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CPT code 76965: Ultrasound guidance, interstitial radiation application2026 Medicare rate & RVUs in New Mexico

Reports ultrasound guidance used while radioactive sources are placed into tissue, commonly during prostate brachytherapy implantation.

CMS RVU26DEffective Oct 1, 2026One payment locality4.7K Medicare services in 2024

In New Mexico, Medicare pays $92.72 for 76965 in the office.

$92.72Office (non-facility)
Not available in this settingHospital or facility
−3.9%vs the national office rate ($96.53)

Check a contract rate as a % of Medicare · 76965 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 76965 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 76965 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 76965 covers

This service covers ultrasound used to guide placement of radioactive sources into tissue for interstitial radiation treatment. A common setting is prostate brachytherapy, where a urologist or radiation oncologist uses ultrasound during seed implantation to visualize the target and guide source placement. The service is guidance for treatment, not a diagnostic ultrasound examination of the prostate.

Report 76965 when the ultrasound is used for interstitial radioelement application, rather than for a different ultrasound-guided procedure. Documentation should identify the treatment guidance performed and include the imaging and interpretation supporting it. CMS recognizes professional and technical components: modifier 26 reports the interpretation, modifier TC reports the equipment and staff, and an unmodified claim represents the global service. The code may be reported in connection with the source-placement procedure, such as prostate implantation, when the guidance service is performed.

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 New Mexico compares for 76965

Across 109 of 109 payment localities, the office rate for 76965 runs from $88.40 in Arkansas to $122.85 in San Benito County, CA. New Mexico pays $92.72. The RVUs are the same everywhere; the geographic indexes change the dollars.

76965 in New Mexico vs other payment areas
  1. New Mexico · this page$92.72
  2. Los Angeles, CA · California$106.94+$14.22
  3. Washington, DC area · District of Columbia$108.15+$15.43
  4. Miami, FL · Florida$101.67+$8.95
  5. Chicago, IL · Illinois$99.68+$6.96
  6. Manhattan, NY · New York$108.73+$16.01
  7. Alaska · Alaska$120.81+$28.09

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

Every other payment area

76965 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$89.31—
ArkansasArkansas$88.40—
ArizonaArizona$94.67—
Bakersfield, CACalifornia$101.45—
Chico, CACalifornia$101.22—
El Centro, CACalifornia$101.23—
Fresno, CACalifornia$101.22—
Hanford, CACalifornia$101.22—

76965 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$88.40

$120.81

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

View every state and territory as a table
76965 office rate range by state
State / territoryOffice rate rangeLocalities
AK$120.811
AL$89.311
AR$88.401
AZ$94.671
CA$101.22–$122.8529
CO$99.861
CT$101.731
DC$108.151
DE$95.941
FL$95.30–$101.673
GA$91.43–$97.872
GU$102.641
HI$102.641
IA$91.001
ID$91.411
IL$93.24–$99.754
IN$91.791
KS$90.661
KY$90.721
LA$90.61–$93.812
MA$99.51–$107.952
MD$97.41–$108.153
ME$91.71–$95.332
MI$92.37–$96.132
MN$96.591
MO$89.47–$94.103
MS$88.951
MT$96.521
NC$92.401
ND$95.341
NE$91.371
NH$98.361
NJ$103.14–$107.542
NM$92.721
NV$96.241
NY$93.39–$110.645
OH$92.131
OK$90.651
OR$95.73–$102.352
PA$92.26–$99.782
PR$97.061
RI$98.821
SC$92.371
SD$95.201
TN$90.981
TX$91.82–$99.338
UT$93.281
VA$95.08–$108.152
VI$97.061
VT$95.031
WA$99.31–$109.872
WI$93.011
WV$90.741
WY$96.011

