modifier bypass	Check pair
`36592`	Collect blood from picc	0 - no modifier bypass	Check pair
`61715`	Mrgfus strtctc ablt trgt icr	1 - modifier may bypass	Check pair
`70547`	Mr angiography neck w/o dye	1 - modifier may bypass	Check pair
`70548`	Mr angiography neck w/dye	1 - modifier may bypass	Check pair
`76016`	Mr safety deter phys/qhp	1 - modifier may bypass	Check pair
`76017`	Mr sfty med physics xm cstmz	1 - modifier may bypass	Check pair
`76018`	Mr safety implant elec prepj	1 - modifier may bypass	Check pair
`76019`	Mr safety implt pos&/immoblj	1 - modifier may bypass	Check pair
`96523`	Irrig drug delivery device	0 - no modifier bypass	Check pair

70540 is bundled into these codes

70540 appears as a Column 2 code in 4 active edits. Reported with one of these Column 1 codes on the same date of service, 70540 is the code that denies.

Column 1 code	Short description	Modifier indicator
`0648T`	Quan mr tis wo mri 1orgn	1	Check pair
`70542`	Mri orbit/face/neck w/dye	1	Check pair
`70543`	Mri orbt/fac/nck w/o &w/dye	1	Check pair
`76014`	Mr sfty implt&/fb asmt stf 1	1	Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.