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

Reports real-time ultrasound guidance during treatment of an arterial pseudoaneurysm or arteriovenous fistula, such as compression or thrombin injection.

CMS RVU26DEffective Oct 1, 2026One payment locality622 Medicare services in 2024

In Connecticut, Medicare pays $282.64 for 76936 in the office.

$282.64Office (non-facility)
Not available in this settingHospital or facility
+6.7%vs the national office rate ($264.87)

Check a contract rate as a % of Medicare · 76936 nationwide

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

We’ll open 76936 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 76936 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How Connecticut compares for 76936

Across 109 of 109 payment localities, the office rate for 76936 runs from $233.90 in Arkansas to $353.17 in San Benito County, CA. Connecticut pays $282.64. The RVUs are the same everywhere; the geographic indexes change the dollars.

76936 in Connecticut vs other payment areas
  1. Connecticut · this page$282.64
  2. Los Angeles, CA · California$299.98+$17.34
  3. Washington, DC area · District of Columbia$303.46+$20.82
  4. Miami, FL · Florida$285.00+$2.36
  5. Chicago, IL · Illinois$276.66−$5.98
  6. Manhattan, NY · New York$304.83+$22.19
  7. Alaska · Alaska$306.15+$23.51

Other areas in Connecticut first, then benchmark localities. Bars start at $0.

Every other payment area

76936 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$237.38—
ArkansasArkansas$233.90—
ArizonaArizona$257.76—
Bakersfield, CACalifornia$281.40—
Chico, CACalifornia$280.69—
El Centro, CACalifornia$280.73—
Fresno, CACalifornia$280.69—
Hanford, CACalifornia$280.69—

76936 rates by state

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

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$233.90

$316.93

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
76936 office rate range by state
State / territoryOffice rate rangeLocalities
AK$306.151
AL$237.381
AR$233.901
AZ$257.761
CA$280.69–$353.1729
CO$276.181
CT$282.641
DC$303.461
DE$262.081
FL$260.45–$285.003
GA$245.67–$269.752
GU$287.811
HI$287.811
IA$243.711
ID$245.281
IL$252.67–$276.704
IN$246.731
KS$242.461
KY$242.871
LA$242.45–$254.632
MA$274.46–$303.902
MD$267.16–$303.463
ME$246.47–$260.182
MI$249.19–$263.652
MN$264.801
MO$238.16–$255.673
MS$236.081
MT$264.851
NC$249.111
ND$260.111
NE$245.091
NH$271.741
NJ$285.91–$300.232
NM$250.541
NV$263.721
NY$252.89–$312.185
OH$248.221
OK$242.531
OR$261.72–$285.172
PA$248.68–$275.462
PR$266.861
RI$271.571
SC$249.071
SD$259.551
TN$243.681
TX$247.02–$275.228
UT$252.531
VA$259.25–$303.462
VI$266.861
VT$258.991
WA$273.97–$310.242
WI$251.261
WV$243.161
WY$262.781

See 76936 in every payment locality

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.

How the rate is built · 76936

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.94

1.94 RVUs× 1.000 GPCI

Practice expense5.75

5.75 RVUs× 1.000 GPCI

Malpractice0.24

0.24 RVUs× 1.000 GPCI

Adjusted RVUs

7.9300

Conversion factor

$33.4009

Medicare rate

$264.87

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,859

Code
76936
Physician work
1.94
Practice expense
5.75
Malpractice
0.24

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 76936 in Connecticut
ComponentRVULocality factorAdjusted
Physician work1.94× 1.0201.9788
Practice expense5.75× 1.0776.1928
Malpractice0.24× 1.2100.2904
Total RVUs8.4619
Conversion factor× 33.4009

Office rate, Connecticut$282.64

Office: (1.94 × 1.02 + 5.75 × 1.077 + 0.24 × 1.21) × $33.4009 = $282.64

Open 76936 in the RVU calculator

Payment rules and modifiers for 76936

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

CMS payment indicators · 76936

Ultrasound guidance, pseudoaneurysm or fistula repair

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

76936 without 26 · national office

$264.87

Ultrasound guidance, pseudoaneurysm or fistula repair

76936-26 · Professional component

$92.85

Pays only the interpretation and report.

When to use modifier 26

How 76936 has changed in Connecticut

76936 · Office / nonfacility

$282.64

Effective 2026-10-01

The base rate is $13.74 higher than on 2025-10-01, moving from $268.90 to $282.64 (5.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $268.90changed to$282.64

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.99 changed to 1.94
    • Practice expense RVU 5.49 changed to 5.75
    • Work GPCI 1.022 changed to 1.020
    • Practice expense GPCI 1.091 changed to 1.077
    • Malpractice GPCI 1.207 changed to 1.210

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $279.99changed to$268.90

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.58 changed to 5.49

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $275.42changed to$279.99

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $284.65changed to$275.42

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.51 changed to 5.58
    • Malpractice RVU 0.26 changed to 0.24
    • Work GPCI 1.030 changed to 1.022
    • Practice expense GPCI 1.102 changed to 1.091
    • Malpractice GPCI 1.070 changed to 1.207
  5. January 1, 2023

    RVU23A

    $295.32changed to$284.65

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.59 changed to 5.51
    • Work GPCI 1.037 changed to 1.030
    • Practice expense GPCI 1.114 changed to 1.102
    • Malpractice GPCI 0.934 changed to 1.070

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $300.94changed to$295.32

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.68 changed to 5.59
    • Malpractice RVU 0.25 changed to 0.26

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $299.89changed to$300.94

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.40 changed to 5.68
    • Malpractice RVU 0.23 changed to 0.25
    • Work GPCI 1.029 changed to 1.037
    • Practice expense GPCI 1.113 changed to 1.114
    • Malpractice GPCI 1.094 changed to 0.934

