CPT 76120Radiology

Cine/video x-rays

CPT code 76120 covers cine or video x-ray imaging, which is a continuous x-ray recording (like a movie) that captures motion of internal structures in real-time rather than static images.

Showing rates for

National Average

Base Medicare rate

$106.42

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

0.38

PE RVU (NF)

2.88

MP RVU

0.03

Total RVU

3.29

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

NCCI bundling edits

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Billing tips

Verify that cine/video recording capability was actually used and documented - standard fluoroscopy without permanent recording does not qualify for 76120
Impact: Prevents $106.42 denial and potential audit exposure; incorrect coding could result in recoupment of all payments
Check NCCI edits before billing 76120 with other fluoroscopy codes - many cardiac catheterization and GI procedure codes bundle 76120 into the primary procedure
Impact: Prevents automatic claim denials; 76120 is frequently bundled and may only be separately billable with modifier 59 in specific documented circumstances
Document the medical necessity for permanent video recording rather than real-time fluoroscopy alone - explain why static images were insufficient
Impact: Strengthens medical necessity justification and reduces denial rate by 40-60% in audited claims
Bill global code when facility provides both equipment and interpretation; split bill with modifier 26/TC only when services are truly divided between different entities
Impact: Ensures correct payment allocation; incorrect modifier use can result in underpayment of up to 70% of allowed amount
Identify whether 76120 is reported per study or per recording session - multiple recordings during a single procedural session typically constitute one unit
Impact: Prevents overbilling allegations; multiple unit billing without documentation can trigger fraud investigations
Coordinate billing between radiologist and referring proceduralist to avoid duplicate billing when cine imaging is performed during interventional procedures

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Frequently asked questions

What is the difference between CPT 76120 and standard fluoroscopy?

CPT 76120 specifically requires permanent cine or video recording of the fluoroscopic images for later playback and review, while standard fluoroscopy codes cover only real-time imaging without permanent recording. The key distinguishing feature is the creation, storage, and review of a permanent video record rather than just live visualization during the procedure.

How much does Medicare pay for CPT code 76120 in 2025?

Medicare pays $106.42 for CPT 76120 in 2025 based on the national average non-facility rate. This represents 3.29 total RVUs multiplied by the 2025 conversion factor of 32.3465. Both facility and non-facility rates are identical at $106.42 for this code.

Can CPT 76120 be billed with cardiac catheterization codes?

CPT 76120 is typically bundled into comprehensive cardiac catheterization codes and cannot be separately billed in most cases. The cine angiography performed during cardiac catheterization is considered inclusive. Separate billing would only be appropriate for cine imaging performed for a distinctly different purpose or anatomical area with proper documentation and modifier 59.

What modifiers are commonly used with CPT 76120?

The most common modifiers for 76120 are modifier 26 (professional component only), TC (technical component only), and 59 (distinct procedural service to unbundle from primary procedure). Modifiers 76 and 77 are used for repeat procedures performed on the same day by the same or different physician respectively.

Is CPT 76120 reported per recording or per study?

CPT 76120 is typically reported once per study or procedural session regardless of the number of individual recordings made during that session. Multiple separate recordings performed as part of a single continuous examination are generally considered one unit. Separate billing would require distinct sessions with separate medical necessity documentation.

What documentation is required to bill CPT 76120?

Documentation must explicitly state that cine or video recording was performed, describe what was recorded and why permanent recording was medically necessary, confirm the recording was reviewed and archived, and include technical recording parameters. The report must differentiate this from standard real-time fluoroscopy and justify why static images were insufficient.

Why was my CPT 76120 claim denied as bundled?

CPT 76120 is frequently bundled into comprehensive procedure codes because many interventional and diagnostic procedures include cine imaging as an integral component. Common bundling occurs with cardiac catheterization, upper GI series, and many fluoroscopy-guided procedures. The code can only be separately billed when performed as a distinct service for different medical necessity, properly documented with modifier 59.