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SpecialistBase2026 Compliant

CPT 70553

2026 Billing Guide

MRI Brain w/o & w/ Contrast

Reimbursement

$410.82

Threshold

N/A

2026 Status

Active

What is CPT Code 70553?

CPT 70553 is defined as: Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences. This protocol is the standard for detailed evaluation of tumors, multiple sclerosis, or complex neurological conditions.

This code is primarily used for Specialist services. It falls under the category of Diagnostic Radiology / MRI and is valid for the 2026 calendar year according to the CMS Physician Fee Schedule.

2026 RVU Components

Relative Value Units (Non-Facility)

Standard Formula Applied

Work RVU

2.6

Physician Effort

PE (Non-Fac)

9.5

Practice Expense

Malpractice

0.2

Risk Factor

Total RVU

12.3

Note: [(Work RVU * Work GPCI) + (PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor

2026 CMS Policy Intelligence

technical suppression

Efficiency adjustment reduces the Technical Component (TC) value, reflecting faster scan times of modern 3T magnets.

auc compliance

Appropriate Use Criteria mechanisms continue to be emphasized to ensure medical necessity for high-cost imaging.

packaging rules

Contrast materials are bundled into the OPPS payment for hospital settings but remain carve-outs for physician offices.

Administrative Framework

Place of Service

11 (Office)22 (Outpatient Hospital)

NCCI Exclusions

Do not bill with:70551 (MRI Brain w/o)70552 (MRI Brain w/)

Key Modifiers

26Professional Component.
TCTechnical Component.

Operational Requirements

minimum time

Procedure-based

staff type

Radiologist, MRI Technologist

frequency

Based on clinical necessity for monitoring or diagnosis.

add on codes

contrast material

The supply of contrast (e.g., Gadolinium, HCPCS A9579) is separately billable in office settings (POS 11) but bundled in Hospital contexts.

Compliance Checklist

Statement of 'without contrast followed by with' protocol.
Documentation of the gadolinium-based contrast agent used.
Diagnostic interpretation addressing the clinical indication.

Audit Defense

No specific audit defense elements defined.

Common Clinical Scenarios

Evaluation of suspected acoustic neuroma.
Monitoring of disease progression in Multiple Sclerosis using sagittal and axial FLAIR sequences.

CMS Eligibility: Requirement for high-resolution intracranial assessment.. N/A.

Target Specialties & Utilization

NeurologyRadiologyNeurosurgery

Typical Clinical Indications (ICD-10)

G35 (Multiple sclerosis)C71.9 (Malignant neoplasm of brain, unspecified)G44.1 (Vascular headache, not elsewhere classified)

Billing Differentiation

VS 70551

70551 is without contrast only.

VS 70552

70552 is with contrast only (less common for brain).

Frequently Asked Questions

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