CPT 76010
Global XXX ActiveX-ray nose to rectum
CPT 76010 Billing & Documentation Guide
CPT code 76010 (X-ray nose to rectum) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.18, a non-facility practice expense RVU of 0.66, and a malpractice RVU of 0.02, a total non-facility RVU of 0.86 and facility RVU of 0.86. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $29.71, though rates vary from $25.29 to $38.82 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 76010, 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 76010 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 2 units of 76010 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 76010
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.18 | 0.18 |
| Practice Expense RVU | 0.66 | 0.66 |
| Malpractice RVU | 0.02 | 0.02 |
| Total RVU | 0.86 | 0.86 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 76010
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 | $32.67 | $32.67 | $30.63 - $38.82 | 29 |
| Florida | $29.43 | $29.43 | $28.09 - $30.65 | 3 |
| Georgia | $27.85 | $27.85 | $26.47 - $29.23 | 2 |
| Illinois | $28.61 | $28.61 | $27.18 - $29.88 | 4 |
| Michigan | $27.65 | $27.65 | $26.89 - $28.41 | 2 |
| North Carolina | $27.01 | $27.01 | $27.01 - $27.01 | 1 |
| New York | $31.8 | $31.8 | $27.42 - $33.85 | 5 |
| Ohio | $26.81 | $26.81 | $26.81 - $26.81 | 1 |
| Pennsylvania | $28.38 | $28.38 | $26.88 - $29.87 | 2 |
| Texas | $28.37 | $28.37 | $26.69 - $29.94 | 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 76010
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 76010 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 71010 | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 71015 | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 71020 | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 71021 | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 71022 | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 71023 | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 71030 | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 71034 | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
Frequently Asked Questions, CPT 76010
What does CPT code 76010 mean? +
CPT code 76010 represents: X-ray nose to rectum. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 76010? +
The 2026 Medicare national average non-facility payment for CPT 76010 is $29.71. Rates range from $25.29 to $38.82 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 76010? +
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 76010? +
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 June 1, 2026.
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