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CPT code 76820: Umbilical artery Doppler, fetal Doppler velocimetry2026 Medicare rate & RVUs in New Mexico

Reports Doppler assessment of fetal umbilical artery blood flow, commonly used in high-risk pregnancy monitoring when placental circulation is a concern.

CMS RVU26DEffective Oct 1, 2026One payment locality3.3K Medicare services in 2024

In New Mexico, Medicare pays $42.99 for 76820 in the office.

$42.99Office (non-facility)
Not available in this settingHospital or facility
−4.7%vs the national office rate ($45.09)

Check a contract rate as a % of Medicare · 76820 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 76820 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 76820 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 76820 covers

This study uses ultrasound Doppler to assess blood-flow patterns in the fetal umbilical artery, providing information about circulation between the fetus and placenta. Maternal-fetal medicine specialists, obstetricians, or sonographers working under appropriate supervision may perform it in an office, imaging department, or hospital setting. It is commonly part of surveillance for a growth-restricted fetus or suspected placental insufficiency; it is distinct from a routine fetal anatomy or growth examination.

Report the service when the umbilical artery Doppler assessment is performed and documented, including the fetus assessed, the study findings, and the clinical indication. The record should support that this was a Doppler flow evaluation rather than only a general obstetric ultrasound. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies equipment and staff, and 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 New Mexico compares for 76820

Across 109 of 109 payment localities, the office rate for 76820 runs from $40.70 in Arkansas to $58.68 in San Benito County, CA. New Mexico pays $42.99. The RVUs are the same everywhere; the geographic indexes change the dollars.

76820 in New Mexico vs other payment areas
  1. New Mexico · this page$42.99
  2. Los Angeles, CA · California$50.50+$7.51
  3. Washington, DC area · District of Columbia$51.02+$8.03
  4. Miami, FL · Florida$47.76+$4.77
  5. Chicago, IL · Illinois$46.64+$3.65
  6. Manhattan, NY · New York$51.22+$8.23
  7. Alaska · Alaska$54.63+$11.64

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

Every other payment area

76820 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$41.19—
ArkansasArkansas$40.70—
ArizonaArizona$44.09—
Bakersfield, CACalifornia$47.67—
Chico, CACalifornia$47.57—
El Centro, CACalifornia$47.57—
Fresno, CACalifornia$47.57—
Hanford, CACalifornia$47.57—

76820 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.

$40.70

$54.63

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

View every state and territory as a table
76820 office rate range by state
State / territoryOffice rate rangeLocalities
AK$54.631
AL$41.191
AR$40.701
AZ$44.091
CA$47.57–$58.6829
CO$46.841
CT$47.761
DC$51.021
DE$44.741
FL$44.38–$47.763
GA$42.29–$45.792
GU$48.471
HI$48.471
IA$42.131
ID$42.351
IL$43.24–$46.734
IN$42.551
KS$41.931
KY$41.931
LA$41.86–$43.592
MA$46.62–$51.032
MD$45.51–$51.023
ME$42.49–$44.472
MI$42.81–$44.812
MN$45.191
MO$41.24–$43.763
MS$40.981
MT$45.091
NC$42.871
ND$44.501
NE$42.331
NH$46.101
NJ$48.39–$50.632
NM$42.991
NV$44.951
NY$43.41–$52.245
OH$42.691
OK$41.901
OR$44.68–$48.172
PA$42.76–$46.722
PR$45.381
RI$46.211
SC$42.831
SD$44.431
TN$42.101
TX$42.53–$46.628
UT$43.331
VA$44.33–$51.022
VI$45.381
VT$44.321
WA$46.53–$52.022
WI$43.231
WV$41.891
WY$44.831

