{
    "code": "76536",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/76536/2019/A",
    "release_specific_url": "https://localishealth.com/cpt/76536/2019/C",
    "description": "A real-time ultrasound of the soft tissues of the neck and head, with images saved to the record. In practice this most often means the thyroid gland, but the same code covers the parathyroid glands, the salivary glands, and lumps or lymph nodes in the neck. Ultrasound is the first-line tool here because it distinguishes a solid nodule from a fluid-filled cyst without radiation and can guide a needle biopsy if one is needed.",
    "answer": {
        "question": "How much did Medicare pay for CPT 76536 in Q3 2019?",
        "text": "Medicare paid $117.13 for CPT 76536 in the office (non-facility) setting and $117.13 in a facility under the Q3 2019 Physician Fee Schedule, effective July 2019. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2019, when it decreased 2.0%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2019,
        "quarter": "C",
        "label": "Q3 2019",
        "effective": "July 1 – September 30, 2019",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 117.13,
        "facility": 117.13,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.56,
        "practice_expense_non_facility": 2.65,
        "practice_expense_facility": 2.65,
        "malpractice": 0.04
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 36.0391,
    "source": {
        "label": "Physician relative value file (Q3 2019)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu19c.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2019/C",
        "file": "PPRRVU19_JUL.csv",
        "row": 12817,
        "sha256": "2ea00e3e75fc3a53497bb8eb3c7d29a58404efd9449993daa6f80791a770b47a"
    },
    "modified_at": "2026-08-04T03:09:02+00:00"
}