{
    "code": "76536",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/76536/2020/A",
    "release_specific_url": "https://localishealth.com/cpt/76536/2020/B",
    "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 Q2 2020?",
        "text": "Medicare paid $118.01 for CPT 76536 in the office (non-facility) setting and $118.01 in a facility under the Q2 2020 Physician Fee Schedule, effective April 2020. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2020, when it increased 0.8%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2020,
        "quarter": "B",
        "label": "Q2 2020",
        "effective": "April 1 – June 30, 2020",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 118.01,
        "facility": 118.01,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.56,
        "practice_expense_non_facility": 2.67,
        "practice_expense_facility": 2.67,
        "malpractice": 0.04
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 36.0896,
    "source": {
        "label": "Physician relative value file (Q2 2020)",
        "cms_url": "https://www.cms.gov/files/zip/rvu20b-updated-05012020.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2020/B",
        "file": "PPRRVU20_APR.csv",
        "row": 13024,
        "sha256": "672d21e247262386ad5b386092de9835fecec65fabbeaae050718f9afeef097b"
    },
    "modified_at": "2026-08-04T03:09:33+00:00"
}