See 76820 in every payment locality

How the 76820 rate is calculated

Each of 76820’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 · 76820

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.49

0.49 RVUs× 1.000 GPCI

Practice expense0.83

0.83 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

1.3500

Conversion factor

$33.4009

Medicare rate

$45.09

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,802

Code
76820
Physician work
0.49
Practice expense
0.83
Malpractice
0.03

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 76820 in New Mexico
ComponentRVULocality factorAdjusted
Physician work0.49× 1.0000.4900
Practice expense0.83× 0.9170.7611
Malpractice0.03× 1.2010.0360
Total RVUs1.2871
Conversion factor× 33.4009

Office rate, New Mexico$42.99

Office: (0.49 × 1 + 0.83 × 0.917 + 0.03 × 1.201) × $33.4009 = $42.99

Open 76820 in the RVU calculator

Payment rules and modifiers for 76820

The CMS indicators that decide how 76820 is paid alongside other services.

CMS payment indicators · 76820

Umbilical artery Doppler, fetal Doppler velocimetry

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

76820 without 26 · national office

$45.09

Umbilical artery Doppler, fetal Doppler velocimetry

76820-26 · Professional component

$24.05

Pays only the interpretation and report.

When to use modifier 26

Codes related to 76820

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

Codes related to 76820
CodeHow it relatesOffice range, New Mexico
Used instead
76821Fetal Doppler, middle cerebral arteryAssesses fetal middle cerebral artery flow rather than umbilical artery flow.$84.96
Often billed with
76816Obstetric ultrasound, follow-up, each fetusMay accompany a separately documented follow-up fetal growth ultrasound.$104.77
76818Fetal biophysical profile, with nonstress testMay accompany a separately performed fetal biophysical profile with nonstress testing.$115.29
76819Biophysical profile, without nonstress testMay accompany a separately performed fetal biophysical profile without nonstress testing.$83.20

How 76820 has changed in New Mexico

76820 · Office / nonfacility

$42.99

Effective 2026-10-01

The base rate is $2.56 higher than on 2025-10-01, moving from $40.43 to $42.99 (6.3%).

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

    $40.43changed to$42.99

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.50 changed to 0.49
    • Practice expense RVU 0.80 changed to 0.83
    • Malpractice RVU 0.02 changed to 0.03
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $42.21changed to$40.43

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.82 changed to 0.80

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $41.52changed to$42.21

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $42.80changed to$41.52

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172

  5. January 1, 2023

    RVU23A

    $43.94changed to$42.80

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.03 changed to 0.02
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $44.62changed to$43.94

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.83 changed to 0.82

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $45.24changed to$44.62

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.79 changed to 0.83
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $46.82changed to$45.24

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.80 changed to 0.79
    • Malpractice RVU 0.05 changed to 0.03
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $47.43changed to$46.82

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.82 changed to 0.80

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $47.51changed to$47.43

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.83 changed to 0.82
    • Practice expense GPCI 0.920 changed to 0.921
    • Malpractice GPCI 1.204 changed to 1.247

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $45.97changed to$47.51

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.79 changed to 0.83
    • Practice expense GPCI 0.919 changed to 0.920
    • Malpractice GPCI 1.161 changed to 1.204

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $46.14changed to$45.97

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $45.91changed to$46.14

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $46.97changed to$45.91

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.86 changed to 0.79
    • Malpractice RVU 0.02 changed to 0.05
    • Practice expense GPCI 0.918 changed to 0.919
    • Malpractice GPCI 1.079 changed to 1.161

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $38.88changed to$46.97

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.68 changed to 0.86
    • Practice expense GPCI 0.916 changed to 0.918
    • Malpractice GPCI 0.997 changed to 1.079

