CPT 76000
Global XXX ActiveFluoroscopy <1 hr phys/qhp
CPT 76000 Billing & Documentation Guide
CPT code 76000 (Fluoroscopy <1 hr phys/qhp) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.3, a non-facility practice expense RVU of 0.98, and a malpractice RVU of 0.04, a total non-facility RVU of 1.32 and facility RVU of 1.32. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $45.53, though rates vary from $38.83 to $59.04 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 76000, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 76000 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 3 units of 76000 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 76000
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.3 | 0.3 |
| Practice Expense RVU | 0.98 | 0.98 |
| Malpractice RVU | 0.04 | 0.04 |
| Total RVU | 1.32 | 1.32 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 76000
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $49.83 | $49.83 | $46.78 - $59.04 | 29 |
| Florida | $45.46 | $45.46 | $43.32 - $47.47 | 3 |
| Georgia | $42.86 | $42.86 | $40.81 - $44.91 | 2 |
| Illinois | $44.24 | $44.24 | $41.99 - $46.07 | 4 |
| Michigan | $42.64 | $42.64 | $41.41 - $43.86 | 2 |
| North Carolina | $41.41 | $41.41 | $41.41 - $41.41 | 1 |
| New York | $48.83 | $48.83 | $42.06 - $52.06 | 5 |
| Ohio | $41.25 | $41.25 | $41.25 - $41.25 | 1 |
| Pennsylvania | $43.6 | $43.6 | $41.33 - $45.87 | 2 |
| Texas | $43.54 | $43.54 | $41.05 - $45.86 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 76000
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 76000 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01922 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0544T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0548T | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 0571T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0572T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0573T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0574T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0581T | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 0582T | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 0584T | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
Frequently Asked Questions, CPT 76000
What does CPT code 76000 mean? +
CPT code 76000 represents: Fluoroscopy <1 hr phys/qhp. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 76000? +
The 2026 Medicare national average non-facility payment for CPT 76000 is $45.53. Rates range from $38.83 to $59.04 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 76000? +
Radiology codes rely heavily on the professional/technical split: modifier 26 (professional component only) and TC (technical component only). Also common: 50 (bilateral imaging), 76 (repeat by same physician), 77 (repeat by different physician), and LT/RT for laterality.
What bundling edits apply to CPT 76000? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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