74181 Mri abdomen w/o contrast
What 74181 is
CMS fee schedule short descriptor: Mri abdomen w/o contrast.
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 74181 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 1.42 | 4.29 | 0.09 | 5.80 | $193.73 |
| Facility (hospital, ASC) | 1.42 | 4.29 | 0.09 | 5.80 | $193.73 |
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.
Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.
Medically Unlikely Edit (MUE)
Medicare caps 74181 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: Anatomic Consideration. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 74181? These codes are bundled into it
74181 is a Column 1 code in 4 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 |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
74181 is bundled into these codes
74181 appears as a Column 2 code in 6 active edits. Reported with one of these Column 1 codes on the same date of service, 74181 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0648T | Quan mr tis wo mri 1orgn | 1 | Check pair |
0723T | Qmrcp w/o dx mri sm anat ses | 1 | Check pair |
34839 | Plnning pt spec fenest graft | 0 | Check pair |
74182 | Mri abdomen w/contrast | 1 | Check pair |
74183 | Mri abd w/o cntr flwd cntr | 1 | Check pair |
74185 | Mra abd w or w/o cntrst | 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.