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CPT code 76812: Detailed OB ultrasound, each additional fetus2026 Medicare rate & RVUs in Nevada

Reports a detailed obstetric ultrasound evaluation for each additional fetus in a multiple gestation when the primary detailed study is also performed.

CMS RVU26DEffective Oct 1, 2026One payment locality76 Medicare services in 2024

In Nevada, Medicare pays $193.97 for 76812 in the office.

$193.97Office (non-facility)
Not available in this settingHospital or facility
−0.2%vs the national office rate ($194.39)

Check a contract rate as a % of Medicare · 76812 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 76812 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 76812 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 76812 covers

This add-on represents a detailed ultrasound assessment of an additional fetus in a multiple gestation. The examination may include evaluation of fetal anatomy and related pregnancy structures, with findings documented separately for each fetus examined. Obstetricians, maternal-fetal medicine specialists, and radiologists commonly perform or interpret these studies in office or hospital imaging settings when a detailed fetal assessment is indicated.

Report 76812 with the primary detailed obstetric ultrasound, 76811, for each additional fetus that receives the detailed assessment. Documentation should identify the fetuses evaluated and support the scope and findings of the examination for each. CMS classifies 76812 as an add-on: it must be billed with a primary procedure and is paid within that procedure’s global period. The diagnostic service has professional and technical components. Report modifier 26 for the interpretation or modifier TC for the equipment and staff; billing without either modifier represents the global service.

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 Nevada compares for 76812

Across 109 of 109 payment localities, the office rate for 76812 runs from $174.03 in Arkansas to $257.99 in San Benito County, CA. Nevada pays $193.97. The RVUs are the same everywhere; the geographic indexes change the dollars.

76812 in Nevada vs other payment areas
  1. Nevada · this page$193.97
  2. Los Angeles, CA · California$219.98+$26.01
  3. Washington, DC area · District of Columbia$221.57+$27.60
  4. Miami, FL · Florida$204.95+$10.98
  5. Chicago, IL · Illinois$199.79+$5.82
  6. Manhattan, NY · New York$221.61+$27.64
  7. Alaska · Alaska$230.59+$36.62

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

Every other payment area

76812 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$176.33—
ArkansasArkansas$174.03—
ArizonaArizona$189.79—
Bakersfield, CACalifornia$206.95—
Chico, CACalifornia$206.59—
El Centro, CACalifornia$206.61—
Fresno, CACalifornia$206.59—
Hanford, CACalifornia$206.59—

76812 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.

$174.03

$232.29

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

View every state and territory as a table
76812 office rate range by state
State / territoryOffice rate rangeLocalities
AK$230.591
AL$176.331
AR$174.031
AZ$189.791
CA$206.59–$257.9929
CO$202.871
CT$206.491
DC$221.571
DE$192.751
FL$190.22–$204.953
GA$180.68–$197.372
GU$211.201
HI$211.201
IA$181.081
ID$182.001
IL$184.71–$200.974
IN$182.971
KS$179.971
KY$179.351
LA$178.97–$187.002
MA$201.69–$222.202
MD$196.30–$221.573
ME$182.50–$191.962
MI$183.26–$192.032
MN$195.901
MO$175.96–$188.023
MS$175.041
MT$194.391
NC$184.281
ND$192.411
NE$182.081
NH$199.431
NJ$209.27–$219.552
NM$184.031
NV$193.971
NY$186.75–$226.105
OH$182.851
OK$179.421
OR$192.87–$209.222
PA$183.31–$201.532
PR$195.811
RI$199.521
SC$183.791
SD$192.181
TN$180.751
TX$182.19–$201.848
UT$186.081
VA$191.15–$221.572
VI$195.811
VT$191.411
WA$201.40–$226.862
WI$186.501
WV$178.421
WY$193.521