See 76965 in every payment locality

How the 76965 rate is calculated

Each of 76965’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 · 76965

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.31

1.31 RVUs× 1.000 GPCI

Practice expense1.52

1.52 RVUs× 1.000 GPCI

Malpractice0.06

0.06 RVUs× 1.000 GPCI

Adjusted RVUs

2.8900

Conversion factor

$33.4009

Medicare rate

$96.53

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,883

Code
76965
Physician work
1.31
Practice expense
1.52
Malpractice
0.06

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 76965 in New Mexico
ComponentRVULocality factorAdjusted
Physician work1.31× 1.0001.3100
Practice expense1.52× 0.9171.3938
Malpractice0.06× 1.2010.0721
Total RVUs2.7759
Conversion factor× 33.4009

Office rate, New Mexico$92.72

Office: (1.31 × 1 + 1.52 × 0.917 + 0.06 × 1.201) × $33.4009 = $92.72

Open 76965 in the RVU calculator

Payment rules and modifiers for 76965

The CMS indicators that decide how 76965 is paid alongside other services.

CMS payment indicators · 76965

Ultrasound guidance, interstitial radiation application

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

76965 without 26 · national office

$96.53

Ultrasound guidance, interstitial radiation application

76965-26 · Professional component

$67.80

Pays only the interpretation and report.

When to use modifier 26

Codes related to 76965

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

Codes related to 76965
CodeHow it relatesOffice range, New Mexico
Often billed with
55875Prostate brachytherapy, needle or catheter placementProstate needle placement for interstitial source implantation is commonly performed with 76965 guidance.No office rate
77778Interstitial brachytherapy, complex source applicationA radiation source application service that may accompany an interstitial brachytherapy implant.$884.31
Used instead
76942Ultrasound needle guidance, biopsy, aspiration, injection, or localizationUltrasound needle-placement guidance for procedures other than interstitial radioelement application.$60.99
76998Intraoperative ultrasound, surgical guidanceIntraoperative ultrasound guidance for procedures not specifically involving interstitial radioelement application.No office rate

How 76965 has changed in New Mexico

76965 · Office / nonfacility

$92.72

Effective 2026-10-01

The base rate is $4.31 higher than on 2025-10-01, moving from $88.41 to $92.72 (4.9%).

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

    $88.41changed to$92.72

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.34 changed to 1.31
    • Practice expense RVU 1.47 changed to 1.52
    • Malpractice RVU 0.05 changed to 0.06
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $90.17changed to$88.41

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.43 changed to 1.47
    • Malpractice RVU 0.06 changed to 0.05

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $88.70changed to$90.17

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $90.18changed to$88.70

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.40 changed to 1.43
    • Malpractice RVU 0.05 changed to 0.06
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172

  5. January 1, 2023

    RVU23A

    $89.94changed to$90.18

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.34 changed to 1.40
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $89.75changed to$89.94

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.31 changed to 1.34

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $91.61changed to$89.75

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.24 changed to 1.31
    • Malpractice RVU 0.06 changed to 0.05
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $91.48changed to$91.61

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.22 changed to 1.24
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $91.05changed to$91.48

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.21 changed to 1.22

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $89.64changed to$91.05

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.18 changed to 1.21
    • Practice expense GPCI 0.920 changed to 0.921
    • Malpractice GPCI 1.204 changed to 1.247

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $88.23changed to$89.64

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.16 changed to 1.18
    • Malpractice RVU 0.05 changed to 0.06
    • Practice expense GPCI 0.919 changed to 0.920
    • Malpractice GPCI 1.161 changed to 1.204

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $88.30changed to$88.23

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.14 changed to 1.16
    • Malpractice RVU 0.06 changed to 0.05

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $87.86changed to$88.30

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $88.97changed to$87.86

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.09 changed to 0.06
    • Practice expense GPCI 0.918 changed to 0.919
    • Malpractice GPCI 1.079 changed to 1.161

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $86.35changed to$88.97

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.21 changed to 1.14
    • Practice expense GPCI 0.916 changed to 0.918
    • Malpractice GPCI 0.997 changed to 1.079

