CPT code 76705: Abdominal ultrasound, targeted organ or quadrant2026 Medicare rate & RVUs in Texas

Targeted abdominal ultrasound evaluates a single organ or quadrant, such as the right upper quadrant, when a complete abdominal survey is not performed.

CMS RVU26DEffective Oct 1, 20268 payment localities1M Medicare services in 2024

Medicare pays $80.19–$89.86 for 76705 in the office in Texas, from Beaumont, TX to Austin, TX. Which amount applies depends on the service address.

$80.19–$89.86Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 9 sections
  1. Rate in Texas
  2. What 76705 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 76705 covers

A limited abdominal ultrasound uses real-time imaging to assess a defined organ, quadrant, or follow-up target rather than the full abdominal survey. A right upper quadrant study may evaluate the gallbladder and biliary region for suspected gallstones or cholecystitis. Other targeted studies may assess a liver finding, spleen size, or abdominal ascites. A sonographer commonly acquires and stores images in a hospital imaging department, emergency department, or office; a radiologist or other qualified physician interprets the study and signs the report.

Select 76705 based on the structures actually examined, not merely because the study follows an earlier exam: a follow-up can be complete. Document the indication, organs or region evaluated, stored images, findings, and signed interpretation. Modifier 26 identifies the professional interpretation; modifier TC identifies equipment and staff. Billing without either modifier represents the combined service. CMS applies the diagnostic imaging multiple procedure reduction to the technical and professional components when multiple eligible imaging services meet its criteria.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 76705 pays more and less in Texas

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

8 payment localities

$80.19 to $89.86

$80.19$85.03$89.86
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

8 of 8 payment localities

76705 office and facility rates by payment locality
Payment localityOfficeFacility
Austin, TX$89.86Unavailable
Beaumont, TX$80.19Unavailable
Brazoria, TX$85.45Unavailable
Dallas, TX$85.90Unavailable
Fort Worth, TX$85.26Unavailable
Galveston, TX$85.64Unavailable
Houston, TX$86.37Unavailable
Rest of Texas$82.71Unavailable

How the 76705 rate is calculated

Each of 76705’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 76705

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.58

0.58 RVUs× 1.000 GPCI

Practice expense1.96

1.96 RVUs× 1.000 GPCI

Malpractice0.04

0.04 RVUs× 1.000 GPCI

Adjusted RVUs

2.5800

Conversion factor

$33.4009

Medicare rate

$86.17

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 76705

The CMS indicators that decide how 76705 is paid alongside other services.

CMS payment indicators · 76705

Abdominal ultrasound, targeted organ or quadrant

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures4Diagnostic imaging reduction applies to the technical component (and professional component) of additional services.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

76705 without 26 · national office

$86.17

Abdominal ultrasound, targeted organ or quadrant

76705-26 · Professional component

$27.39

Pays only the interpretation and report.

When to use modifier 26

76705 compared with similar codes

Compare codes · National

76705 vs 76700 vs 76775: Medicare rates

Office or facility?

  • 76705

    Abdominal ultrasound, targeted organ or quadrant0.58 wRVU

    $86.17

  • 76700

    Abdominal ultrasound, complete exam0.79 wRVU

    $114.23+$28.06

  • 76775

    Retroperitoneal ultrasound, limited examination0.57 wRVU

    $60.79−$25.38

How to choose

76700Abdominal ultrasoundComplete exam
A complete abdominal exam addresses the liver, gallbladder, common bile duct, pancreas, spleen, kidneys, upper abdominal aorta, and inferior vena cava. A targeted organ or quadrant study is limited; document why a required structure cannot be seen in an otherwise complete exam.
76775Retroperitoneal ultrasoundLimited examination
A kidney-only or diagnostic aorta-only examination is generally a limited retroperitoneal study. Code 76705 covers a targeted abdominal organ or quadrant examination, such as a right upper quadrant study.

76705 billing questions

When should this be reported instead of the complete abdominal ultrasound?

Report 76705 for a targeted study, such as an examination limited to the gallbladder and biliary region. A complete study must address its required structures; document the reason when a required structure cannot be visualized.

Can a limited and a complete abdominal ultrasound be billed on the same date?

Do not report both for the same examination; the targeted evaluation is included in a complete study. Report the code matching the documented scope.

Which modifier does a radiologist reading hospital studies use?

A physician interpreting images acquired on hospital equipment reports modifier 26 for the professional component. The hospital bills the technical portion on its facility claim.

Is a kidney-only ultrasound reported with this code?

An examination limited to the kidneys is generally reported with the limited retroperitoneal ultrasound code, 76775, rather than 76705.

Can Doppler evaluation of the liver vessels be added?

A separate abdominal vascular duplex code may be reported when a medically necessary vascular evaluation with spectral waveforms is performed and documented. Color flow used only during the organ examination does not establish a separate duplex service.

Does the multiple procedure reduction affect this code?

Yes. When multiple eligible diagnostic imaging services meet CMS multiple-procedure criteria, the reduction applies to both the technical and professional components.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 76705PPRRVU2026_Oct_nonQPP.csv, line 8,745 (RVU26D)

Open CMS sourceHow we calculate rates

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