Billing code 76000: FluoroscopyMedicare rate & RVUs

Medicare pays $44.09 for 76000 nationally in the office. Local office rates run $38.83–$59.04.

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

What 76000 covers

Code 76000 describes physician- or qualified health care professional-supervised fluoroscopy lasting less than one hour. Fluoroscopy uses continuous or intermittent x-ray imaging to show motion, contrast flow, or the position of devices in real time. It may be performed in an operating room, procedure suite, or office when the clinician needs live imaging during a service. The clinician’s report should identify the reason for imaging, the fluoroscopic findings, and the interpretation.

Choose this code based on the fluoroscopic service performed and its duration, not simply because an x-ray unit was present. When imaging is guidance for a specific procedure, compare the service with codes that describe that particular guidance before reporting 76000 separately. CMS recognizes professional and technical components: modifier 26 reports the interpretation, modifier TC reports the equipment and staff, and billing without either modifier represents the global service. Documentation should support the component billed and the physician or qualified health care professional’s fluoroscopy time.

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 76000 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

76000 rates by state

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

How the 76000 rate is calculated

Each of 76000’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 76000

The CMS indicators that decide how 76000 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

76000 compared with similar codes

How to choose

77002Fluoroscopy guidance

76000 describes a general fluoroscopic service; 77002 identifies fluoroscopy used for needle placement guidance.

77003Fluoroscopic guidance

Use 77003 when fluoroscopy guides a spinal injection. Code 76000 is not the procedure-specific spinal injection guidance code.

76010Foreign body X-ray

76010 describes an x-ray survey from the nose through the rectum, such as in a foreign-body evaluation; 76000 is live fluoroscopic imaging.

Codes related to 76000

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