CPT 76015Radiology

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CPT 76015 covers the MRI safety screening and assessment performed by trained staff to determine if a patient can safely undergo an MRI scan. This involves evaluating the patient for implants, metal objects, or other contraindications before entering the MRI suite.

Showing rates for

National Average

Base Medicare rate

$51.43

This calculator gives a typical-case estimate using standard Medicare modifier rules. Actual payment depends on payer policies, documentation, code-specific CMS status indicators, and locality. Verify before billing.

RVU breakdown

Work RVU

PE RVU (NF)

1.54

MP RVU

0.05

Total RVU

1.59

Conversion factor: 32.3465 · Source: CMS MPFS RVU25A · Confidence: High

NCCI bundling edits

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Billing tips

Bill 76015 once per patient per date of service regardless of number of MRI body parts scanned during same encounter
Impact: Prevents denials for duplicate services; ensures appropriate single payment of $51.43 per encounter
Document specific contraindication screening elements including implant registry checks, metallic foreign body history, and device compatibility verification
Impact: Reduces audit risk and supports medical necessity; critical for maintaining 1.59 total RVUs during review
Report 76015 only when performed by qualified staff separate from the interpreting physician's professional component
Impact: Avoids unbundling issues; ensures clean claims processing and full $51.43 reimbursement
Link 76015 to the primary MRI procedure code on the same claim to establish relationship and medical necessity
Impact: Improves first-pass acceptance rate by 25-30% and clarifies purpose of safety assessment
For patients with known implants, document manufacturer verification and safety database consultation (MRISafety.com or device registry)
Impact: Strengthens medical necessity documentation and reduces denial risk for high-complexity screenings
Verify that your facility's internal MRI safety policy meets ACR guidance before routinely billing 76015
Impact: Ensures compliance with industry standards and supports $51.43 payment legitimacy during audits

Common denials

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Frequently asked questions

What is CPT code 76015 used for?

CPT 76015 is used to bill for MRI safety screening performed by trained staff to assess whether a patient can safely undergo magnetic resonance imaging. The service includes evaluation for implanted devices, metallic foreign bodies, and other contraindications before the MRI procedure.

How much does Medicare pay for CPT 76015 in 2025?

Medicare pays $51.43 for CPT 76015 in 2025 based on the national average rate. This applies to both facility and non-facility settings, with total RVUs of 1.59 (0 work RVU, 1.54 PE RVU, 0.05 MP RVU).

Can CPT 76015 be billed with an MRI procedure code?

Yes, CPT 76015 should be billed with the corresponding MRI procedure code when safety screening is performed by qualified staff as a separate service. However, proper documentation must demonstrate the assessment was distinct from the technologist's routine imaging preparation.

How many times can you bill CPT 76015 per patient visit?

CPT 76015 should typically be billed once per patient per date of service, regardless of how many MRI body parts are scanned. Multiple billings on the same date require modifier 76 or 77 with documentation justifying the separate assessment.

What documentation is required to bill CPT 76015?

Required documentation includes a completed and signed MRI safety questionnaire, staff assessment notes, implant verification records, clearance determination, qualified staff signature with credentials, and reference to the specific MRI procedure being screened.

Who can perform the service described by CPT 76015?

CPT 76015 can be performed by MRI safety-trained staff including radiologic technologists, nurses, or radiology assistants who have completed MRI safety certification. The facility must have documented safety protocols and personnel training programs.

Why do insurance companies deny CPT 76015 claims?

Common denial reasons include bundling with the MRI procedure, lack of medical necessity documentation, billing multiple times on the same date, or payer policies not recognizing 76015 as separately billable. Appeals require detailed documentation of the distinct staff service performed.