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CPT code 76819: Biophysical profile, without nonstress test2026 Medicare rate & RVUs in Mississippi

Reports ultrasound assessment of fetal breathing, movement, tone, and amniotic fluid when a biophysical profile is performed without an NST.

CMS RVU26DEffective Oct 1, 2026One payment locality6.6K Medicare services in 2024

In Mississippi, Medicare pays $78.87 for 76819 in the office.

$78.87Office (non-facility)
Not available in this settingHospital or facility
−10.2%vs the national office rate ($87.84)

Check a contract rate as a % of Medicare · 76819 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 76819 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 76819 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 76819 covers

This antepartum ultrasound evaluates fetal breathing movements, gross body movement, fetal tone, and amniotic fluid volume without including a nonstress test. Obstetricians, maternal-fetal medicine specialists, or qualified imaging staff typically perform or interpret it during surveillance of pregnancies with concerns such as decreased fetal movement, maternal diabetes or hypertension, fetal growth restriction, or a post-term pregnancy.

Report 76819 when the documented service includes the ultrasound components of a biophysical profile and no NST is part of that service. The record should support the clinical reason, the fetal observations and fluid assessment, and the interpreting clinician’s findings. CMS recognizes professional and technical portions: report modifier 26 for interpretation, modifier TC for equipment and staff, or no component modifier when billing 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 Mississippi compares for 76819

Across 109 of 109 payment localities, the office rate for 76819 runs from $78.30 in Arkansas to $116.54 in San Benito County, CA. Mississippi pays $78.87. The RVUs are the same everywhere; the geographic indexes change the dollars.

76819 in Mississippi vs other payment areas
  1. Mississippi · this page$78.87
  2. Los Angeles, CA · California$99.32+$20.45
  3. Washington, DC area · District of Columbia$100.24+$21.37
  4. Miami, FL · Florida$93.40+$14.53
  5. Chicago, IL · Illinois$90.92+$12.05
  6. Manhattan, NY · New York$100.47+$21.60
  7. Alaska · Alaska$103.42+$24.55

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

Every other payment area

76819 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$79.38—
ArkansasArkansas$78.30—
ArizonaArizona$85.67—
Bakersfield, CACalifornia$93.37—
Chico, CACalifornia$93.18—
El Centro, CACalifornia$93.19—
Fresno, CACalifornia$93.18—
Hanford, CACalifornia$93.18—

76819 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.

$78.30

$104.86

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

View every state and territory as a table
76819 office rate range by state
State / territoryOffice rate rangeLocalities
AK$103.421
AL$79.381
AR$78.301
AZ$85.671
CA$93.18–$116.5429
CO$91.601
CT$93.451
DC$100.241
DE$87.041
FL$86.18–$93.403
GA$81.66–$89.292
GU$95.331
HI$95.331
IA$81.471
ID$81.931
IL$83.68–$91.214
IN$82.381
KS$81.011
KY$80.931
LA$80.77–$84.532
MA$91.06–$100.442
MD$88.66–$100.243
ME$82.22–$86.562
MI$82.81–$87.092
MN$88.201
MO$79.40–$84.933
MS$78.871
MT$87.841
NC$83.051
ND$86.651
NE$81.921
NH$90.091
NJ$94.63–$99.292
NM$83.201
NV$87.571
NY$84.21–$102.655
OH$82.571
OK$80.891
OR$87.01–$94.482
PA$82.75–$91.172
PR$88.481
RI$90.111
SC$82.921
SD$86.511
TN$81.381
TX$82.23–$91.198
UT$83.991
VA$86.22–$100.242
VI$88.481
VT$86.251
WA$90.91–$102.532
WI$83.901
WV$80.741
WY$87.321

See 76819 in every payment locality

How the 76819 rate is calculated

Each of 76819’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 · 76819

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.75

0.75 RVUs× 1.000 GPCI

Practice expense1.82

1.82 RVUs× 1.000 GPCI

Malpractice0.06

0.06 RVUs× 1.000 GPCI

Adjusted RVUs

2.6300

Conversion factor

$33.4009

Medicare rate

$87.84

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

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,799

Code
76819
Physician work
0.75
Practice expense
1.82
Malpractice
0.06

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Office calculation for 76819 in Mississippi
ComponentRVULocality factorAdjusted
Physician work0.75× 1.0000.7500
Practice expense1.82× 0.8611.5670
Malpractice0.06× 0.7390.0443
Total RVUs2.3614
Conversion factor× 33.4009

