CPT 76125Radiology

Cine/video x-rays add-on

CPT 76125 covers the additional work of recording and reviewing moving x-ray images (cine or video fluoroscopy) during another radiological procedure. It's an add-on code that cannot be billed by itself.

Showing rates for

National Average

Base Medicare rate

$12.94

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

0.27

PE RVU (NF)

0.11

MP RVU

0.02

Total RVU

0.4

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

NCCI bundling edits

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Billing tips

Always bill 76125 with a primary fluoroscopy procedure code; it cannot be billed alone
Impact: Prevents automatic denial; 76125 is a +add-on code and will reject without appropriate primary CPT
Verify the primary procedure code allows 76125 as an add-on before billing
Impact: Many payers limit 76125 to specific fluoroscopy codes; incompatible pairings result in 100% denial
Document medical necessity for permanent video recording beyond standard fluoroscopy
Impact: Without documented justification for why cine/video was necessary, expect 30-50% denial rate on audit
Ensure physician interpretation explicitly references review of recorded cine/video images
Impact: Generic fluoroscopy reports without mention of video review may be denied; specific documentation supports $12.94 payment
Check facility vs non-facility setting; 76125 has identical rates ($12.94) but documentation requirements may vary
Impact: Both settings reimburse identically at $12.94, but hospital outpatient departments may have different compliance requirements
Review NCCI edits quarterly; 76125 bundling rules change with updates
Impact: Unbundling violations can trigger recoupment of all payments plus potential fraud investigation

Common denials

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Frequently asked questions

What is the 2025 Medicare reimbursement rate for CPT 76125?

The 2025 Medicare national average reimbursement for CPT 76125 is $12.94 for both facility and non-facility settings, with a total RVU of 0.4 (0.27 work RVU, 0.11 PE RVU, 0.02 MP RVU).

Can CPT 76125 be billed alone without another procedure code?

No, CPT 76125 is an add-on code (indicated by the + symbol in CPT manual) and must be billed with a primary fluoroscopic procedure code. Billing it alone will result in automatic denial.

What procedures can CPT 76125 be billed with?

CPT 76125 can be billed with fluoroscopic procedures such as upper GI series, barium swallow studies, cystography, joint motion studies, and vascular procedures where permanent video recording is medically necessary for diagnosis. Verify payer-specific pairing rules before billing.

How do you document medical necessity for CPT 76125?

Document the specific clinical indication requiring dynamic video recording beyond standard fluoroscopy, explain why static images are insufficient, reference review of the cine/video images in the interpretation, and incorporate specific findings from the video review into the final report.

What modifiers are commonly used with CPT 76125?

Modifier 59 or XU may be needed when NCCI edits bundle 76125 with the primary procedure but services are distinct. Modifier GY is used when the service is non-covered. Modifier 26 is generally not applicable as 76125 already represents professional component work.

Why was my CPT 76125 claim denied?

Common denial reasons include: billing without an appropriate primary procedure, lack of documented medical necessity for video recording, NCCI bundling edits requiring a modifier, or the physician report not explicitly mentioning review of cine/video images.

Is CPT 76125 reimbursed the same in hospital and office settings?

Yes, the 2025 Medicare rate is $12.94 in both facility and non-facility settings. However, in hospital settings, the facility may bill the technical component separately while the physician bills for professional services.