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CPT code 76776: Transplant ultrasound, kidney with Doppler2026 Medicare rate & RVUs in Queens, NY

Ultrasound with Doppler evaluates a transplanted kidney and its vessels, commonly for graft dysfunction, obstruction, or suspected vascular compromise.

CMS RVU26DEffective Oct 1, 2026One payment locality47.4K Medicare services in 2024

In Queens, NY, Medicare pays $166.97 for 76776 in the office.

$166.97Office (non-facility)
Not available in this settingHospital or facility
+16.5%vs the national office rate ($143.29)

Check a contract rate as a % of Medicare · 76776 nationwide

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

We’ll open 76776 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Queens, NY
  2. What 76776 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 76776 covers

This study evaluates a renal allograft with real-time ultrasound and Doppler assessment of the transplant vessels. It is commonly ordered for graft dysfunction, rising creatinine, reduced urine output, suspected obstruction, or concern for vascular compromise after kidney transplantation. Sonographers acquire and document the images; a radiologist or other qualified physician interprets the examination, often in a hospital or outpatient imaging setting.

Report 76776 for an ultrasound of the transplanted kidney that includes Doppler evaluation; a study of native kidneys or the broader retroperitoneum is selected according to its scope instead. Documentation should identify the graft, support the ultrasound and Doppler work performed, and include the interpretation. CMS allows global billing without a modifier, or separate professional and technical billing with modifiers 26 and TC. The diagnostic imaging multiple procedure reduction applies to both components.

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.

How Queens, NY compares for 76776

Across 109 of 109 payment localities, the office rate for 76776 runs from $125.88 in Arkansas to $196.60 in San Benito County, CA. Queens, NY pays $166.97. The RVUs are the same everywhere; the geographic indexes change the dollars.

76776 in Queens, NY vs other payment areas
  1. Queens, NY · this page$166.97
  2. Manhattan, NY · New York$164.93−$2.04
  3. NYC suburbs and Long Island, NY · New York$168.62+$1.65
  4. Poughkeepsie and northern NYC suburbs, NY · New York$155.90−$11.07
  5. Rest of New York · New York$136.87−$30.10
  6. Los Angeles, CA · California$164.96−$2.01
  7. Washington, DC area · District of Columbia$165.60−$1.37

Other areas in New York first, then benchmark localities. Bars start at $0.

Every other payment area

76776 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$151.13—
Chicago, ILIllinois$146.64—
AlaskaAlaska$162.33—
AlabamaAlabama$127.85—
ArkansasArkansas$125.88—
ArizonaArizona$139.39—
Bakersfield, CACalifornia$154.17—
Chico, CACalifornia$153.97—

76776 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$125.88

$175.29

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
76776 office rate range by state
State / territoryOffice rate rangeLocalities
AK$162.331
AL$127.851
AR$125.881
AZ$139.391
CA$153.97–$196.6029
CO$150.611
CT$153.181
DC$165.601
DE$141.811
FL$139.17–$151.133
GA$131.09–$145.632
GU$158.421
HI$158.421
IA$132.171
ID$132.911
IL$134.28–$148.164
IN$133.751
KS$131.111
KY$130.181
LA$129.80–$136.682
MA$149.46–$166.702
MD$144.77–$165.603
ME$133.21–$141.502
MI$133.41–$140.582
MN$145.261
MO$127.15–$137.703
MS$126.561
MT$143.291
NC$134.761
ND$142.101
NE$133.071
NH$147.821
NJ$155.20–$163.632
NM$134.021
NV$143.071
NY$136.87–$168.625
OH$133.161
OK$130.371
OR$142.23–$156.112
PA$133.62–$148.902
PR$144.541
RI$147.391
SC$134.131
SD$141.961
TN$131.751
TX$132.66–$149.878
UT$136.091
VA$140.72–$165.602
VI$144.541
VT$141.131
WA$149.31–$170.622
WI$137.011
WV$128.881
WY$142.771