Office rate, Mississippi$78.87

Office: (0.75 × 1 + 1.82 × 0.861 + 0.06 × 0.739) × $33.4009 = $78.87

Open 76819 in the RVU calculator

Payment rules and modifiers for 76819

The CMS indicators that decide how 76819 is paid alongside other services.

CMS payment indicators · 76819

Biophysical profile, without nonstress test

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
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

76819 without 26 · national office

$87.84

Biophysical profile, without nonstress test

76819-26 · Professional component

$36.74

Pays only the interpretation and report.

When to use modifier 26

Codes related to 76819

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

Codes related to 76819
CodeHow it relatesOffice range, Mississippi
Same family
76818Fetal biophysical profile, with nonstress testBiophysical profile that includes an NST.$109.42
Often billed with
76820Umbilical artery Doppler, fetal Doppler velocimetryUmbilical artery Doppler may accompany fetal surveillance when separately performed and indicated.$40.98
76821Fetal Doppler, middle cerebral arteryMiddle cerebral artery Doppler may accompany fetal surveillance when separately performed and indicated.$80.64

How 76819 has changed in Mississippi

76819 · Office / nonfacility

$78.87

Effective 2026-10-01

The base rate is $4.47 higher than on 2025-10-01, moving from $74.40 to $78.87 (6.0%).

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

    $74.40changed to$78.87

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.77 changed to 0.75
    • Practice expense RVU 1.76 changed to 1.82
    • Malpractice RVU 0.04 changed to 0.06
    • Practice expense GPCI 0.852 changed to 0.861
    • Malpractice GPCI 0.768 changed to 0.739

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $76.57changed to$74.40

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $75.32changed to$76.57

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $76.19changed to$75.32

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.72 changed to 1.76
    • Malpractice RVU 0.03 changed to 0.04
    • Practice expense GPCI 0.847 changed to 0.852
    • Malpractice GPCI 0.720 changed to 0.768

  5. January 1, 2023

    RVU23A

    $76.76changed to$76.19

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.68 changed to 1.72
    • Malpractice RVU 0.05 changed to 0.03
    • Practice expense GPCI 0.842 changed to 0.847
    • Malpractice GPCI 0.671 changed to 0.720

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $78.28changed to$76.76

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.71 changed to 1.68

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $79.21changed to$78.28

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.64 changed to 1.71
    • Malpractice RVU 0.04 changed to 0.05
    • Practice expense GPCI 0.856 changed to 0.842
    • Malpractice GPCI 0.521 changed to 0.671

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $81.36changed to$79.21

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.68 changed to 1.64
    • Malpractice RVU 0.07 changed to 0.04
    • Practice expense GPCI 0.870 changed to 0.856
    • Malpractice GPCI 0.370 changed to 0.521

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $82.52changed to$81.36

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.72 changed to 1.68

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $83.01changed to$82.52

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.74 changed to 1.72
    • Practice expense GPCI 0.867 changed to 0.870
    • Malpractice GPCI 0.492 changed to 0.370

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $81.08changed to$83.01

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.68 changed to 1.74
    • Practice expense GPCI 0.864 changed to 0.867
    • Malpractice GPCI 0.613 changed to 0.492

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $81.37changed to$81.08

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $80.96changed to$81.37

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $81.87changed to$80.96

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.72 changed to 1.68
    • Malpractice RVU 0.04 changed to 0.07
    • Practice expense GPCI 0.865 changed to 0.864
    • Malpractice GPCI 0.687 changed to 0.613

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $82.63changed to$81.87

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.88 changed to 1.72
    • Practice expense GPCI 0.866 changed to 0.865
    • Malpractice GPCI 0.761 changed to 0.687