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $299.28changed to$299.89

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.37 changed to 5.40
    • Malpractice RVU 0.24 changed to 0.23
    • Work GPCI 1.021 changed to 1.029
    • Practice expense GPCI 1.112 changed to 1.113
    • Malpractice GPCI 1.255 changed to 1.094

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $304.66changed to$299.28

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.49 changed to 5.37
    • Malpractice RVU 0.26 changed to 0.24

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $304.75changed to$304.66

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.023 changed to 1.021
    • Practice expense GPCI 1.117 changed to 1.112
    • Malpractice GPCI 1.244 changed to 1.255

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $303.65changed to$304.75

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.44 changed to 5.49
    • Malpractice RVU 0.28 changed to 0.26
    • Work GPCI 1.024 changed to 1.023
    • Practice expense GPCI 1.121 changed to 1.117
    • Malpractice GPCI 1.232 changed to 1.244

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $306.16changed to$303.65

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.42 changed to 5.44
    • Malpractice RVU 0.33 changed to 0.28

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $304.64changed to$306.16

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    No ratechanged to$304.64

    Held through RVU15B.

  15. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$282.64Not available in this settingRVU26D
2026-07-01$282.64Not available in this settingRVU26C
2026-04-01$282.64Not available in this settingRVU26B
2026-01-01$282.64Not available in this settingRVU26A
2025-10-01$268.90Not available in this settingRVU25D
2025-07-01$268.90Not available in this settingRVU25C
2025-04-01$268.90Not available in this settingRVU25B
2025-01-01$268.90Not available in this settingRVU25A
2024-10-01$279.99Not available in this settingRVU24D
2024-07-01$279.99Not available in this settingRVU24C
2024-04-01$279.99Not available in this settingRVU24B
2024-03-09$279.99Not available in this settingRVU24AR
2024-01-01$275.42Not available in this settingRVU24A
2023-10-01$284.65Not available in this settingRVU23D
2023-07-01$284.65Not available in this settingRVU23C
2023-04-01$284.65Not available in this settingRVU23B
2023-01-01$284.65Not available in this settingRVU23A
2022-10-01$295.32Not available in this settingRVU22D
2022-07-01$295.32Not available in this settingRVU22C
2022-04-01$295.32Not available in this settingRVU22B
2022-01-01$295.32Not available in this settingRVU22A
2021-10-01$300.94Not available in this settingRVU21D
2021-07-01$300.94Not available in this settingRVU21C
2021-04-01$300.94Not available in this settingRVU21B
2021-01-01$300.94Not available in this settingRVU21A
2020-10-01$299.89Not available in this settingRVU20D
2020-07-01$299.89Not available in this settingRVU20C
2020-04-01$299.89Not available in this settingRVU20B
2020-01-01$299.89Not available in this settingRVU20A
2019-10-01$299.28Not available in this settingRVU19D
2019-07-01$299.28Not available in this settingRVU19C
2019-04-01$299.28Not available in this settingRVU19B
2019-01-01$299.28Not available in this settingRVU19A
2018-10-01$304.66Not available in this settingRVU18D
2018-07-01$304.66Not available in this settingRVU18C
2018-04-01$304.66Not available in this settingRVU18B
2018-01-01$304.66Not available in this settingRVU18AR1
2017-10-01$304.75Not available in this settingRVU17D
2017-07-01$304.75Not available in this settingRVU17C
2017-04-01$304.75Not available in this settingRVU17B
2017-01-01$304.75Not available in this settingRVU17A
2016-10-01$303.65Not available in this settingRVU16D
2016-07-01$303.65Not available in this settingRVU16C
2016-04-01$303.65Not available in this settingRVU16B
2016-01-01$303.65Not available in this settingRVU16A
2015-10-01$306.16Not available in this settingRVU15D
2015-07-01$306.16Not available in this settingRVU15C
2015-04-01$304.64Not available in this settingRVU15B
2015-01-01$304.64Not available in this settingRVU15A
2014-10-01Additional calculation requiredNot available in this settingRVU14D
2014-07-01Additional calculation requiredNot available in this settingRVU14C
2014-04-01Additional calculation requiredNot available in this settingRVU14B
2014-01-01Additional calculation requiredNot available in this settingRVU14A
2013-10-01Additional calculation requiredNot available in this settingRVU13D
2013-07-01Additional calculation requiredNot available in this settingRVU13C
2013-04-01Additional calculation requiredNot available in this settingRVU13B
2013-01-01Additional calculation requiredNot available in this settingRVU13AR

Price 76936 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

76936 billing questions

When should this code be selected instead of 76937?

Use 76936 for ultrasound guidance during repair of an arterial pseudoaneurysm or arteriovenous fistula. Code 76937 describes ultrasound guidance for vascular access, not treatment of the lesion.

Can the repair procedure be reported separately?

The repair may have a separately reportable procedure code, such as 36002 for injection treatment of a pseudoaneurysm. The ultrasound evaluation and guidance for that repair are represented by 76936.

How are the professional and technical components billed?

Append modifier 26 for the professional interpretation or modifier TC for the technical service. Submit the code without either modifier when billing the global service.

What documentation supports reporting 76936?

Document the pseudoaneurysm or arteriovenous fistula treated, how ultrasound guided or monitored the repair, and the recorded images and report.

Is this code appropriate for ultrasound-guided thrombin injection?

Yes, when ultrasound guides treatment of an arterial pseudoaneurysm, including thrombin injection. The code also covers ultrasound guidance for compression repair of a pseudoaneurysm or repair of an arteriovenous fistula.

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

Show the CMS file lines behind this rate
RVUs for 76936PPRRVU2026_Oct_nonQPP.csv, line 8,859 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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