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $86.35

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$92.72Not available in this settingRVU26D
2026-07-01$92.72Not available in this settingRVU26C
2026-04-01$92.72Not available in this settingRVU26B
2026-01-01$92.72Not available in this settingRVU26A
2025-10-01$88.41Not available in this settingRVU25D
2025-07-01$88.41Not available in this settingRVU25C
2025-04-01$88.41Not available in this settingRVU25B
2025-01-01$88.41Not available in this settingRVU25A
2024-10-01$90.17Not available in this settingRVU24D
2024-07-01$90.17Not available in this settingRVU24C
2024-04-01$90.17Not available in this settingRVU24B
2024-03-09$90.17Not available in this settingRVU24AR
2024-01-01$88.70Not available in this settingRVU24A
2023-10-01$90.18Not available in this settingRVU23D
2023-07-01$90.18Not available in this settingRVU23C
2023-04-01$90.18Not available in this settingRVU23B
2023-01-01$90.18Not available in this settingRVU23A
2022-10-01$89.94Not available in this settingRVU22D
2022-07-01$89.94Not available in this settingRVU22C
2022-04-01$89.94Not available in this settingRVU22B
2022-01-01$89.94Not available in this settingRVU22A
2021-10-01$89.75Not available in this settingRVU21D
2021-07-01$89.75Not available in this settingRVU21C
2021-04-01$89.75Not available in this settingRVU21B
2021-01-01$89.75Not available in this settingRVU21A
2020-10-01$91.61Not available in this settingRVU20D
2020-07-01$91.61Not available in this settingRVU20C
2020-04-01$91.61Not available in this settingRVU20B
2020-01-01$91.61Not available in this settingRVU20A
2019-10-01$91.48Not available in this settingRVU19D
2019-07-01$91.48Not available in this settingRVU19C
2019-04-01$91.48Not available in this settingRVU19B
2019-01-01$91.48Not available in this settingRVU19A
2018-10-01$91.05Not available in this settingRVU18D
2018-07-01$91.05Not available in this settingRVU18C
2018-04-01$91.05Not available in this settingRVU18B
2018-01-01$91.05Not available in this settingRVU18AR1
2017-10-01$89.64Not available in this settingRVU17D
2017-07-01$89.64Not available in this settingRVU17C
2017-04-01$89.64Not available in this settingRVU17B
2017-01-01$89.64Not available in this settingRVU17A
2016-10-01$88.23Not available in this settingRVU16D
2016-07-01$88.23Not available in this settingRVU16C
2016-04-01$88.23Not available in this settingRVU16B
2016-01-01$88.23Not available in this settingRVU16A
2015-10-01$88.30Not available in this settingRVU15D
2015-07-01$88.30Not available in this settingRVU15C
2015-04-01$87.86Not available in this settingRVU15B
2015-01-01$87.86Not available in this settingRVU15A
2014-10-01$88.97Not available in this settingRVU14D
2014-07-01$88.97Not available in this settingRVU14C
2014-04-01$88.97Not available in this settingRVU14B
2014-01-01$88.97Not available in this settingRVU14A
2013-10-01$86.35Not available in this settingRVU13D
2013-07-01$86.35Not available in this settingRVU13C
2013-04-01$86.35Not available in this settingRVU13B
2013-01-01$86.35Not available in this settingRVU13AR

Price 76965 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

76965 billing questions

How is 76965 different from 76942?

76965 is for ultrasound guidance during interstitial radioactive source application. Use 76942 for ultrasound guidance of needle placement in other procedures, such as a biopsy.

Does 76965 report the radioactive seed implantation itself?

No. It reports the ultrasound guidance for interstitial source application. The implantation procedure, such as prostate needle placement reported with 55875, is a separate service.

Which modifiers identify the professional and technical portions?

Modifier 26 reports the professional interpretation, and modifier TC reports the technical portion, including equipment and staff. Without either modifier, the claim represents the global service.

What documentation supports reporting 76965?

Document that ultrasound guided interstitial radioelement placement, the treatment target, and the imaging and interpretation performed. A diagnostic ultrasound alone does not establish this guidance service.

Is this code specific to prostate brachytherapy?

No. Prostate seed implantation is a common example, but the defining service is ultrasound guidance for interstitial radioactive source application.

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 76965PPRRVU2026_Oct_nonQPP.csv, line 8,883 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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