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $82.63

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$78.87Not available in this settingRVU26D
2026-07-01$78.87Not available in this settingRVU26C
2026-04-01$78.87Not available in this settingRVU26B
2026-01-01$78.87Not available in this settingRVU26A
2025-10-01$74.40Not available in this settingRVU25D
2025-07-01$74.40Not available in this settingRVU25C
2025-04-01$74.40Not available in this settingRVU25B
2025-01-01$74.40Not available in this settingRVU25A
2024-10-01$76.57Not available in this settingRVU24D
2024-07-01$76.57Not available in this settingRVU24C
2024-04-01$76.57Not available in this settingRVU24B
2024-03-09$76.57Not available in this settingRVU24AR
2024-01-01$75.32Not available in this settingRVU24A
2023-10-01$76.19Not available in this settingRVU23D
2023-07-01$76.19Not available in this settingRVU23C
2023-04-01$76.19Not available in this settingRVU23B
2023-01-01$76.19Not available in this settingRVU23A
2022-10-01$76.76Not available in this settingRVU22D
2022-07-01$76.76Not available in this settingRVU22C
2022-04-01$76.76Not available in this settingRVU22B
2022-01-01$76.76Not available in this settingRVU22A
2021-10-01$78.28Not available in this settingRVU21D
2021-07-01$78.28Not available in this settingRVU21C
2021-04-01$78.28Not available in this settingRVU21B
2021-01-01$78.28Not available in this settingRVU21A
2020-10-01$79.21Not available in this settingRVU20D
2020-07-01$79.21Not available in this settingRVU20C
2020-04-01$79.21Not available in this settingRVU20B
2020-01-01$79.21Not available in this settingRVU20A
2019-10-01$81.36Not available in this settingRVU19D
2019-07-01$81.36Not available in this settingRVU19C
2019-04-01$81.36Not available in this settingRVU19B
2019-01-01$81.36Not available in this settingRVU19A
2018-10-01$82.52Not available in this settingRVU18D
2018-07-01$82.52Not available in this settingRVU18C
2018-04-01$82.52Not available in this settingRVU18B
2018-01-01$82.52Not available in this settingRVU18AR1
2017-10-01$83.01Not available in this settingRVU17D
2017-07-01$83.01Not available in this settingRVU17C
2017-04-01$83.01Not available in this settingRVU17B
2017-01-01$83.01Not available in this settingRVU17A
2016-10-01$81.08Not available in this settingRVU16D
2016-07-01$81.08Not available in this settingRVU16C
2016-04-01$81.08Not available in this settingRVU16B
2016-01-01$81.08Not available in this settingRVU16A
2015-10-01$81.37Not available in this settingRVU15D
2015-07-01$81.37Not available in this settingRVU15C
2015-04-01$80.96Not available in this settingRVU15B
2015-01-01$80.96Not available in this settingRVU15A
2014-10-01$81.87Not available in this settingRVU14D
2014-07-01$81.87Not available in this settingRVU14C
2014-04-01$81.87Not available in this settingRVU14B
2014-01-01$81.87Not available in this settingRVU14A
2013-10-01$82.63Not available in this settingRVU13D
2013-07-01$82.63Not available in this settingRVU13C
2013-04-01$82.63Not available in this settingRVU13B
2013-01-01$82.63Not available in this settingRVU13AR

Price 76819 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

76819 billing questions

When should 76819 be chosen over 76818?

Use 76819 for the ultrasound components of a biophysical profile without an NST. Use 76818 when the service also includes the NST.

Which portions can be billed separately?

The professional interpretation may be reported with modifier 26, and the technical service with modifier TC. Billing without either modifier represents the global service.

What documentation supports 76819?

Document the reason for surveillance, findings for fetal breathing, movement, tone, and amniotic fluid, and the interpreting clinician’s conclusion. The service should not include an NST.

Is the NST included in 76819?

No. This code represents the ultrasound profile without an NST; 76818 represents a profile that includes one.

Can a fetal Doppler study be reported with 76819?

A separately performed and documented Doppler assessment, such as umbilical artery flow evaluation, may be reported when it is also clinically indicated.

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 76819PPRRVU2026_Oct_nonQPP.csv, line 8,799 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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