CPT 76776
Global XXX ActiveUs exam k transpl w/doppler
CPT 76776 Billing & Documentation Guide
CPT code 76776 (Us exam k transpl w/doppler) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.74, a non-facility practice expense RVU of 3.49, and a malpractice RVU of 0.06, a total non-facility RVU of 4.29 and facility RVU of 4.29. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $148.59, though rates vary from $125.88 to $196.6 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 76776, 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 76776 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 76776 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 76776
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.74 | 0.74 |
| Practice Expense RVU | 3.49 | 3.49 |
| Malpractice RVU | 0.06 | 0.06 |
| Total RVU | 4.29 | 4.29 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 76776
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 | $164.62 | $164.62 | $153.97 - $196.6 | 29 |
| Florida | $145.57 | $145.57 | $139.17 - $151.13 | 3 |
| Georgia | $138.36 | $138.36 | $131.09 - $145.63 | 2 |
| Illinois | $141.27 | $141.27 | $134.28 - $148.16 | 4 |
| Michigan | $137 | $137 | $133.41 - $140.58 | 2 |
| North Carolina | $134.76 | $134.76 | $134.76 - $134.76 | 1 |
| New York | $158.66 | $158.66 | $136.87 - $168.62 | 5 |
| Ohio | $133.16 | $133.16 | $133.16 - $133.16 | 1 |
| Pennsylvania | $141.26 | $141.26 | $133.62 - $148.9 | 2 |
| Texas | $141.48 | $141.48 | $132.66 - $149.87 | 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 76776
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 76776 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 |
| 76706 | Column 1 (primary), can be billed with modifier | No | More extensive procedure |
| 76775 | Column 1 (primary), can be billed with modifier | No | More extensive procedure |
| 76942 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 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 76776
What does CPT code 76776 mean? +
CPT code 76776 represents: Us exam k transpl w/doppler. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 76776? +
The 2026 Medicare national average non-facility payment for CPT 76776 is $148.59. Rates range from $125.88 to $196.6 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 76776? +
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 76776? +
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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