See 76812 in every payment locality

How the 76812 rate is calculated

Each of 76812’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 · 76812

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.74

1.74 RVUs× 1.000 GPCI

Practice expense3.98

3.98 RVUs× 1.000 GPCI

Malpractice0.10

0.10 RVUs× 1.000 GPCI

Adjusted RVUs

5.8200

Conversion factor

$33.4009

Medicare rate

$194.39

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

The exact Nevada inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,778

Code
76812
Physician work
1.74
Practice expense
3.98
Malpractice
0.10

GPCI2026.csv

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 76812 in Nevada
ComponentRVULocality factorAdjusted
Physician work1.74× 1.0001.7400
Practice expense3.98× 1.0013.9840
Malpractice0.10× 0.8330.0833
Total RVUs5.8073
Conversion factor× 33.4009

Office rate, Nevada$193.97

Office: (1.74 × 1 + 3.98 × 1.001 + 0.1 × 0.833) × $33.4009 = $193.97

Open 76812 in the RVU calculator

Payment rules and modifiers for 76812

The CMS indicators that decide how 76812 is paid alongside other services.

CMS payment indicators · 76812

Detailed OB ultrasound, each additional fetus

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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

76812 without 26 · national office

$194.39

Detailed OB ultrasound, each additional fetus

76812-26 · Professional component

$85.51

Pays only the interpretation and report.

When to use modifier 26

Codes related to 76812

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

Codes related to 76812
CodeHow it relatesOffice range, Nevada
Add-on codes
76811Obstetric ultrasound, detailed single gestationPrimary detailed obstetric ultrasound code reported with 76812.$181.54
Used instead
76810Obstetric ultrasound, 14 weeks or laterAdd-on for an additional fetus receiving a standard, rather than detailed, obstetric ultrasound.$88.23
76802Obstetric ultrasound, additional fetus under 14 weeksAdd-on for an additional fetus in an early-pregnancy obstetric ultrasound.$60.26

How 76812 has changed in Nevada

76812 · Office / nonfacility

$193.97

Effective 2026-10-01

The base rate is $10.87 higher than on 2025-10-01, moving from $183.10 to $193.97 (5.9%).

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

    $183.10changed to$193.97

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.78 changed to 1.74
    • Practice expense RVU 3.83 changed to 3.98
    • Malpractice RVU 0.06 changed to 0.10
    • Practice expense GPCI 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $191.09changed to$183.10

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.91 changed to 3.83

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $187.97changed to$191.09

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $195.05changed to$187.97

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice GPCI 1.098 changed to 0.844

  5. January 1, 2023

    RVU23A

    $201.43changed to$195.05

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.09 changed to 0.06
    • Work GPCI 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $204.25changed to$201.43

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.97 changed to 3.91
    • Malpractice RVU 0.07 changed to 0.09

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $203.09changed to$204.25

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.75 changed to 3.97
    • Malpractice RVU 0.08 changed to 0.07
    • Work GPCI 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $208.02changed to$203.09

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.77 changed to 3.75
    • Malpractice RVU 0.17 changed to 0.08
    • Work GPCI 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $211.86changed to$208.02

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.89 changed to 3.77
    • Malpractice RVU 0.16 changed to 0.17

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $215.38changed to$211.86

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.92 changed to 3.89
    • Malpractice RVU 0.17 changed to 0.16
    • Work GPCI 1.004 changed to 1.002
    • Practice expense GPCI 1.034 changed to 1.017
    • Malpractice GPCI 0.946 changed to 0.909

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $217.56changed to$215.38

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.93 changed to 3.92
    • Malpractice RVU 0.16 changed to 0.17
    • Work GPCI 1.005 changed to 1.004
    • Practice expense GPCI 1.051 changed to 1.034
    • Malpractice GPCI 0.982 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $217.54changed to$217.56

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.89 changed to 3.93
    • Malpractice RVU 0.18 changed to 0.16

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $216.46changed to$217.54

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $220.78changed to$216.46

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.09 changed to 3.89
    • Malpractice RVU 0.06 changed to 0.18
    • Work GPCI 1.001 changed to 1.005
    • Practice expense GPCI 1.055 changed to 1.051
    • Malpractice GPCI 1.107 changed to 0.982

