$37.11
76936 guides treatment of an arterial pseudoaneurysm or arteriovenous fistula. 76937 concerns ultrasound-guided vascular access, including evaluation and visualization of vessel entry.
On this page
CMS RVU26D · Effective 2026-10-01
76936 Ultrasound guidance Medicare reimbursement rates in Iowa
Reports real-time ultrasound guidance during treatment of an arterial pseudoaneurysm or arteriovenous fistula, such as compression or thrombin injection. Compare 76936 office and facility rates across CMS payment localities in Iowa.
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 76936 in Iowa?
Iowa 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
$243.71
1 of 1 localities have a supported rate.
Payment area: Iowa
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 76936: Ultrasound-guided pseudoaneurysm repair
Reports real-time ultrasound guidance during treatment of an arterial pseudoaneurysm or arteriovenous fistula, such as compression or thrombin injection.
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.
CMS billing rules for 76936
- 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 RVU1.94 · 24%
- Practice expense (office) RVU5.75 · 73%
- Malpractice RVU0.24 · 3%
622
Medicare services in 2024 · #3360 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.
76936 compared with similar codes
Office rates for Iowa, from the same CMS release.
$59.83
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.
$138.68
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.
Compare 76936 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
Iowa →
Office / nonfacility
$243.71
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 76936 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
8,859
- Code
- 76936
- Physician work
- 1.94
- Practice expense
- 5.75
- Malpractice
- 0.24
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.94 | × 1.000 | 1.9400 |
| Practice expense | 5.75 | × 0.915 | 5.2613 |
| Malpractice | 0.24 | × 0.397 | 0.0953 |
| Total RVUs | 7.2965 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$243.71
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.94 | 1 |
| Practice expense | 5.75 | 0.915 |
| Malpractice | 0.24 | 0.397 |
(1.94 × 1 + 5.75 × 0.915 + 0.24 × 0.397) × $33.4009 = $243.71
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.
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 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.
8,85676932,,Echo guide for heart biopsy,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
8,85776932,26,Echo guide for heart biopsy,A,,0.65,0.35,,0.35,,0.02,1.02,1.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,85876932,TC,Echo guide for heart biopsy,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,,33.4009,03,0,99,0.00,0.00,0.00
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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136