CPT 76936
Global XXX ActiveEcho guide for artery repair
CPT 76936 Billing & Documentation Guide
CPT code 76936 (Echo guide for artery repair) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.94, a non-facility practice expense RVU of 5.75, and a malpractice RVU of 0.24, a total non-facility RVU of 7.93 and facility RVU of 7.93. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $273.42, though rates vary from $233.9 to $353.17 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 76936, 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 76936 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 76936 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 76936
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.94 | 1.94 |
| Practice Expense RVU | 5.75 | 5.75 |
| Malpractice RVU | 0.24 | 0.24 |
| Total RVU | 7.93 | 7.93 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 76936
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 | $298.72 | $298.72 | $280.69 - $353.17 | 29 |
| Florida | $273.1 | $273.1 | $260.45 - $285 | 3 |
| Georgia | $257.71 | $257.71 | $245.67 - $269.75 | 2 |
| Illinois | $265.92 | $265.92 | $252.67 - $276.7 | 4 |
| Michigan | $256.42 | $256.42 | $249.19 - $263.65 | 2 |
| North Carolina | $249.11 | $249.11 | $249.11 - $249.11 | 1 |
| New York | $293.02 | $293.02 | $252.89 - $312.18 | 5 |
| Ohio | $248.22 | $248.22 | $248.22 - $248.22 | 1 |
| Pennsylvania | $262.07 | $262.07 | $248.68 - $275.46 | 2 |
| Texas | $261.68 | $261.68 | $247.02 - $275.22 | 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 76936
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 76936 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 |
| 0694T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 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 |
| 76000 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 76001 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 76003 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 76360 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 76375 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 76936
What does CPT code 76936 mean? +
CPT code 76936 represents: Echo guide for artery repair. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 76936? +
The 2026 Medicare national average non-facility payment for CPT 76936 is $273.42. Rates range from $233.9 to $353.17 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 76936? +
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 76936? +
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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