CPT code 76936: Ultrasound guidance, pseudoaneurysm or fistula repair2026 Medicare rate & RVUs

Medicare pays $264.87 for 76936 nationally in the office. Local office rates run $233.90–$353.17.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 76936 covers

This service covers ultrasound evaluation and real-time guidance while treating an arterial pseudoaneurysm or arteriovenous fistula. A common setting is treatment of a femoral artery pseudoaneurysm after catheterization, using ultrasound-guided compression or thrombin injection. The treating physician uses imaging to locate and assess the lesion and guide or monitor the repair; the service includes permanent image recording and a report. It is distinct from ultrasound used simply to obtain vascular access or guide a needle for another procedure.

Report the code for the ultrasound guidance and associated evaluation performed for the repair, supported by documentation of the treated lesion, guidance provided, and recorded images and interpretation. The repair itself may have a separate procedure code when appropriate; do not report a separate guidance code for the same ultrasound work. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies equipment and staff, and no modifier represents the global service.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 76936 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

76936 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 76936 rate is calculated

Each of 76936’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 76936

The CMS indicators that decide how 76936 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

76936 compared with similar codes

How to choose

76937Vascular access guidanceUltrasound guidance

76936 guides treatment of an arterial pseudoaneurysm or arteriovenous fistula. 76937 concerns ultrasound-guided vascular access, including evaluation and visualization of vessel entry.

76942Ultrasound needle guidanceBiopsy, aspiration, injection, or localization

76942 is used for ultrasound guidance of needle placement in other percutaneous procedures. Choose 76936 when the ultrasound guides repair of an arterial pseudoaneurysm or arteriovenous fistula.

36002Pseudoaneurysm injectionDirect sac treatment

36002 represents injection treatment of a pseudoaneurysm; 76936 represents ultrasound guidance for the repair. They describe distinct parts of the service and may be reported together when both are performed.

Codes related to 76936

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates