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CPT 76536 — Us exam of head and neck

CPT code 76536 (Us exam of head and neck) carries 0.55 work RVUs under the CMS 2026 Medicare Physician Fee Schedule. Total RVUs are 3.25 in a non-facility setting and 3.25 in a facility setting, which at the 2026 conversion factor of $33.40 works out to $108.55 and $108.55 respectively.

0.55
Work RVU
3.25
Total RVU (non-facility)
$108.55
Medicare, non-facility
$108.55
Medicare, facility
Calculate your total wRVUs →

RVU breakdown for CPT 76536

ComponentRVUsWhat it covers
Work RVU0.55Physician time, skill, effort, and stress.
Practice expense RVU (non-facility)2.66Office overhead, staff, supplies.
Practice expense RVU (facility)2.66Overhead when performed in a hospital.
Malpractice RVU0.0Professional liability cost.
Total RVU (non-facility)3.25Work + non-facility PE + malpractice.
Total RVU (facility)3.25Work + facility PE + malpractice.

Professional and technical components

CPT 76536 can be split into professional (modifier 26) and technical (modifier TC) components.

ComponentWork RVUTotal RVU (non-fac)Total RVU (fac)
Modifier 260.550.790.79
Modifier TC0.02.462.46

How Medicare payment is calculated

Medicare multiplies total RVUs by the annual conversion factor. For CPT 76536 in 2026:

SettingTotal RVUConversion factorNational payment
Non-facility3.25$33.40$108.55
Facility3.25$33.40$108.55

These are national amounts. Actual payment is adjusted by the Geographic Practice Cost Index for your locality — check yours with the GPCI lookup.

Billing rules for CPT 76536

Global period
Global concept does not apply to this code.
Multiple procedure reduction
No multiple-procedure payment reduction applies.
Bilateral surgery
Bilateral adjustment does not apply.
Assistant surgeon
Not permitted unless documentation supports medical necessity.
Co-surgeon
Not permitted unless documentation supports medical necessity.
Team surgery
Not permitted unless documentation supports medical necessity.

Questions about CPT 76536

How many work RVUs is CPT 76536?

CPT 76536 is assigned 0.55 work RVUs in the CMS 2026 Medicare Physician Fee Schedule.

What does Medicare pay for CPT 76536?

At the 2026 national conversion factor of $33.40, CPT 76536 pays approximately $108.55 in a non-facility setting and $108.55 in a facility setting before geographic adjustment.

What is the global period for CPT 76536?

Global concept does not apply to this code.

RVU values reflect the CMS 2026 Medicare Physician Fee Schedule (conversion factor $33.40). Payment figures are national and unadjusted for geography. Verify against the official fee schedule before using for billing.