CPT code 76802: Obstetric ultrasound, additional fetus under 14 weeks2026 Medicare rate & RVUs in Michigan
Reports the additional-fetus portion of an obstetric ultrasound performed before 14 weeks when more than one fetus is evaluated.
Medicare pays $57.84–$60.25 for 76802 in the office in Michigan, from Rest of Michigan to Detroit, MI. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 76802 covers
This add-on represents evaluation of an additional fetus during an obstetric ultrasound performed before 14 weeks of gestation. It is used when the examination covers a multiple gestation, such as twins, beyond the first fetus. Ultrasound staff acquire the images in an obstetric practice or imaging department; a physician or other qualified practitioner interprets the study and reports its findings.
Report 76802 with the primary early-pregnancy ultrasound code 76801, not by itself. The record should support the gestational age, the number of fetuses evaluated, and findings attributable to each fetus. When billing the global service, submit without a component modifier; modifier 26 identifies the interpretation, while modifier TC identifies the equipment and staff portion. CMS treats this add-on as paid within the primary procedure's global period.
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 76802 pays more and less in Michigan
| Payment locality | Office | Facility |
|---|---|---|
| Detroit, MI | $60.25 | Unavailable |
| Rest of Michigan | $57.84 | Unavailable |
How the 76802 rate is calculated
Each of 76802’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 · 76802
RVUs × geographic indexes × conversion factor
Work0.81
0.81 RVUs× 1.000 GPCI
Practice expense0.96
0.96 RVUs× 1.000 GPCI
Malpractice0.04
0.04 RVUs× 1.000 GPCI
Adjusted RVUs
1.8100
Conversion factor
$33.4009
Medicare rate
$60.46
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 76802
The CMS indicators that decide how 76802 is paid alongside other services.
CMS payment indicators · 76802
Obstetric ultrasound, additional fetus under 14 weeks
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
76802 without 26 · national office
$60.46
Obstetric ultrasound, additional fetus under 14 weeks
76802-26 · Professional component
$39.41
Pays only the interpretation and report.
76802 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 76801Obstetric ultrasoundUnder 14 weeks, single fetus
- 76801 reports the first fetus in an obstetric ultrasound before 14 weeks. Use 76802 only for an additional fetus in that examination.
- 76810Obstetric ultrasound14 weeks or later
- Both codes cover an additional fetus, but 76810 applies at 14 weeks or later; 76802 applies before 14 weeks.
- 76812Detailed OB ultrasoundEach additional fetus
- 76812 is for an additional fetus in a detailed obstetric ultrasound. 76802 is the additional-fetus code for the early-pregnancy examination.
76802 billing questions
When is 76802 reported instead of 76801?
Use 76801 for the first fetus in an obstetric ultrasound before 14 weeks. Add 76802 for each additional fetus evaluated in that examination.
Can 76802 be billed by itself?
No. It is an add-on to the primary early-pregnancy ultrasound, 76801.
Which modifiers identify the ultrasound components?
Use modifier 26 for the professional interpretation or TC for the technical portion. Billing without either modifier represents the global service.
What documentation supports additional units?
Document gestational age, the number of fetuses evaluated, and findings for each fetus. Report the add-on for each fetus beyond the first.
How does 76802 differ from 76810?
Both represent an additional fetus, but 76802 applies to an obstetric ultrasound before 14 weeks; 76810 is for the corresponding examination at 14 weeks or later.
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
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