Billing code 76936: Ultrasound guidanceMedicare rate & RVUs in Minnesota
Reports real-time ultrasound guidance during treatment of an arterial pseudoaneurysm or arteriovenous fistula, such as compression or thrombin injection.
Medicare pays $264.80 for 76936 in the office in Minnesota (Minnesota). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
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.
76936 in Minnesota
| Payment locality | Office | Facility |
|---|---|---|
| Minnesota | $264.80 | Unavailable |
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
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.
Payment rules and modifiers for 76936
The CMS indicators that decide how 76936 is paid alongside other services.
CMS payment indicators · 76936
Ultrasound guidance
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic 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
76936-26 · Professional component
$92.85
Pays only the interpretation and report.
76936 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 76937Vascular access guidance
- 76936 guides treatment of an arterial pseudoaneurysm or arteriovenous fistula. 76937 concerns ultrasound-guided vascular access, including evaluation and visualization of vessel entry.
- 76942Ultrasound needle guidance
- 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.
- 36002Pseudoaneurysm injection
- 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.
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
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