CPT 76000Radiology

Fluoroscopy <1 hr phys/qhp

CPT code 76000 covers fluoroscopy imaging performed by a physician or qualified healthcare professional for less than one hour. This is real-time X-ray imaging that allows doctors to see moving internal structures, like watching a video rather than taking a still photograph.

Showing rates for

National Average

Base Medicare rate

$41.73

This calculator gives a typical-case estimate using standard Medicare modifier rules. Actual payment depends on payer policies, documentation, code-specific CMS status indicators, and locality. Verify before billing.

RVU breakdown

Work RVU

0.3

PE RVU (NF)

0.95

MP RVU

0.04

Total RVU

1.29

Conversion factor: 32.3465 · Source: CMS MPFS RVU25A · Confidence: High

NCCI bundling edits

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Billing tips

Verify that 76000 is not already included in the primary procedure code before billing separately
Impact: Prevents 100% bundling denials; CCI edits bundle 76000 into over 300 procedure codes as an integral component
Document the specific medical necessity for fluoroscopic guidance and the total fluoroscopy time in the procedure note
Impact: Reduces denial risk by 60-70%; payers routinely audit fluoroscopy claims for standalone medical necessity
Bill the facility and non-facility rates correctly based on place of service; both rates are $41.73 for 76000
Impact: Ensures accurate reimbursement at the Medicare rate of $41.73; incorrect POS coding can trigger review
Use modifier 59 when fluoroscopy is performed for a separate procedure not included in the primary service
Impact: Can recover $41.73 that would otherwise be denied as bundled; requires clear documentation of distinct service
Never bill 76000 with procedures that have fluoroscopy built into the code descriptor or RVUs
Impact: Prevents fraud flags and 100% recoupment; examples include most interventional radiology and GI procedures
Check annual NCCI edits quarterly as bundling rules change; 76000 bundling relationships are frequently updated
Impact: Maintains compliance and prevents denials; CMS updates bundling edits that affect 76000 in nearly every quarterly release

Common denials

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Frequently asked questions

What is the CPT code 76000 used for?

CPT code 76000 is used for fluoroscopic imaging guidance performed by a physician or qualified healthcare professional for less than one hour. It covers real-time X-ray imaging used during diagnostic or therapeutic procedures to visualize internal structures and guide instruments.

How much does Medicare pay for CPT 76000 in 2025?

Medicare pays $41.73 for CPT code 76000 in 2025 under the national average rate. This rate applies to both facility and non-facility settings. The code has a total RVU value of 1.29 based on the 2025 Medicare Physician Fee Schedule.

Can CPT 76000 be billed with other procedure codes?

CPT 76000 can only be billed separately when fluoroscopy is not already included in another procedure code. Many surgical and interventional procedures include fluoroscopic guidance in their base code, making 76000 bundled per NCCI edits. Always check current bundling rules before billing 76000 with another procedure.

What is the difference between CPT 76000 and 76001?

CPT 76000 covers fluoroscopy under one hour performed by a physician or qualified healthcare professional, while 76001 is used for fluoroscopy performed by a radiologic technologist under physician supervision. The key difference is who is actively operating the fluoroscopy equipment during the procedure.

Does CPT 76000 require a modifier?

CPT 76000 often requires modifiers depending on the billing scenario. Modifier 26 is used for professional component only, TC for technical component only, and modifier 59 when fluoroscopy is a distinct service separate from another procedure. The specific modifier depends on the practice setting and whether other procedures are performed.

What documentation is needed to bill CPT 76000?

Documentation must include the medical necessity for fluoroscopic guidance, total fluoroscopy time in minutes, anatomic areas visualized, physician or QHP participation, and how fluoroscopy guided the procedure. When billing 76000 separately from another procedure, documentation must clearly establish it was a distinct service not included in the primary procedure code.

Why was my CPT 76000 claim denied?

The most common denial reasons for CPT 76000 are bundling into the primary procedure per NCCI edits, lack of medical necessity documentation, billing as a duplicate service, or insufficient documentation of physician supervision. Review the specific denial code and verify that 76000 is separately billable with the procedures performed on that date of service.