$69.20
Use 76937 for documented ultrasound-guided vascular access. Code 76942 is used for ultrasound guidance in other needle-placement procedures, such as biopsy.
On this page
CMS RVU26D · Effective 2026-10-01
76937 Vascular access guidance Medicare reimbursement rates in Hawaii
Report ultrasound guidance for vascular access when the clinician evaluates access sites, confirms vessel patency, and documents real-time needle entry. Compare 76937 office and facility rates across CMS payment localities in Hawaii.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 76937 in Hawaii?
Hawaii has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$43.88
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Ultrasound guidance
About 76937: Ultrasound-guided vascular access
Report ultrasound guidance for vascular access when the clinician evaluates access sites, confirms vessel patency, and documents real-time needle entry.
This service covers ultrasound assessment and real-time guidance during vascular access. The clinician evaluates potential access sites, documents the selected vessel’s patency, watches the needle enter the vessel, and permanently records the images. It is commonly performed during central venous catheter or PICC placement and may also accompany arterial access. Physicians and other qualified practitioners perform it in hospitals, outpatient departments, and office settings.
Report 76937 only with a primary procedure for vascular access; it is an add-on code and is paid within that procedure’s global period. Documentation should support the site evaluation, vessel patency, real-time visualization of needle entry, and permanent image recording. CMS treats the service as a diagnostic test with professional and technical components: report modifier 26 for the interpretation or TC for the equipment and staff, or bill without a modifier for the global service.
CMS billing rules for 76937
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
Where the value comes from
- Work RVU0.29 · 24%
- Practice expense (office) RVU0.88 · 73%
- Malpractice RVU0.04 · 3%
600.7K
Medicare services in 2024 · #205 by national volume
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.
76937 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$287.81
Code 76937 guides vascular access needle entry; 76936 concerns ultrasound guidance for arterial repair, such as treatment of a pseudoaneurysm.
Compare 76937 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Hawaii, Guam →
Office / nonfacility
$43.88
Facility
Unavailable
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 76937 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
8,862
- Code
- 76937
- Physician work
- 0.29
- Practice expense
- 0.88
- Malpractice
- 0.04
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.29 | × 1.000 | 0.2900 |
| Practice expense | 0.88 | × 1.137 | 1.0006 |
| Malpractice | 0.04 | × 0.579 | 0.0232 |
| Total RVUs | 1.3137 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$43.88
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.29 | 1 |
| Practice expense | 0.88 | 1.137 |
| Malpractice | 0.04 | 0.579 |
(0.29 × 1 + 0.88 × 1.137 + 0.04 × 0.579) × $33.4009 = $43.88
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
76937 billing questions
What documentation supports 76937?
The record should show evaluation of potential access sites, patency of the selected vessel, real-time visualization of needle entry, and permanent image recording.
Can 76937 be billed by itself?
No. It is an add-on code and must be reported with a primary vascular access procedure.
Which modifiers apply to 76937?
Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Without either modifier, the claim represents the global service.
Is 76937 the same as ultrasound guidance for a biopsy?
No. 76937 is for vascular access, including documented vessel assessment and real-time needle entry. Code 76942 relates to ultrasound guidance for needle placement in procedures such as biopsy.
Can 76937 be reported with PICC placement?
It may be reported as an add-on with a qualifying PICC placement procedure when the required ultrasound assessment, real-time guidance, and image documentation are 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
8,85976936,,Echo guide for artery repair,A,,1.94,5.75,,5.75,NA,0.24,7.93,7.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,7.20,7.20,0.25
8,86076936,26,Echo guide for artery repair,A,,1.94,0.63,,0.63,,0.21,2.78,2.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,86176936,TC,Echo guide for artery repair,A,,0.00,5.12,,5.12,NA,0.03,5.15,5.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,6.57,6.57,0.04
8,86276937,,Us guide vascular access,A,,0.29,0.88,,0.88,NA,0.04,1.21,1.21,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,86376937,26,Us guide vascular access,A,,0.29,0.09,,0.09,,0.03,0.41,0.41,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,86476937,TC,Us guide vascular access,A,,0.00,0.79,,0.79,NA,0.01,0.80,0.80,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
8,86576940,,Us guide tissue ablation,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,YYY,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014