CPT 76018
Global XXX ActiveMr safety implant elec prepj
CPT 76018 Billing & Documentation Guide
CPT code 76018 (Mr safety implant elec prepj) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.73, a non-facility practice expense RVU of 2.67, and a malpractice RVU of 0.04, a total non-facility RVU of 3.44 and facility RVU of 3.44. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $119.1, though rates vary from $101.68 to $156.38 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 76018, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 76018 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 76018 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 76018
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.73 | 0.73 |
| Practice Expense RVU | 2.67 | 2.67 |
| Malpractice RVU | 0.04 | 0.04 |
| Total RVU | 3.44 | 3.44 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 76018
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $131.5 | $131.5 | $123.25 - $156.38 | 29 |
| Florida | $116.46 | $116.46 | $111.65 - $120.6 | 3 |
| Georgia | $111.1 | $111.1 | $105.52 - $116.67 | 2 |
| Illinois | $113.19 | $113.19 | $107.89 - $118.51 | 4 |
| Michigan | $110 | $110 | $107.31 - $112.69 | 2 |
| North Carolina | $108.44 | $108.44 | $108.44 - $108.44 | 1 |
| New York | $126.84 | $126.84 | $110.04 - $134.46 | 5 |
| Ohio | $107.15 | $107.15 | $107.15 - $107.15 | 1 |
| Pennsylvania | $113.38 | $113.38 | $107.51 - $119.25 | 2 |
| Texas | $113.56 | $113.56 | $106.78 - $119.97 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 76018
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 76018 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0575T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0576T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0578T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0579T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 36406 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 36410 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 36425 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 51703 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 76018
What does CPT code 76018 mean? +
CPT code 76018 represents: Mr safety implant elec prepj. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 76018? +
The 2026 Medicare national average non-facility payment for CPT 76018 is $119.1. Rates range from $101.68 to $156.38 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 76018? +
Radiology codes rely heavily on the professional/technical split: modifier 26 (professional component only) and TC (technical component only). Also common: 50 (bilateral imaging), 76 (repeat by same physician), 77 (repeat by different physician), and LT/RT for laterality.
What bundling edits apply to CPT 76018? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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