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $38.88

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$42.99Not available in this settingRVU26D
2026-07-01$42.99Not available in this settingRVU26C
2026-04-01$42.99Not available in this settingRVU26B
2026-01-01$42.99Not available in this settingRVU26A
2025-10-01$40.43Not available in this settingRVU25D
2025-07-01$40.43Not available in this settingRVU25C
2025-04-01$40.43Not available in this settingRVU25B
2025-01-01$40.43Not available in this settingRVU25A
2024-10-01$42.21Not available in this settingRVU24D
2024-07-01$42.21Not available in this settingRVU24C
2024-04-01$42.21Not available in this settingRVU24B
2024-03-09$42.21Not available in this settingRVU24AR
2024-01-01$41.52Not available in this settingRVU24A
2023-10-01$42.80Not available in this settingRVU23D
2023-07-01$42.80Not available in this settingRVU23C
2023-04-01$42.80Not available in this settingRVU23B
2023-01-01$42.80Not available in this settingRVU23A
2022-10-01$43.94Not available in this settingRVU22D
2022-07-01$43.94Not available in this settingRVU22C
2022-04-01$43.94Not available in this settingRVU22B
2022-01-01$43.94Not available in this settingRVU22A
2021-10-01$44.62Not available in this settingRVU21D
2021-07-01$44.62Not available in this settingRVU21C
2021-04-01$44.62Not available in this settingRVU21B
2021-01-01$44.62Not available in this settingRVU21A
2020-10-01$45.24Not available in this settingRVU20D
2020-07-01$45.24Not available in this settingRVU20C
2020-04-01$45.24Not available in this settingRVU20B
2020-01-01$45.24Not available in this settingRVU20A
2019-10-01$46.82Not available in this settingRVU19D
2019-07-01$46.82Not available in this settingRVU19C
2019-04-01$46.82Not available in this settingRVU19B
2019-01-01$46.82Not available in this settingRVU19A
2018-10-01$47.43Not available in this settingRVU18D
2018-07-01$47.43Not available in this settingRVU18C
2018-04-01$47.43Not available in this settingRVU18B
2018-01-01$47.43Not available in this settingRVU18AR1
2017-10-01$47.51Not available in this settingRVU17D
2017-07-01$47.51Not available in this settingRVU17C
2017-04-01$47.51Not available in this settingRVU17B
2017-01-01$47.51Not available in this settingRVU17A
2016-10-01$45.97Not available in this settingRVU16D
2016-07-01$45.97Not available in this settingRVU16C
2016-04-01$45.97Not available in this settingRVU16B
2016-01-01$45.97Not available in this settingRVU16A
2015-10-01$46.14Not available in this settingRVU15D
2015-07-01$46.14Not available in this settingRVU15C
2015-04-01$45.91Not available in this settingRVU15B
2015-01-01$45.91Not available in this settingRVU15A
2014-10-01$46.97Not available in this settingRVU14D
2014-07-01$46.97Not available in this settingRVU14C
2014-04-01$46.97Not available in this settingRVU14B
2014-01-01$46.97Not available in this settingRVU14A
2013-10-01$38.88Not available in this settingRVU13D
2013-07-01$38.88Not available in this settingRVU13C
2013-04-01$38.88Not available in this settingRVU13B
2013-01-01$38.88Not available in this settingRVU13AR

Price 76820 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

76820 billing questions

How is this different from a middle cerebral artery Doppler?

This code is for Doppler assessment of the fetal umbilical artery. Use 76821 for the fetal middle cerebral artery; the vessel studied determines the code.

Can it be reported with a fetal growth ultrasound?

It may be reported with a separately performed growth assessment, such as 76816, when both the growth ultrasound and umbilical artery Doppler are documented as distinct services.

What do modifiers 26 and TC identify?

Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service.

What documentation supports reporting this code?

Document the clinical reason for the Doppler, which fetus and vessel were assessed, and the flow findings or interpretation. A general obstetric ultrasound without a documented umbilical artery Doppler assessment does not support this service.

Is this the same as a fetal biophysical profile?

No. This code reports umbilical artery blood-flow assessment; 76818 and 76819 report fetal biophysical profile services, with and without a nonstress test, respectively.

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 76820PPRRVU2026_Oct_nonQPP.csv, line 8,802 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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