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$220.78

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$193.97Not available in this settingRVU26D
2026-07-01$193.97Not available in this settingRVU26C
2026-04-01$193.97Not available in this settingRVU26B
2026-01-01$193.97Not available in this settingRVU26A
2025-10-01$183.10Not available in this settingRVU25D
2025-07-01$183.10Not available in this settingRVU25C
2025-04-01$183.10Not available in this settingRVU25B
2025-01-01$183.10Not available in this settingRVU25A
2024-10-01$191.09Not available in this settingRVU24D
2024-07-01$191.09Not available in this settingRVU24C
2024-04-01$191.09Not available in this settingRVU24B
2024-03-09$191.09Not available in this settingRVU24AR
2024-01-01$187.97Not available in this settingRVU24A
2023-10-01$195.05Not available in this settingRVU23D
2023-07-01$195.05Not available in this settingRVU23C
2023-04-01$195.05Not available in this settingRVU23B
2023-01-01$195.05Not available in this settingRVU23A
2022-10-01$201.43Not available in this settingRVU22D
2022-07-01$201.43Not available in this settingRVU22C
2022-04-01$201.43Not available in this settingRVU22B
2022-01-01$201.43Not available in this settingRVU22A
2021-10-01$204.25Not available in this settingRVU21D
2021-07-01$204.25Not available in this settingRVU21C
2021-04-01$204.25Not available in this settingRVU21B
2021-01-01$204.25Not available in this settingRVU21A
2020-10-01$203.09Not available in this settingRVU20D
2020-07-01$203.09Not available in this settingRVU20C
2020-04-01$203.09Not available in this settingRVU20B
2020-01-01$203.09Not available in this settingRVU20A
2019-10-01$208.02Not available in this settingRVU19D
2019-07-01$208.02Not available in this settingRVU19C
2019-04-01$208.02Not available in this settingRVU19B
2019-01-01$208.02Not available in this settingRVU19A
2018-10-01$211.86Not available in this settingRVU18D
2018-07-01$211.86Not available in this settingRVU18C
2018-04-01$211.86Not available in this settingRVU18B
2018-01-01$211.86Not available in this settingRVU18AR1
2017-10-01$215.38Not available in this settingRVU17D
2017-07-01$215.38Not available in this settingRVU17C
2017-04-01$215.38Not available in this settingRVU17B
2017-01-01$215.38Not available in this settingRVU17A
2016-10-01$217.56Not available in this settingRVU16D
2016-07-01$217.56Not available in this settingRVU16C
2016-04-01$217.56Not available in this settingRVU16B
2016-01-01$217.56Not available in this settingRVU16A
2015-10-01$217.54Not available in this settingRVU15D
2015-07-01$217.54Not available in this settingRVU15C
2015-04-01$216.46Not available in this settingRVU15B
2015-01-01$216.46Not available in this settingRVU15A
2014-10-01$220.78Not available in this settingRVU14D
2014-07-01$220.78Not available in this settingRVU14C
2014-04-01$220.78Not available in this settingRVU14B
2014-01-01$220.78Not available in this settingRVU14A
2013-10-01Additional calculation requiredNot available in this settingRVU13D
2013-07-01Additional calculation requiredNot available in this settingRVU13C
2013-04-01Additional calculation requiredNot available in this settingRVU13B
2013-01-01Additional calculation requiredNot available in this settingRVU13AR

Price 76812 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

76812 billing questions

Which primary code is reported with 76812?

Report 76812 with 76811, the primary detailed obstetric ultrasound code. It represents the detailed assessment of each additional fetus.

How does 76812 differ from 76810?

76812 is for an additional fetus receiving a detailed examination. 76810 is the add-on for an additional fetus receiving a standard obstetric ultrasound examination.

Can the professional and technical portions be billed separately?

Yes. Use modifier 26 for the professional interpretation or modifier TC for the technical service. Without either modifier, the claim represents the global service.

What should the report document for each additional fetus?

Identify the fetus assessed and document the detailed examination and its findings. The record should support that the additional fetus received the detailed evaluation represented by 76812.

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 76812PPRRVU2026_Oct_nonQPP.csv, line 8,778 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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