CPT 76506
Global XXX ActiveEcho exam of head
CPT 76506 Billing & Documentation Guide
CPT code 76506 (Echo exam of head) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.61, a non-facility practice expense RVU of 2.6, and a malpractice RVU of 0.05, a total non-facility RVU of 3.26 and facility RVU of 3.26. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $112.85, though rates vary from $95.83 to $148.74 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 76506, 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 76506 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 1 units of 76506 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 76506
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.61 | 0.61 |
| Practice Expense RVU | 2.6 | 2.6 |
| Malpractice RVU | 0.05 | 0.05 |
| Total RVU | 3.26 | 3.26 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 76506
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 | $124.77 | $124.77 | $116.8 - $148.74 | 29 |
| Florida | $110.76 | $110.76 | $105.91 - $115 | 3 |
| Georgia | $105.25 | $105.25 | $99.83 - $110.67 | 2 |
| Illinois | $107.55 | $107.55 | $102.27 - $112.66 | 4 |
| Michigan | $104.27 | $104.27 | $101.55 - $106.99 | 2 |
| North Carolina | $102.47 | $102.47 | $102.47 - $102.47 | 1 |
| New York | $120.49 | $120.49 | $104.05 - $128.04 | 5 |
| Ohio | $101.35 | $101.35 | $101.35 - $101.35 | 1 |
| Pennsylvania | $107.41 | $107.41 | $101.67 - $113.14 | 2 |
| Texas | $107.53 | $107.53 | $100.95 - $113.77 | 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 76506
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 76506 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0689T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0690T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 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 |
| 76511 | Column 1 (primary), can be billed with modifier | No | HCPCS/CPT procedure code definition |
| 76512 | Column 1 (primary), can be billed with modifier | No | HCPCS/CPT procedure code definition |
| 76513 | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 76970 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 76981 | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 76982 | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
Frequently Asked Questions, CPT 76506
What does CPT code 76506 mean? +
CPT code 76506 represents: Echo exam of head. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 76506? +
The 2026 Medicare national average non-facility payment for CPT 76506 is $112.85. Rates range from $95.83 to $148.74 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 76506? +
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 76506? +
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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