See 76776 in every payment locality

How the 76776 rate is calculated

Each of 76776’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 · 76776

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.74

0.74 RVUs× 1.000 GPCI

Practice expense3.49

3.49 RVUs× 1.000 GPCI

Malpractice0.06

0.06 RVUs× 1.000 GPCI

Adjusted RVUs

4.2900

Conversion factor

$33.4009

Medicare rate

$143.29

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

The exact Queens, NY inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,757

Code
76776
Physician work
0.74
Practice expense
3.49
Malpractice
0.06

GPCI2026.csv

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 76776 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work0.74× 1.0640.7874
Practice expense3.49× 1.1824.1252
Malpractice0.06× 1.4420.0865
Total RVUs4.9991
Conversion factor× 33.4009

Office rate, Queens, NY$166.97

Office: (0.74 × 1.064 + 3.49 × 1.182 + 0.06 × 1.442) × $33.4009 = $166.97

Open 76776 in the RVU calculator

Payment rules and modifiers for 76776

The CMS indicators that decide how 76776 is paid alongside other services.

CMS payment indicators · 76776

Transplant ultrasound, kidney with Doppler

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

76776 without 26 · national office

$143.29

Transplant ultrasound, kidney with Doppler

76776-26 · Professional component

$34.74

Pays only the interpretation and report.

When to use modifier 26

Codes related to 76776

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 76776
CodeHow it relatesOffice range, Queens, NY
Used instead
76770Retroperitoneal ultrasound, complete examComplete retroperitoneal ultrasound for native-kidney or broader retroperitoneal evaluation.$123.14
76775Retroperitoneal ultrasound, limited examinationLimited retroperitoneal ultrasound when the study is not a transplant-kidney Doppler examination.$69.95
93975Vascular duplex, complete organ inflow and outflowDuplex study of abdominal organ vessels when a transplant-kidney ultrasound is not the service performed.$303.04

How 76776 has changed in Queens, NY

76776 · Office / nonfacility

$166.97

Effective 2026-10-01

The base rate is $0.34 higher than on 2025-10-01, moving from $166.63 to $166.97 (0.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $166.63changed to$166.97

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.76 changed to 0.74
    • Practice expense RVU 3.56 changed to 3.49
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $173.07changed to$166.63

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.60 changed to 3.56

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $170.24changed to$173.07

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $181.02changed to$170.24

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.64 changed to 3.60
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462

  5. January 1, 2023

    RVU23A

    $189.26changed to$181.02

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.67 changed to 3.64
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $193.83changed to$189.26

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.74 changed to 3.67

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $191.80changed to$193.83

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.58 changed to 3.74
    • Malpractice RVU 0.07 changed to 0.06
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $187.03changed to$191.80

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.57 changed to 3.58
    • Malpractice RVU 0.05 changed to 0.07
    • Work GPCI 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $190.71changed to$187.03

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.66 changed to 3.57

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $189.75changed to$190.71

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.65 changed to 3.66
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $188.36changed to$189.75

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.63 changed to 3.65
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $188.18changed to$188.36

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.61 changed to 3.63

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $187.25changed to$188.18

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $184.72changed to$187.25

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.56 changed to 3.61
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $184.09changed to$184.72

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.79 changed to 3.56
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $184.09

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$166.97Not available in this settingRVU26D
2026-07-01$166.97Not available in this settingRVU26C
2026-04-01$166.97Not available in this settingRVU26B
2026-01-01$166.97Not available in this settingRVU26A
2025-10-01$166.63Not available in this settingRVU25D
2025-07-01$166.63Not available in this settingRVU25C
2025-04-01$166.63Not available in this settingRVU25B
2025-01-01$166.63Not available in this settingRVU25A
2024-10-01$173.07Not available in this settingRVU24D
2024-07-01$173.07Not available in this settingRVU24C
2024-04-01$173.07Not available in this settingRVU24B
2024-03-09$173.07Not available in this settingRVU24AR
2024-01-01$170.24Not available in this settingRVU24A
2023-10-01$181.02Not available in this settingRVU23D
2023-07-01$181.02Not available in this settingRVU23C
2023-04-01$181.02Not available in this settingRVU23B
2023-01-01$181.02Not available in this settingRVU23A
2022-10-01$189.26Not available in this settingRVU22D
2022-07-01$189.26Not available in this settingRVU22C
2022-04-01$189.26Not available in this settingRVU22B
2022-01-01$189.26Not available in this settingRVU22A
2021-10-01$193.83Not available in this settingRVU21D
2021-07-01$193.83Not available in this settingRVU21C
2021-04-01$193.83Not available in this settingRVU21B
2021-01-01$193.83Not available in this settingRVU21A
2020-10-01$191.80Not available in this settingRVU20D
2020-07-01$191.80Not available in this settingRVU20C
2020-04-01$191.80Not available in this settingRVU20B
2020-01-01$191.80Not available in this settingRVU20A
2019-10-01$187.03Not available in this settingRVU19D
2019-07-01$187.03Not available in this settingRVU19C
2019-04-01$187.03Not available in this settingRVU19B
2019-01-01$187.03Not available in this settingRVU19A
2018-10-01$190.71Not available in this settingRVU18D
2018-07-01$190.71Not available in this settingRVU18C
2018-04-01$190.71Not available in this settingRVU18B
2018-01-01$190.71Not available in this settingRVU18AR1
2017-10-01$189.75Not available in this settingRVU17D
2017-07-01$189.75Not available in this settingRVU17C
2017-04-01$189.75Not available in this settingRVU17B
2017-01-01$189.75Not available in this settingRVU17A
2016-10-01$188.36Not available in this settingRVU16D
2016-07-01$188.36Not available in this settingRVU16C
2016-04-01$188.36Not available in this settingRVU16B
2016-01-01$188.36Not available in this settingRVU16A
2015-10-01$188.18Not available in this settingRVU15D
2015-07-01$188.18Not available in this settingRVU15C
2015-04-01$187.25Not available in this settingRVU15B
2015-01-01$187.25Not available in this settingRVU15A
2014-10-01$184.72Not available in this settingRVU14D
2014-07-01$184.72Not available in this settingRVU14C
2014-04-01$184.72Not available in this settingRVU14B
2014-01-01$184.72Not available in this settingRVU14A
2013-10-01$184.09Not available in this settingRVU13D
2013-07-01$184.09Not available in this settingRVU13C
2013-04-01$184.09Not available in this settingRVU13B
2013-01-01$184.09Not available in this settingRVU13AR

Price 76776 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

76776 billing questions

How does 76776 differ from a native-kidney ultrasound?

76776 is specific to the transplanted kidney and includes Doppler assessment of its vessels. Use a retroperitoneal ultrasound code when the examination is of native kidneys or the broader retroperitoneum.

Is Doppler reported separately from 76776?

The transplant-vessel Doppler assessment is included in 76776. Do not report a separate duplex service for the same Doppler work.

How are the professional and technical portions billed?

Bill globally without a modifier, or report modifier 26 for the professional interpretation and modifier TC for the technical service. CMS applies the diagnostic imaging multiple procedure reduction to both components.

What documentation supports reporting 76776?

Document that the examination concerns a transplanted kidney, the ultrasound and Doppler evaluation performed, and the interpreting provider's findings. Clinical context such as graft dysfunction or suspected obstruction can support why the study was ordered.

Are units based on the number of vessels examined?

No. Report the transplant-kidney ultrasound study, not separate units for individual vessels assessed during its Doppler evaluation.

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 76776PPRRVU2026_Oct_nonQPP.csv, line 8,757 (RVU26D)
Geographic factors for Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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